Reimbursement Specialist - Healthcare jobs in San Francisco, CA

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)

B
Reimbursement Specialist - FULLY REMOTE
  • By the Bay Health
  • Larkspur, CA FULL_TIME
  • This full-time position offers competitive pay, generous benefits and a supportive work environment.

    We are seeking a full-time Reimbursement Specialist to be the main liaison for Medicare, Medi-Cal and Private Insurance billing and to assist with all requests for information in order for BTBH to receive payment.

    By the Bay Health follows all CDPH vaccine requirements for healthcare personnel.

    Essential Duties & Responsibilities include (but are not limited to):

    • Gather, verify, and document all patient information in preparation for admission, including eligibility and benefits, insurance ID numbers, patient address and phone number, insurance company address and phone number.
    • Prepare all invoices and perform collections for Medicare, Medi-Cal and private insurance billing.
    • Verify all information that is entered into Epic for accuracy including pay source, physician information, location information, Room and Board rates.  Make corrections as needed in a timely manner.
    • Perform all eligibility checks, billing & collections for Medicare patients utilizing the Medicare HIQA and DDE systems.

    Education/Experience:

    • Bachelor's degree (B. A.) in Accounting or related field from a four-year college or university or equivalent combination of education and experience.
    • Minimum of three years accounting experience. Healthcare or not-for-profit experience desirable.

    Certificates, Licenses, Registrations:

    • Current California Driver’s License and automobile insurance that meets State of California requirements, if driving a car.

    Pay Range:
    $24.00 - $34.00 hourly

  • 4 Days Ago

S
Virtual Field Reimbursement Specialist
  • Syneos Health Commercial Solutions
  • San Francisco, CA FULL_TIME
  • Description You are an expert facilitator: you open doors, foster communication, and bridge the gap. The Virtual Field Reimbursement Specialist (VFRS) will be responsible for the management of defined...
  • 1 Month Ago

S
Virtual Field Reimbursement Specialist
  • Syneos Health Clinical
  • San Francisco, CA FULL_TIME
  • Description You are an expert facilitator: you open doors, foster communication, and bridge the gap. The Virtual Field Reimbursement Specialist (VFRS) will be responsible for the management of defined...
  • 1 Month Ago

P
Sales Support Healthcare Specialist
  • PrimoMD
  • San Rafael, CA FULL_TIME
  • About Us:At PrimoCare, we are on a mission to revolutionize healthcare delivery by utilizing technology to improve patient outcomes. As a rapidly growing healthcare organization, we are currently seek...
  • 17 Days Ago

P
Sales Support Healthcare Specialist
  • PrimoCare
  • San Rafael, CA FULL_TIME
  • About Us:At PrimoCare, we are on a mission to revolutionize healthcare delivery by utilizing technology to improve patient outcomes. As a rapidly growing healthcare organization, we are currently seek...
  • 7 Days Ago

P
Support Healthcare Specialist
  • PrimoMD
  • San Rafael, CA FULL_TIME
  • Support Healthcare Specialist (NOT REMOTE) Plenty of drivingAbout Us:At PrimoCare, we are on a mission to revolutionize healthcare delivery by utilizing technology to improve patient outcomes. As a ra...
  • 8 Days Ago

Filters

Clear All

Filter Jobs By Location
  • Filter Jobs by companies
  • More

0 Reimbursement Specialist - Healthcare jobs found in San Francisco, CA area

C
Data Entry Specialist (Work From Home)>
  • CareMetx
  • Alameda, CA
  • [Administrative Assistant / Fully Remote] - Anywhere in U.S. / Competitive Pay - As a Data Entry Specialist you'll: Main...
  • 4/23/2024 12:00:00 AM

C
Data Entry Specialist (Work From Home)>
  • CareMetx
  • San Bruno, CA
  • [Administrative Assistant / Fully Remote] - Anywhere in U.S. / Competitive Pay - As a Data Entry Specialist you'll: Main...
  • 4/23/2024 12:00:00 AM

C
Data Entry Specialist (Work From Home)>
  • CareMetx
  • Pacifica, CA
  • [Administrative Assistant / Fully Remote] - Anywhere in U.S. / Competitive Pay - As a Data Entry Specialist you'll: Main...
  • 4/23/2024 12:00:00 AM

C
Data Entry Specialist (Work From Home)>
  • CareMetx
  • Hercules, CA
  • [Administrative Assistant / Fully Remote] - Anywhere in U.S. / Competitive Pay - As a Data Entry Specialist you'll: Main...
  • 4/23/2024 12:00:00 AM

C
Data Entry Specialist (Work From Home)>
  • CareMetx
  • Redwood City, CA
  • [Administrative Assistant / Fully Remote] - Anywhere in U.S. / Competitive Pay - As a Data Entry Specialist you'll: Main...
  • 4/23/2024 12:00:00 AM

C
Data Entry Specialist (Work From Home)>
  • CareMetx
  • San Carlos, CA
  • [Administrative Assistant / Fully Remote] - Anywhere in U.S. / Competitive Pay - As a Data Entry Specialist you'll: Main...
  • 4/23/2024 12:00:00 AM

C
Data Entry Specialist (Work From Home)>
  • CareMetx
  • San Rafael, CA
  • [Administrative Assistant / Fully Remote] - Anywhere in U.S. / Competitive Pay - As a Data Entry Specialist you'll: Main...
  • 4/23/2024 12:00:00 AM

C
Data Entry Specialist (Work From Home)>
  • CareMetx
  • Union City, CA
  • [Administrative Assistant / Fully Remote] - Anywhere in U.S. / Competitive Pay - As a Data Entry Specialist you'll: Main...
  • 4/23/2024 12:00:00 AM

San Francisco is located on the West Coast of the United States at the north end of the San Francisco Peninsula and includes significant stretches of the Pacific Ocean and San Francisco Bay within its boundaries. Several picturesque islands—Alcatraz, Treasure Island and the adjacent Yerba Buena Island, and small portions of Alameda Island, Red Rock Island, and Angel Island—are part of the city. Also included are the uninhabited Farallon Islands, 27 miles (43 km) offshore in the Pacific Ocean. The mainland within the city limits roughly forms a "seven-by-seven-mile square", a common local collo...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$56,310 to $68,423
San Francisco, California area prices
were up 4.5% 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