Reimbursement Specialist - Healthcare jobs in Springfield, MO

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)

Recently Added Reimbursement Specialist - Healthcare jobs

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Reimbursement Analyst
  • CoxHealth
  • Springfield, MO FULL_TIME

  • Summary

    • Best in Class Work Environment
      • 5x Modern Healthcare Best Places to work
      • America’s Greatest Workplaces 2023 – Newsweek
      • Best Employers for New Grads 2023- Forbes
      • Greatest Workplace for Women 2023 - Newsweek
      • Benefits .
        • Robust, fully customizable benefits package including Medical/Vision/Dental and more!
          • No cost eCare visits
          • Employer-provided mental health services for employees and eligible family members
        • Retirement with employer match 
        • Tuition discounts and reimbursement available for continuing your education
        • Free and convenient parking
        • CoxHealth Fitness Center and Child Care discounts
        • Onsite delivery for CoxHealth Pharmacies and 1906 Employee Store
    • Job Summary
      • The CoxHealth Network finance team is responsible for various functions and support related to all CoxHealth entity provider reimbursement process evaluation, financial reporting and analysis. The reimbursement analyst must have a working knowledge of managed care, governmental and other third party payer reimbursement and payment terms. This position serves as primary back-up to Contract Finance Director, completing complex contract modeling and analysis.  They must possess strong analytical skills with the ability to identify and trouble-shoot inefficiencies and issues, research and make recommendations for improvement, facilitate changes, and be able to communicate effectively with stakeholders. The primary responsibilities of this position include, but are not limited to, contract fee schedule analysis, construction of reimbursement scenarios, compiling and maintaining financial data used in third party payer agreements, contract modeling, contract review and all CoxHealth Network accounts payable and accounts receivable
    • Job Requirements
      • Education
        • Required: Bachelor’s Degree in Finance, Business, Healthcare, or a related field or 8 years related experience
      • Experience
        • Preferred: Demonstrated experience with healthcare or insurance financial analysis.
      • Skills
        • Strong interpersonal and communication skills with ability to effectively present and interact with all levels of the organization 
        • Ability to work collaboratively as either a facilitator or participant on projects that involve multiple stakeholders, while promoting positive and effective working relations
        • Ability to inform and educate others, including training of new staff, on procedures and concepts
        • Ability to write effective summary level documentation for clear and concise communication of data analyzed
        • Ability to create, implement and optimize stakeholder reporting
        • Highly proficient in all aspects of MS Office Highly proficient in Excel with ability to create, modify and trouble-shoot spreadsheets for data analytics.
        •  
          Strong analytical skills to be able to analyze complex data and all type of provider reimbursement.
        • Highly productive in a self-directed manner with ability to coordinate projects, prioritize tasks, track status efficiently, and demonstrate defensible judgement in making independent decisions
        • Effective time management and prioritization skills to permit handling of a large workload across multiple projects and multiple departments
      • Licensure/Certification/Registration
        • N/A
  • 18 Days Ago
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Reimbursement Representative
  • Citizens Memorial
  • Bolivar, MO FULL_TIME
  • Citizens Memorial Hospital is seeking a Reimbursement Representative to join our Clinic Central Billing Department Clinic Central Billing is Responsible for managing follow-up on patient accounts and ...
  • Just Posted
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Peer Specialist
  • Preferred Family Healthcare
  • Springfield, MO FULL_TIME
  • We’re a Good Family to Know: Preferred Family Healthcare (PFH) is a community-based healthcare organization that offers a full array of integrated services, serving more than 100,000 individuals each ...
  • 10 Days Ago
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Assessment and Referral Call Specialist (PRN)
  • Perimeter Healthcare
  • Springfield, MO FULL_TIME
  • Perimeter Behavioral of Springfield is one of the premier behavioral health hospitals providing inpatient psychiatric treatment for children and teenagers. Comprehensive care is designed for the indiv...
  • 1 Day Ago
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Assessment and Referral Call Specialist (PRN)
  • Perimeter Healthcare
  • Springfield, MO PART_TIME
  • Perimeter Behavioral of Springfield is one of the premier behavioral health hospitals providing inpatient psychiatric treatment for children and teenagers. Comprehensive care is designed for the indiv...
  • 7 Days Ago
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Assessment and Referral Call Specialist (PRN)
  • Perimeter Healthcare
  • Springfield, MO PART_TIME
  • Perimeter Behavioral of Springfield is one of the premier behavioral health hospitals providing inpatient psychiatric treatment for children and teenagers. Comprehensive care is designed for the indiv...
  • 7 Days Ago
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0 Reimbursement Specialist - Healthcare jobs found in Springfield, MO area

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Travel LPN / LVN - $1,380 per week
  • Hiring Now!
  • Springfield, MO
  • Care Team Solutions is seeking a LPN / LVN for a travel job in Springfield, Missouri. Job Description & Requirements Spe...
  • 4/25/2024 12:00:00 AM
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Travel Nurse RN - ICU - Intensive Care Unit - $1,920 per week
  • Hiring Now!
  • Springfield, MO
  • Travel Nurses, Inc. is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Springfield, Miss...
  • 4/24/2024 12:00:00 AM
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TRAVEL NURSE RN - REHAB IN SPRINGFIELD, MO
  • Care Team Solutions
  • Springfield, MO
  • Details: Must Have 2+ Years of recent Rehabilitation experience. Specialty: Rehabilitation Discipline: Registered Nurse ...
  • 4/24/2024 12:00:00 AM
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TRAVEL NURSE RN - TELEMETRY - $2,021 PER WEEK IN SPRINGFIELD, MO
  • Medical Solutions
  • Springfield, MO
  • $1820.98-$2021.09 wk (includes wage of ~$18.31-$23.86/hr and per diems if eligible) click for benefits and other job det...
  • 4/24/2024 12:00:00 AM
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TRAVEL NURSE RN - MED/SURG - $1,960 PER WEEK IN SPRINGFIELD, MO
  • Medical Solutions
  • Springfield, MO
  • $1766-$1960.07 wk (includes wage of ~$16.78-$22.17/hr and per diems if eligible) click for benefits and other job detail...
  • 4/24/2024 12:00:00 AM
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TRAVEL NURSE RN - TELEMETRY - $2,026 PER WEEK IN SPRINGFIELD, MO
  • Medical Solutions
  • Springfield, MO
  • $1825.8-$2026.44 wk (includes wage of ~$18.44-$24.01/hr and per diems if eligible) click for benefits and other job deta...
  • 4/24/2024 12:00:00 AM
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Data Entry Specialist (Work From Home)>
  • CareMetx
  • Ozark, MO
  • [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
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Dentist - Work in Poplar Bluff, MO
  • Veterans Health Administration
  • Springfield, MO
  • Summary This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement ...
  • 4/23/2024 12:00:00 AM
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About Springfield, Missouri

Springfield is the third-largest city in the state of Missouri and the county seat of Greene County. As of the 2010 census, its population was 159,498. As of 2017, the Census Bureau estimated its population at 167,376. It is the principal city of the Springfield metropolitan area, which has a population of 462,369 and includes the counties of Christian, Dallas, Greene, Polk, Webster. Springfield's nickname is "Queen City of the Ozarks" and it is known as the "Birthplace of Route 66". It is home to three universities, Missouri State University, Drury University, and Evangel University. Springf...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$40,498 to $49,210
Springfield, Missouri area prices
were up 1.3% from a year ago
View detail

What does a Reimbursement Specialist - Healthcare do?

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