Reimbursement Specialist - Healthcare jobs in Sarasota, FL

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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Reimbursement specialist
  • 4 Corner Resources
  • Sarasota, FL FULL_TIME
  • 4 Corner Resources is currently seeking a driven Reimbursement Specialist . This would be a 3-6 month contract. The ideal candidate should have proven experience in Part A billing and a demonstrated dedication to maintaining accuracy, efficiency, and compliance with regulatory standards.

    Reimbursement Specialist Job Summary :

    As a Reimbursement Specialist, you will play a crucial role in ensuring the prompt and precise processing of billing and accounts receivable responsibilities while upholding the core values and mission of our hospice organization.

    Hours : Monday to Friday, 8 : 30 am 5 : 00 pm

    Location : Sarasota, FL 34238

    Reimbursement Specialist Key Responsibilities :

    • Promote and embody the values and mission of the hospice organization, consistently adhering to all organizational policies and procedures.
    • Prepare, meticulously review, and submit monthly billings following established protocols, meticulously cross-referencing bills with census data to identify any discrepancies and ensure the correctness of patient billing revenues.
    • Record all incoming payments, conduct thorough monthly reconciliations of cash receipts, and maintain detailed records and reports of accounts receivable.
    • Review and rectify any errors in accounts receivable bills / records prior to transmission or mailing to ensure the accuracy of billing processes.
    • Proactively address rejections, denials, and returned claims, conducting comprehensive follow-up procedures to secure payments from Medicare / Medicaid and insurance providers.
    • Conduct regular billing audits to ensure adherence to regulatory requirements and maintain the precision of billing practices.
    • Collaborate closely with relevant departments and personnel to obtain necessary information for billing purposes, ensuring seamless coordination of patient care.
    • Liaise with the Medical Records department as required to obtain vital information and records for billing purposes.
    • Coordinate the compilation and submission of necessary information for Medicaid and Medicaid managed care providers, including securing any required authorizations.
    • Facilitate communication with Long Term Care (LTC) facilities concerning patient responsibility and notification of Tidewell Hospice (or affiliate) Admission.
    • Continuously seek opportunities to streamline processes, maintain high standards of quality, and deliver exceptional customer service.

    Reimbursement Specialist Qualifications :

    • Previous experience in healthcare billing, with specific expertise in Part A billing preferred.
    • Proficiency in utilizing billing software / systems and Microsoft Office applications, particularly Excel.
    • Strong attention to detail and a commitment to accuracy in data entry and record-keeping.
    • Excellent communication skills, both verbal and written, with the ability to effectively engage with internal and external stakeholders.
    • Demonstrated ability to prioritize tasks efficiently and work autonomously with minimal supervision.
    • Knowledge of Medicare / Medicaid regulations and insurance billing practices is advantageous.
    • Commitment to maintaining confidentiality and upholding ethical standards in all work-related activities.

    Education :

    A high school diploma or equivalent is required.

    Pay Rate : $19-$23 / HR

    $19-$23 / HR

    Last updated : 2024-02-28

  • 25 Days Ago

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Reimbursement Specialist
  • Temp Experts
  • Sarasota, FL FULL_TIME
  • Reimbursement Specialist Sarasota, FL TempExperts is hiring a knowledgeable Reimbursement Specialist to join a healthcare organization in Sarasota, FL Florida. The Reimbursement Specialist compiles, r...
  • 15 Days Ago

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Reimbursement specialist
  • Accounting Now
  • Sarasota, FL FULL_TIME
  • The Reimbursement Specialist compiles, reviews, and processes billing and accounts receivable documents, insurance bills and payments, and prepares and maintains all accounts receivable and patient se...
  • 28 Days Ago

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Culinary Specialist - Balanced Healthcare-SeniorLIFE+
  • CRH
  • Venice, FL FULL_TIME
  • Job Description The Food Service Worker will assist the manager with food/meal preparation; maintain cash receipts and meal records. Assist manager in completing daily reports. Maintain high standards...
  • 20 Days Ago

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Culinary Specialist - Balanced Healthcare-SeniorLIFE+
  • Aramark
  • Venice, FL FULL_TIME
  • Job Description The Food Service Worker will assist the manager with food/meal preparation; maintain cash receipts and meal records. Assist manager in completing daily reports. Maintain high standards...
  • 20 Days Ago

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Skilled Nursing Healthcare Accountant
  • EPIC Healthcare Solutions
  • Sarasota, FL FULL_TIME
  • Are you an Accountant with prior General Ledger and GAAP Accounting experience? Are you searching for an opportunity to grow your career? Do you have prior Accounting experience in a healthcare settin...
  • 14 Days Ago

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0 Reimbursement Specialist - Healthcare jobs found in Sarasota, FL area

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Optometrist- Sarasota, FL- LensCrafters
  • EssilorLuxottica
  • Sarasota, FL
  • Requisition ID: 825258 At LensCrafters, we love eyes and care about the people behind them. With over 900 locations, Len...
  • 3/28/2024 12:00:00 AM

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Research Clinical Assistant LPN
  • Florida Cancer Specialists, P.L.
  • Sarasota, FL
  • Date Posted: 2024-02-15 Country: United States of America Location: Sarasota Cattlemen Office WHY JOIN FCS At Florida Ca...
  • 3/28/2024 12:00:00 AM

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Registered Pharmacy Technician Rx To Go
  • Florida Cancer Specialists, P.L.
  • Sarasota, FL
  • Date Posted: 2024-02-16 Country: United States of America Location: Florida - Remote WHY JOIN FCS At Florida Cancer Spec...
  • 3/28/2024 12:00:00 AM

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SIGNING BONUS: VIPcare | Primary Care Physician - Sarasota, FL
  • VIP Care
  • Sarasota, FL
  • ? ? ?VIPcare, a brand of Better Health Group, is a quality-based healthcare organization that focuses on prevention. We ...
  • 3/27/2024 12:00:00 AM

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Pharmacy Technician
  • Florida Cancer Specialists, P.L.
  • Sarasota, FL
  • Date Posted: 2024-03-13 Country: United States of America Location: Sarasota Downtown Office WHY JOIN FCS At Florida Can...
  • 3/27/2024 12:00:00 AM

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Commercial Sales Manager
  • AutoZone, Inc.
  • Sarasota, FL
  • The Commercial Sales Manager is responsible for driving the commercial sales within their AutoZone location. The CSM dev...
  • 3/26/2024 12:00:00 AM

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**Hiring Experienced Registered Nurse NICU Neo-Natal ICU Full Time Night Shift**
  • Sarasota Memorial Health Care System
  • Sarasota, FL
  • Job Summary: *Join our Dynamic Nursing Team* For more than 30 years, the Neonatal Intensive Care Unit (NICU) at Sarasota...
  • 3/25/2024 12:00:00 AM

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Merchandising & Product Demonstration Specialist
  • SAS Retail Services
  • Sarasota, FL
  • Join our dynamic team as a Merchandising & Product Demonstration Specialist! In this multifaceted role, you'll excel in ...
  • 3/6/2024 12:00:00 AM

Sarasota (/ˌsærəˈsoʊtə/) is a city in Sarasota County on the southwestern coast of the U.S. state of Florida. The area is renowned for its cultural and environmental amenities, beaches, resorts, and the Sarasota School of Architecture. The city is at the southern end of the Tampa Bay Area, north of Fort Myers and Punta Gorda. Its official limits include Sarasota Bay and several barrier islands between the bay and the Gulf of Mexico. According to the U.S. Census Bureau, in 2013 Sarasota had a population of 53,326. In 1986 it became designated as a certified local government. Sarasota is a prin...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$43,266 to $52,573
Sarasota, Florida area prices
were up 1.5% from a year ago

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