Reimbursement Specialist - Healthcare jobs in Schenectady, NY

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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Specialist- Release of Information
  • St. Mary's Healthcare
  • Amsterdam, NY FULL_TIME
  • Job Requisition: REQ2360
    Employment Type: Full-Time
    Shift: Days
    Hours Per Week: 40 hours

    Hiring range: $17.00 - $24.04

    Offer rates are based on experience. Offer rates at the higher end of the range are only for applicants with many years of experience

    Responsibilities: • Responsible for processing record request and auditing medical records within the confines of what is minimally necessary while always safeguarding confidentiality, Responsible for responding to medical records request in a timely manner.

    • Pull records appropriately and accurately in a timely manner for requests, including but not limited to, patient care, quality review and audits in a timely manner
    • Coordinates the release of protected Health information PHI to patients, legal guardians, insurance companies, legal entities, state, and federal agencies
    • Processes subpoenas and court orders at the direction of the Director of HIM and Legal Department
    • Observe confidentiality and safeguards all patient-related information and verifies that all releases of information and other PHI forms are in accordance with St. Mary’s Healthcare policy and procedures and state and federal laws.
    • Ensure that all requests for records are accurately logged into computer.
    • Follow up with pertinent staff members and departments if clinical deficiencies are found in the medical record
    • Provide excellent customer service for internal and external medical record requestors.
    • Assist in training new hires in the medical records positions as needed.
    • Assist with the development and maintenance of policies and procedures
    • Assist other areas of HIM when needed.

    Minimum Qualifications Licensure / Certification / Registration:

    Education : High school diploma required. Associate degree in related field preferred

    Work Experience: Must be self-motivated  Must be able to multitask  Excellent organization skills a must  Minimum of 1 year experience with medical records

  • 8 Days Ago

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Medical Laboratory Support Specialist
  • St. Mary's Healthcare
  • Amsterdam, NY FULL_TIME
  • Job Requisition: REQ2439 Employment Type: Full-Time Shift: Days Hours Per Week: 40 hours Hiring range: $21.62 - $28.11 The actual compensation for this position will be determined based on experience ...
  • 1 Month Ago

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Laboratory Support Specialist
  • St. Mary's Healthcare
  • Amsterdam, NY FULL_TIME
  • Job Requisition: REQ2187 Employment Type: Full-Time Shift: Days Hours Per Week: 40 hours Responsibilities: Correctly register and enter orders in the computer with accuracy and complete information fo...
  • 1 Month Ago

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Clinical Documentation Specialist
  • St. Mary's Healthcare
  • Amsterdam, NY FULL_TIME
  • Job Requisition: REQ2672 Employment Type: Full-Time Shift: Days Hours Per Week: 40 hours per week ** On-Site Required ** Hiring range: $ 35.18 - $ 45.73 The actual compensation for this position will ...
  • 1 Month Ago

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IPS Employment Specialist
  • St. Mary's Healthcare
  • Amsterdam, NY FULL_TIME
  • Job Requisition: REQ2637 Employment Type: Full-Time Shift: Days Hours Per Week: 40 hours/week Hiring Range: $26.61 - $ The actual compensation for this position will be determined based on experience ...
  • 1 Month Ago

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Territory Business Manager - Healthcare
  • Contec
  • Schenectady, NY FULL_TIME
  • Responsibilities • Develops an in-depth knowledge of Contec’s core products via successful completion of required sales training and utilizes this knowledge to successfully sell Contec product solutio...
  • Just Posted

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0 Reimbursement Specialist - Healthcare jobs found in Schenectady, NY area

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Licensed Practical Nurse
  • Milan Laser Company
  • Schenectady, NY
  • About Milan Laser Hair Removal Milan Laser Hair Removal is one of the nation's premier laser hair removal providers. Tha...
  • 4/26/2024 12:00:00 AM

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Ambitious Insurance Agent
  • AAA Northway
  • Schenectady, NY
  • Are you ready to embark on a rewarding career with one of America's most recognized brands? AAA is looking for passionat...
  • 4/26/2024 12:00:00 AM

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Licensed Practical Nurse
  • Milan Laser Company
  • Schenectady, NY
  • About Milan Laser Hair Removal Milan Laser Hair Removal is one of the nation's premier laser hair removal providers. Tha...
  • 4/25/2024 12:00:00 AM

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Attorney - Assistant Public Defender
  • Schenectady County NY
  • Schenectady, NY
  • The Public Defender’s Office represents indigent individuals in Criminal Court, Family Court, and County Court proceedin...
  • 4/23/2024 12:00:00 AM

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Licensed Practical Nurse
  • Hiring Now!
  • Schenectady, NY
  • About Milan Laser Hair Removal Milan Laser Hair Removal is one of the nation's premier laser hair removal providers. Tha...
  • 4/23/2024 12:00:00 AM

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TRAVEL NURSE RN - MED/SURG IN SCHENECTADY, NY
  • Care Team Solutions
  • Schenectady, NY
  • Details: Must Have 2+ Years of recent Medical-Surgical experience. Specialty: Medical-Surgical Discipline: Registered Nu...
  • 4/23/2024 12:00:00 AM

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Associate, Pharmacy Specialist
  • MVP Health Care
  • Schenectady, NY
  • Associate, Pharmacy Specialist 625 State St, Schenectady, NY 12305, USA • Rochester, NY, USA • Tarrytown, NY, USA • Verm...
  • 4/19/2024 12:00:00 AM

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Product Management Internship
  • MVP Health Care
  • Schenectady, NY
  • Product Management Internship Headquarters Office, 625 State Street, Schenectady, New York, United States of America Req...
  • 4/12/2024 12:00:00 AM

Schenectady (/skəˈnɛktədi/) is a city in Schenectady County, New York, United States, of which it is the county seat. As of the 2010 census, the city had a population of 66,135. The name "Schenectady" is derived from a Mohawk word, skahnéhtati, meaning "beyond the pines". Schenectady was founded on the south side of the Mohawk River by Dutch colonists in the 17th century, many from the Albany area. They were prohibited from the fur trade by the Albany monopoly, which kept its control after the English takeover in 1664. Residents of the new village developed farms on strip plots along the rive...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$45,588 to $55,396
Schenectady, New York area prices
were up 1.5% 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