Reimbursement Specialist - Healthcare jobs in Greeley, CO

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
  • 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 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

  • 20 Days Ago

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Healthcare Account Specialist, Profesional Billing
  • UCHealth
  • Fort Collins, CO FULL_TIME
  • Customer Service - Healthcare Account Specialist/Professional Billing Summary We are looking for a qualified candidate to join our Professional Billing Team! This candidate will ensure optimal reimbur...
  • 13 Days Ago

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Healthcare Recruiter
  • Maxim Healthcare Services
  • Fort Collins, CO FULL_TIME
  • Why Maxim Healthcare?When you work at Maxim, you’re part of a network of more than 175 local offices that have deep roots in each of the communities we serve, while still leveraging the resources and ...
  • 7 Days Ago

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CNA | Home Healthcare | Evergreen | 10/13/2022
  • Maxim Healthcare Services
  • Collins, CO OTHER,PART_TIME
  • Salary: $19 - $21The Certified Nursing Assistant/Personal Care Assistant is a member of the home care team who works under the supervision of a Registered Nurse, and performs various personal care ser...
  • 18 Days Ago

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Plant Healthcare Technician
  • Monarch Landscape Companies
  • Loveland, CO FULL_TIME
  • Environmental Designs Monarch Landscape Companies is a family of successful landscape brands in five states across the central and western United States. We are a values-based learning organization co...
  • 5 Days Ago

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Plant Healthcare Technician
  • Environmental Designs
  • Loveland, CO FULL_TIME
  • Environmental Designs Monarch Landscape Companies is a family of successful landscape brands in five states across the central and western United States. We are a values-based learning organization co...
  • 5 Days Ago

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0 Reimbursement Specialist - Healthcare jobs found in Greeley, CO area

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CDL-A Delivery Driver - Home Daily - Average $75k+/Year + Sign-On
  • Sysco
  • Greeley, CO
  • Sysco is Now Hiring Local CDL-A Delivery Drivers! Average $75,000+ First Year - Sign-On in Select Locations* Local Route...
  • 4/24/2024 12:00:00 AM

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Data Entry Specialist (Work From Home)>
  • CareMetx
  • Greeley, CO
  • [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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Data Entry Specialist (Work From Home)>
  • CareMetx
  • Longmont, CO
  • [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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Data Entry Specialist (Work From Home)>
  • CareMetx
  • Lafayette, CO
  • [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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Registered Nurse
  • Milan Laser Company
  • Greeley, CO
  • 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 Physical Therapist - $2,071 per week
  • GetMed Allied
  • Greeley, CO
  • Jackson Therapy Partners is seeking a travel Physical Therapist for a travel job in Greeley, Colorado. Job Description &...
  • 4/21/2024 12:00:00 AM

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Travel Speech Language Pathologist - $2,071 per week
  • GetMed Allied
  • Greeley, CO
  • Jackson Therapy Partners is seeking a travel Speech Language Pathologist for a travel job in Greeley, Colorado. Job Desc...
  • 4/21/2024 12:00:00 AM

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Local Contract Nurse RN - Med Surg - $52-55 per hour
  • Hiring Now!
  • Greeley, CO
  • LanceSoft is seeking a local contract nurse RN Med Surg for a local contract nursing job in Greeley, Colorado. Job Descr...
  • 4/20/2024 12:00:00 AM

Greeley is the home rule municipality that is the county seat and the most populous municipality of Weld County, Colorado, United States. Greeley is in northern Colorado and is situated 49 miles (79 km) north-northeast of the Colorado State Capitol in Denver. According to a July 2015 estimate by the U.S. Census Bureau, the population of the city is 100,883, and a 2014 population estimate made Greeley the 12th-most populous city in Colorado. Greeley is a major city of the Front Range Urban Corridor. Greeley is located in the High Plains of northern Colorado about 25 mi (40 km) east of the Roc...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$44,732 to $54,355
Greeley, Colorado area prices
were up 2.3% from a year ago

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