Reimbursement Specialist - Healthcare jobs in Colorado

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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Field Reimbursement Specialist
  • Syneos Health Commercial Solutions
  • Denver, CO FULL_TIME
  • Description

    You are an expert facilitator: you open doors, foster communication, and bridge the gap.

    In this role, you will be responsible for the management of defined accounts in a specified geographic region within the cardiac therapeutic area, specifically supporting our customers products. The FRS will execute the collaborative territory strategic plan through partnership with internal and external stakeholders, which may include call center services (HUB), sales, market access, and other collaboration partners. You will:

    • Act as an extension of the call center and/or HUB and provide live one-on-one coverage support
    • Serve as payer expert for defined geography and able to communicate payer changes to key stakeholders in a timely manner
    • Offer office education during the entire access process which may include formulary coverage/utilization management criteria, insurance forms & procedures, benefits investigation, prior authorization, appeal, and/or claims resolution
    • Review patient-specific information in reimbursement cases where the office has specifically requested assistance in resolving access issue or coverage challenge

    Essential Requirements:

    • Bachelors degree
    • 3 years experience in public or private third-party reimbursement arena or pharmaceutical industry in managed care, clinical support, or sales
    • Experience with specialty/biologic products
    • Demonstrated ability to educate offices on access processes
    • Must live within territory or within territory boundaries.

    Desired Requirements:

    • Cardiology experience

    The annual base salary for this position ranges from $115,000 - $130,000. The base salary range represents the anticipated low and high of the Syneos Health range for this position. Actual salary will vary based on various factors such as the candidates qualifications, skills, competencies, and proficiency for the role. In addition, some positions may include a company car or car allowance and eligibility to earn commissions/bonus based on company and / or individual performance.

    At Syneos Health, we are dedicated to building a diverse, inclusive and authentic workplace. If your past experience doesnt align perfectly, we encourage you to apply anyway. At times, we will consider transferable skills from previous roles. We also encourage you to join our Talent Network to stay connected to additional career opportunities.

    Why Syneos Health? Our ability to collaborate and problem-solve makes a difference in patients' lives daily. By joining one of our field access teams, you will partner with industry experts and be empowered to succeed with the support, resources, and autonomy needed to successfully navigate the complex reimbursement landscape. The diversification and breadth of our new and existing partnerships create a multitude of career paths and employment opportunities. Join our game-changing, global company dedicated to creating better, smarter, faster ways to get biopharmaceutical therapies to patients Experience the thrill of knowing that your everyday efforts are contributing to improving patients' lives around the world.

    Work Here Matters Everywhere | How are you inspired to change lives?

    Syneos Health companies are affirmative action/equal opportunity employers (Minorities/Females/Veterans/Disabled)

    Syneos Health has a voluntary COVID-19 vaccination policy. We strongly encourage all employees to be fully vaccinated. Additionally, certain local governments or Syneos Health customers may have vaccine requirements that apply to some of our employees. These employees are required to submit proof of vaccination to Syneos Health and maintain compliance with these requirements.
    At Syneos Health, we believe in providing an environment and culture in which Our People can thrive, develop and advance. We reward and recognize our people by providing valuable benefits and a quality-of-life balance. The benefits for this position will include a competitive compensation package, Health benefits to include Medical, Dental and Vision, Company match 401k, flexible paid time off (PTO) and sick time. Because certain states and municipalities have regulated paid sick time requirements, eligibility for paid sick time may vary depending on where you work. Syneos Health complies with all applicable federal, state, and municipal paid sick time requirements.

    #LI-BC1

  • 19 Days Ago

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Field Reimbursement Specialist
  • Syneos Health Commercial Solutions
  • Colorado, CO FULL_TIME
  • Description You are an expert facilitator: you open doors, foster communication, and bridge the gap. In this role, you will be responsible for the management of defined accounts in a specified geograp...
  • 19 Days Ago

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Field Reimbursement Specialist
  • Syneos Health Commercial Solutions
  • Boulder, CO FULL_TIME
  • Description You are an expert facilitator: you open doors, foster communication, and bridge the gap. In this role, you will be responsible for the management of defined accounts in a specified geograp...
  • 19 Days Ago

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Field Reimbursement Specialist
  • Syneos Health Commercial Solutions
  • Fort Collins, CO FULL_TIME
  • Description You are an expert facilitator: you open doors, foster communication, and bridge the gap. In this role, you will be responsible for the management of defined accounts in a specified geograp...
  • 20 Days Ago

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Cash Reimbursement Specialist, full-time
  • Valley View
  • Glenwood, CO FULL_TIME
  • Valley View is seeking full-time Cash Reimbursement Specialists to assist our Patient Financial Services and Central Billing Offices teams. GENERAL OBJECTIVES Researches and prepares contractuals and ...
  • 12 Days Ago

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Specialist, Community Engagement - Pediatric Healthcare
  • Solace Pediatric Healthcare
  • Colorado, CO FULL_TIME
  • Solace Pediatric Healthcare is proud to be a part of the Care Options for Kids Community, the leading provider of pediatric nursing, family caregiver, occupational, physical, speech and feeding therap...
  • 9 Days Ago

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AR Reimbursement Specialist
  • Crestwood Behavioral Health
  • Stockton, CA
  • Job Description Job Description Are you looking for a meaningful role in behavioral health and have the desire to work w...
  • 4/25/2024 12:00:00 AM

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Clinical Reimbursement Specialist
  • Bluebird Staffing
  • REQUIRED 5 years coding: Cath lab Charging / Coding for diagnostic and invasive procedures Credential - CIRCC, RHIA/RHIT...
  • 4/24/2024 12:00:00 AM

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Reimbursement Specialist
  • Vinfen
  • Cambridge, MA
  • Schedule: Mon-Fri 9am-5pm (2 days remote after training) Salary: $23.00-$25.00 / hour The Reimbursement Specialist is ch...
  • 4/24/2024 12:00:00 AM

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Reimbursement Specialist
  • Prompt Care Companies Inc
  • New Providence, NJ
  • Job Type Full-time Description PromptCare is seeking a highly motivated and detail-oriented Reimbursement Specialist to ...
  • 4/24/2024 12:00:00 AM

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Field Reimbursement Specialist
  • Syneos Health
  • Richmond, VA
  • Updated: April 2, 2024Location: Richmond, VA, United StatesJob ID: 3941DescriptionYou are an expert facilitator: you ope...
  • 4/24/2024 12:00:00 AM

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Healthcare Reimbursement Specialist
  • LogixHealth
  • Bedford, MA
  • Location: On-Site in Bedford, MA $500 Signing Bonus This Role: As a Reimbursement Specialist at LogixHealth, you will wo...
  • 4/22/2024 12:00:00 AM

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Clinical Reimbursement Specialist
  • Life Care Centers of America
  • Altamonte Springs, FL
  • Position Summary The Clinical Reimbursement Specialist ensures correct monetary reimbursement for any services offered t...
  • 4/22/2024 12:00:00 AM

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Reimbursement Specialist
  • Vinfen
  • Cambridge, MA
  • Schedule:Mon-Fri 9am-5pm (2 days remote after training) Salary:$23.00-$25.00 / hour The Reimbursement Specialist is char...
  • 4/21/2024 12:00:00 AM

Colorado (/ˌkɒləˈrædoʊ, -ˈrɑːdoʊ/ (listen), other variants) is a state of the Western United States encompassing most of the southern Rocky Mountains as well as the northeastern portion of the Colorado Plateau and the western edge of the Great Plains. It is the 8th most extensive and 21st most populous U.S. state. The estimated population of Colorado was 5,695,564 on July 1, 2018, an increase of 13.25% since the 2010 United States Census. The state was named for the Colorado River, which early Spanish explorers named the Río Colorado for the ruddy silt the river carried from the mountains. The...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$45,949 to $55,833

Reimbursement Specialist - Healthcare in Dayton, OH
Accurate and efficient reimbursement adds value to all health care providers; and certified professional coders can help deliver that.
January 04, 2020
Reimbursement Specialist - Healthcare in Ventura, CA
Specialised mental healthcare includes diagnosis and specialist treatment of (highly) complex psychological disorders such as psychiatrists and clinical psychologists generally provide.
February 07, 2020
Reimbursement Specialist - Healthcare in Florence, AL
Through MedCert’s 22-week program, you will find yourself equipped to serve as a Reimbursement and EHR Health Specialist as well as prepared to gain certification as a Certified Electronic Health Records Specialist (CEHRS) and a Certified Billing and Coding Specialist (CBCS) providing needed support to healthcare providers.
December 15, 2019