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)
FULL-TIME ENTRY LEVEL
Location: Medical facility in Spartanburg, SC
Shift: Monday to Friday 8:00 AM to 4:30 PM
GREAT WAY TO GET HANDS ON EXPERIERENCE!
PLENTY OF OPPROTUNITIES FOR GROWTH!
The Patient Financial Advocate is responsible for screening patients on-site at hospitals for eligibility assistance programs either bedside or in the Emergency Room Department. This includes providing information and reports to client contact(s), keeping them current on our progress.
Essential Duties and Responsibilities:
Review the hospital census or utilize established referral method to identify self-pay patients consistently throughout the day.
Screen those patients that are referred to Firstsource for State, County and/or Federal eligibility assistance programs.
Document the results of the screening in the onsite tracking tool and hospital computer system.
Face to face screen patients on site as able. Attempts to reach patient by telephone if unable to screen face to face.
Outside field work as required to include Patient home visits to screen for eligibility of State, County, and Federal programs.
Other Duties as assigned or required by client contract.
Educational/Vocational/Previous Experience Recommendations:
High School Diploma or equivalent required.
1 – 3 years’ experience of medical coding, medical billing, eligibility (hospital or government) or other pertinent medical experience is preferred.
Previous customer service experience preferred.
Bilingual in English and Spanish preferred.
Must have basic computer skills.
Working Conditions:
Must be able to walk, sit, and stand for extended periods of time.
Medical screenings and vaccinations are required for this position.
Working on holidays or odd hours may be required at times.
We are an Equal Opportunity Employer. All qualified applicants are considered for employment without regard to race, color, age, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other characteristic protected by federal, state, or local law.
Firstsource Solutions USA, LLC
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