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)
Healthcare Programs and Grants Specialist – Salem, Oregon
WFMC Health is a 501(c)(3) non-profit organization located in Salem, Oregon, providing primary, specialty, and mental healthcare services to a diverse population of patients residing in Marion and Polk counties. WFMC is seeking a Healthcare Programs and Grants Specialist to join our administrative team. The WFMC environment is collegial and collaborative. Patient and staff populations are multicultural and multilingual.
WFMC Health was founded on the idea that everyone should have access to high-quality health care, including medical, dental, and behavioral health, regardless of ability to pay. WFMC staff are a team of supportive professionals who are here to help the community. We offer a broad range of family health care services in one welcoming space.
WFMC is searching for a methodical, detail and strategy oriented individual who will focus on two key areas: 1. Identifying, applying for, and tracking, an array of local and national funding opportunities for new and existing clinic programs and projects; and 2. taking ownership of the application process for FQHC/FQHC Look-Alike status with CMS and assuring ongoing regulatory compliance related to FQHC/FQHC Look-Alike designation.
Qualifications:
A master’s degree in public or healthcare administration, with a focus on the needs of underserved communities.
WFMC will consider candidates with a Bachelor’s degree and at least 3 years of progressive experience successfully managing, writing and submitting multiple grant/contract proposals, including large multi-year awards, and significant work experience related to Federal healthcare programs.
Impeccable writing and communication skills.
Ability to present progress reports and grant proposals to large groups.
Desirable Characteristics:
· General understanding of non-profit organization structure and funding resources. Some accounting experience, including financial reporting associated with grant awards.
· General understanding of Oregon CCO Medicaid program administration.
· Preference may be given to candidates who have experience in a nonprofit healthcare setting.
Supplemental Information:
References required and should be submitted with resume.
Prior to a new hire, a background check including criminal record history will be conducted. Information from the background check will not necessarily preclude employment.
Job Type: Full-time. Some remote work possible, but a regular in-clinicpresence is required.
Pay: $28-$35 an hour depending on experience and qualifications.
Our best employees are: Compassionate, customer service oriented, highly motivated, dependable, detail oriented, empathetic, and are flexible team players with strong communication skills.
Location: Salem, OR.
Job Type: Full-time
Pay: $28.00 - $35.00 per hour
Benefits:
Schedule:
Ability to Relocate:
Work Location: In person
0 Reimbursement Specialist - Healthcare jobs found in Salem, OR area