Reimbursement Specialist - Healthcare jobs in Tuscaloosa, AL

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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Healthcare Administrator (LPN/RN license preferred)
  • The Crossings at North River
  • Tuscaloosa, AL FULL_TIME
  • Schedule:

    FT, average 40 hours per week, may work some weekends and/or holidays, as needed.

    About the Company:

    We are a premier senior living community dedicated to creating a welcoming, warm environment for the residents who call our community home. We offer competitive pay and a true team environment. If you are looking for a challenging and highly rewarding career, we want to hear from you.

    Position Summary:

    This position will oversee the Assisted Living and Memory Care departments in accordance with current Federal, State, and local standards, guidelines and regulations.

    Essential Duties and Responsibilities:

    The following duties are normal for this position. This list is not to be construed as exclusive or all inclusive.

    Leadership:

    • Assist with implementing the mission, vision, and goals of the organization.
    • Provide strategic input, planning, and leadership on issues affecting the organization.
    • Participate in the development of the annual business plan by department, which supports the general long-range plan for the community.
    • In conjunction with Supervisor, ensure development of sound programs, best practices, policies, and procedures relating to resident services, fiscal/budgetary matters, health care services, risk management, quality assurance, hospitality and first impressions.
    • Provide guidance and ensure compliance with all regulatory requirements.
    • Plan, direct, and evaluate the activities of the Assisted Living and Memory Care directors and associates.
    • Effectively communicate with the residents, associates and resident sponsor(s).
    • Assist in the preparations of the annual budget and support Supervisor in the operation of the community within the budget guidelines.
    • Develop, implement, audit and maintain an ongoing quality assurance program and provide appropriate plans of action to correct any identified deficiencies.
    • Represent the Community and build relationships within the geographic area, the community and industry.
    • Orient staff and train on policies and procedures.
    • Assigns and updates staff work schedules and assignments as changes occur.
    • Reviews assessments and care plans at admission, periodically per regulation, and at change in resident physical or psychosocial condition.
    • Maintains compliance to all personnel policies, established community policies and procedures.
    • Attend in-service classes and staff meetings.
    • Continue to develop job related knowledge, skills and abilities by participating in continuing educational opportunities for personal growth and development.
    • Lead investigations regarding allegations of abuse, neglect and misappropriation of property. Report timely per company guidelines and state regulatory agencies.

    Human Resources:

    • Coordinates the Business Office Director and Executive Director recruitment function of the community from job postings, advertising, interviewing and tracking applications.
    • Facilitates the orientation and ongoing career development and training of new associates.
    • Develops and maintains core human resource programs such as performance appraisal systems, compensation evaluations, and best management practices.
    • Assists managers with interpretation of policies and procedures from the Employee Handbook and other company documents, rules and regulations. Provides advice and counsel to managers regarding employee issues.
    • Analyzes, prepares and reviews payroll data. Uses payroll system to produce accurate and timely payroll and reports.
    • Ensures current federal and state postings are placed in the proper locations.
    • Conducts investigations related to allegations of harassment, discrimination, and retaliation. Provides summary of investigation, along with recommendations to Management.
    • Promotes and participates in the education of staff, team member, resident and families.
    • Participates in risk management and quality assurance programs for entire community.
    • Responds to emergency calls from the community per community policy.
    • Perform other duties, as assigned.

    Supervisory Responsibilities:

    • The position is expected to perform independently and exercise good judgment. The position recruits, hires, supervises, directs, and reviews the work of other associates, conducts performance appraisals, takes disciplinary action, and administers termination/separation of employment actions.

    Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and abilities required.

    Educational Requirements and Experience:

    • At least 5 years of progressively responsible work experience in the long-term care industry or related field.
    • Administrator License for Assisted Living and Memory Care, as required by state regulations.

    Knowledge, Skills and Abilities:

    • Ability to read and write, follow written and oral instructions, and communicate effectively in English. Ability to work with the elderly in a courteous and friendly manner, demonstrating patience and compassion. Ability to perform duties with consideration for residents’ rights at all times and demonstrate integrity and discretion in the care of residents and in handling their health information. Strong interpersonal, leadership, and motivational skills.

    Technical Skills:

    • Knowledge of management, fiscal, and medical/nursing practices and procedures, laws, regulations and guidelines pertaining to long-term care. Ability to plan, organize, develop, implement, interpret, and manage programs, goals, objectives, policies, procedures, and resources necessary to provide quality of care.

    Environmental Adaptability:

    • Works in well-lighted, well ventilated building. Must be able to tolerate occasional exposure to dust, fumes, odors, water, etc., as well as some noise. Subject to frequent interruptions. Subject to hostile or emotionally upset individuals. Must be willing to work, when necessary, beyond normal working hours and on weekends, as well as in other positions as necessary.

    This employer is an Equal Opportunity Employer. In compliance with the Americans with Disabilities Act, the employer will provide reasonable accommodations to qualified individuals with disabilities and encourages prospective associates and incumbents to discuss potential accommodations with the employer.

  • 20 Days Ago

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Specialist
  • Jim 'N Nick's Community Bar-B-Q
  • Tuscaloosa, AL FULL_TIME
  • We Offer : Competitive pay Flexible schedules Discounted meals A work environment that is upbeat, exciting, and fun Opportunity for advancement Medical, dental, vision insurance, 401K plan, employer p...
  • 11 Days Ago

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Travel Nurse RN - Med/Surg - $1,621 to $1,798 per week in Northport, AL
  • LRS Healthcare
  • Northport, AL FULL_TIME
  • Ready to start your next travel adventure? LRS Healthcare offers a full benefits package, 24/7 support, and a responsive, traveler-first culture. What are you waiting for? Apply today!Qualifications:2...
  • 11 Days Ago

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Travel Nurse RN - ER/Trauma - $1,600 per week in Tuscaloosa, AL
  • PRN Healthcare
  • Tuscaloosa, AL FULL_TIME
  • Your adventure starts here with PRN Healthcare!Take control of your career with a travel contract or local contract. Our recruiters are trained matchmakers. By building authentic relationships, we get...
  • 11 Days Ago

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Travel Nurse RN - ER/Trauma in Tuscaloosa, AL
  • CrossMed Healthcare
  • Tuscaloosa, AL FULL_TIME
  • Why CrossMed? CrossMed was created by a group of women who wanted to help people within the Healthcare space. In a market saturated with big companies and even bigger overhead we want to remain a smal...
  • 11 Days Ago

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Travel Nurse RN - ER/Trauma in Tuscaloosa, AL
  • SkyBridge Healthcare
  • Tuscaloosa, AL FULL_TIME
  • Type: Emergency Room Tuscaloosa , AL SkyBridge Healthcare is currently seeking Registered Nurse with Emergency Room experience for a 13-week contract in AL. SkyBridge Healthcare is a premier staffing ...
  • 11 Days Ago

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0 Reimbursement Specialist - Healthcare jobs found in Tuscaloosa, AL area

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CDL-A OTR Driver - Earn 45-60 CPM + Benefits
  • U.S. Xpress
  • Tuscaloosa, AL
  • U.S. Xpress is Now Hiring CDL-A OTR Solo Drivers! CDL-A Solo Drivers: Average 2,220+ Miles Per Week Earn 45-60 CPM Based...
  • 4/19/2024 12:00:00 AM

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CDL-A Truck Driver - Daily Pay - 99% No-Touch Freight
  • May Trucking
  • Tuscaloosa, AL
  • May Trucking is Now Hiring CDL-A Dedicated Drivers - Southeast Regional! Guaranteed Daily Pay - 99% No-Touch Freight - M...
  • 4/19/2024 12:00:00 AM

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Travel Nurse RN - ICU - Intensive Care Unit - $2,342 per week
  • Care Team Solutions
  • Tuscaloosa, AL
  • Care Team Solutions is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Tuscaloosa, Alaba...
  • 4/19/2024 12:00:00 AM

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Travel Nurse RN - Med Surg / Telemetry - $2,342 per week
  • Care Team Solutions
  • Tuscaloosa, AL
  • Care Team Solutions is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Tuscaloosa, Alabama. J...
  • 4/19/2024 12:00:00 AM

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Local Contract Nurse RN - ICU - Intensive Care Unit - $44-46 per hour
  • Lancesoft
  • Tuscaloosa, AL
  • LanceSoft is seeking a local contract nurse RN ICU - Intensive Care Unit for a local contract nursing job in Tuscaloosa,...
  • 4/19/2024 12:00:00 AM

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Local Contract Nurse RN - Med Surg / Telemetry - $42-44 per hour
  • Lancesoft
  • Tuscaloosa, AL
  • LanceSoft is seeking a local contract nurse RN Med Surg / Telemetry for a local contract nursing job in Tuscaloosa, Alab...
  • 4/19/2024 12:00:00 AM

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Travel Nurse RN - ICU - Intensive Care Unit - $2,460 per week
  • Lancesoft
  • Tuscaloosa, AL
  • LanceSoft is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Tuscaloosa, Alabama. Job De...
  • 4/19/2024 12:00:00 AM

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Data Entry Specialist (Work From Home)>
  • CareMetx
  • Bessemer, AL
  • [Administrative Assistant / Fully Remote] - Anywhere in U.S. / Competitive Pay - As a Data Entry Specialist you'll: Main...
  • 4/18/2024 12:00:00 AM

Tuscaloosa (/tʌskəˈluːsə/ TUS-kə-LOO-sə) is a city in and the seat of Tuscaloosa County in west central Alabama (in the southeastern United States). Located on the Black Warrior River at the Atlantic Seaboard fall line of the Piedmont, it is the fifth-largest city in Alabama, with an estimated population of 100,287 in 2017. The city was originally known as Tuskaloosa until the early 20th century. Incorporated as a town on December 13, 1819, it was named after Tuskaloosa, the chief of a band of Muskogean-speaking people. They battled and were defeated by forces of Spanish explorer Hernando de S...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$42,210 to $51,290
Tuscaloosa, Alabama area prices
were up 1.3% from a year ago

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