Reimbursement Specialist - Healthcare jobs in Saint Cloud, MN

Reimbursement Specialist - Healthcare determines the extent to which patients' insurance covers their treatments. Reviews appropriateness of CPT-4/ICD-10 coding and determines if care provided corresponds to the charges submitted. Being a Reimbursement Specialist - Healthcare ensures compliance with Federal and State regulations and company policies that govern Medicare and state payment systems. May assist in identifying fraudulent non-plan billing practices and assists the legal department with litigation preparation. Additionally, Reimbursement Specialist - Healthcare may require a bachelor's degree. Typically reports to a supervisor or manager. Typically requires Certified Professional Coder (CPC) from AAPC or AHIMA. The Reimbursement Specialist - Healthcare gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Reimbursement Specialist - Healthcare typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)

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Insurance Claims Specialist
  • Prairie Lakes Healthcare System
  • Ortonville, MN FULL_TIME
  • Insurance Specialist
     
    Job Summary
    Join our team and be a part of our mission to deliver accessible, high-quality, affordable, and compassionate healthcare. Prairie Lakes Healthcare System is an independent, non-profit healthcare system serving 10 counties in northeastern South Dakota and west-central Minnesota. Our team at Prairie Lakes makes a difference in the lives of patients and their loved ones.
     
    This position will perform the submission and follow-up of insurance claims for all service lines to ensure billing procedures are followed to maximize cash and minimize accounts receivable.
     
    Responsibilities include:
    • Complete all edits to ensure claim submissions are compliant with federal and state regulations.
    • Process all secondary claims to seek reimbursement primary insurance payment.
    • Research and resolve requests from insurance companies, patients, and third-party payors.
    • Assist co-workers with problem resolution and team projects to decrease accounts receivable.
    • Work with patient account specialists on private pay accounts.
    • Assist patients with insurance-related questions and problem.
    • Resolve billing problems and assists interdepartmentally with billing issues.
    Benefits
    We value our employees’ contributions and show our gratitude by proudly offering competitive compensation and benefits package. At Prairie Lakes, we understand that working in the healthcare industry can be tasking on your mental health. To better support our employees, PLHS recently included mental health programs into our benefits package, as well as employee recognition programs. Benefits are available to qualifying employees working part-time or full-time.
    A variety of the benefits for those qualifying can include:
    • Health Insurance
    • Dental Insurance
    • Vision Insurance
    • Life Insurance
    • Flexible Spending Account
    • Adoption Assistance
    • Education Loan Program
    • Professional Development Opportunities
    • Community Discounts Including the Prairie Lakes Wellness Center
    Qualifications
    High school diploma or general education degree (GED); or equivalent combination of education and experience.
    One year prior medical or general office experience is preferred. Previous billing and computer experience desirable.
     
    Prairie Lakes Healthcare System has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment.

  • 1 Month Ago

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Diesel Techs • Excellent Benefits • Tuition Reimbursement
  • Koch Trucking
  • st cloud, MN FULL_TIME
  • Hiring Diesel Technicians II & III | Earn up to $45/hr!. Level 2 and 3 Diesel Techs | Competitive Pay Annual Tool and Footwear AllowancesWork with a welcoming and friendly team in a fast paced and exc...
  • 1 Month Ago

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Training and Outreach Manager- Healthcare
  • Ridgewater College
  • Willmar, MN FULL_TIME
  • Position Information Position Information Classification Title Customized Training Representative Working Title Training and Outreach Manager- Healthcare Hire Types Staff Division Customized Training ...
  • 9 Days Ago

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Training and Outreach Manager- Healthcare
  • ridgewater
  • Willmar, MN FULL_TIME
  • The purpose of this position is to manage activities involved with program and financial management and delivery of Ridgewater’s Long Term Care and other healthcare-related programs to ensure that Rid...
  • 9 Days Ago

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Specialist
  • Barrett Petfood Innovations
  • Little Falls, MN FULL_TIME
  • Barrett Petfood is a family owned and operated premium pet food manufacturer. We are currently hiring for a Set Up Specialist for weekend shift (work 36 hours, paid 40). This position will be responsi...
  • 13 Days Ago

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Specialist
  • POS Professional Office Services
  • Waite, MN FULL_TIME
  • For more than 50 years, POS Professional Office Services, Inc. has worked with thousands of medical practices and organizations around the country to improve communications collateral, marketing, mail...
  • 22 Days Ago

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0 Reimbursement Specialist - Healthcare jobs found in Saint Cloud, MN area

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Housekeeper
  • Newport Healthcare
  • Saint Cloud, MN
  • About Us: Newport Healthcare is a nationwide behavioral healthcare organization dedicated to transforming young lives th...
  • 4/22/2024 12:00:00 AM

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Project Manager
  • Microbiologics Inc
  • Saint Cloud, MN
  • Description We are currently looking to add a Project Managerto our team in St. Cloud, MN. This role is responsible for ...
  • 4/22/2024 12:00:00 AM

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Diesel Mechanic / Technician
  • Nuss Truck and Equipment
  • Sauk Rapids, MN
  • Job Description Job Description $10,000 Sign-on bonus for qualified applicants! Relocation Assistance is available for q...
  • 4/21/2024 12:00:00 AM

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Internal Revenue Agent (Reviewer - Examiner) 12 MONTH ROSTER - AMENDED
  • Department Of The Treasury
  • Saint Cloud, MN
  • Duties WHAT IS THE WHISTLEBLOWER OFFICE (WBO) DIVISION? A description of the business units can be found at: https://www...
  • 4/21/2024 12:00:00 AM

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Leasing Consultant
  • Centerspace
  • Monticello, MN
  • Welcome to Centerspace Homes - Best Places to Work organization! At Centerspace, our mission is to provide a great home ...
  • 4/21/2024 12:00:00 AM

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CDL-A Truck Driver - Home Weekly - Average $1.5k/Week + $10k Sign-On
  • Dedicated Logistics
  • Saint Cloud, MN
  • Dedicated Logistics is Now Hiring Regional CDL-A Truck Drivers! Home Weekly - Average $1,500 Weekly - No-Touch Freight -...
  • 4/19/2024 12:00:00 AM

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Entry Level Office Administration
  • Midland Credit Management
  • Saint Cloud, MN
  • Job Description Job Description If you are wondering why you should work for us, here is something to help you decide: P...
  • 4/19/2024 12:00:00 AM

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Data Entry Specialist (Work From Home)>
  • CareMetx
  • Elk River, MN
  • [Administrative Assistant / Fully Remote] - Anywhere in U.S. / Competitive Pay - As a Data Entry Specialist you'll: Main...
  • 4/18/2024 12:00:00 AM

St. Cloud is a city in the U.S. state of Minnesota and the largest population center in the state's central region. Its population is 67,984 according to the 2017 US census estimates, making it Minnesota's tenth largest city. St. Cloud is the county seat of Stearns County and was named after the city of Saint-Cloud, France (in Île-de-France, near Paris), which was named after the 6th-century French monk Clodoald. Though mostly in Stearns County, St. Cloud also extends into Benton and Sherburne counties, and straddles the Mississippi River. It is the center of a small, contiguous urban area tot...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$44,417 to $53,972
Saint Cloud, Minnesota area prices
were up 1.3% from a year ago

Reimbursement Specialist - Healthcare in Anchorage, AK
Bureau of Labor Statistics, occupations and industries related to healthcare are projected to add more new jobs to the U.S.
December 07, 2019
Reimbursement Specialist - Healthcare in Brownsville, TX
You will also be notified when something of note is happening around the Coding and Reimbursement Specialist program.
January 26, 2020
Reimbursement Specialist - Healthcare in Charlotte, NC
MedCert’s Reimbursement and EHR Specialist Certification program is well rounded and features 24/7 access to the curriculum with video and course content, program supplements, and all the resources your need for successful independent study.
January 08, 2020