Reimbursement Specialist - Healthcare jobs in Ohio

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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Vice President of Reimbursement and Operational Finance, Healthcare
  • CommuniCare Family of Companies
  • Cincinnati, OH FULL_TIME
  • Vice President, Reimbursement and Operational Finance

    CommuniCare Health Services is a fast-growing provider of long-term care with over 130 facilities located in 7 states. Due to current growth, we are recruiting for a Vice President of Reimbursement and Operational Finance.

    The Vice President of Reimbursement and Operational Finance reports to the Chief Operating Officer and also has a strong dotted line to the CFO. The position will be responsible to prepare and present forecasts and recommendations to senior operations leadership based upon opportunities and changes in State Medicaid payment programs. 

    Estimated Pay: $160k/annually

    Responsibilities:

    • Operational Forecasting- preparation and analysis of forecasts
    • Internal Reporting- Key role in the accumulation of data and the formation of divisional financial forecasts.
    • Strategic Analysis- Financial/strategic analyses on issues affecting operations
    • Valuations/Analysis- Provide comprehensive analyses and summaries on business decisions
    • Analyze expenditure trends relative to payment methodologies and detail cost benefit opportunities
    • Distill report metrics into findings and recommendations for operations leadership

    Qualifications:

    • Bachelor's degree in Finance or Accounting; CPA or Master's degree a plus
    • 5 years of experience in a Finance / Reimbursement role with a LTC company
    • Advanced Excel, Microsoft Office products, Workday / Prism forecasting software preferred
    • Position requires strong presentation skills
    • Ability to set objectives and work in a collegial manner with other staff

    As a CommuniCare employee you will enjoy competitive wages and PTO plans. We offer you a menu of benefit options from life and disability plans to medical, dental and vision coverage, from quality benefit carriers. We also offer 401(k) with employer match and Flexible Spending Accounts.

     

     

  • 2 Days Ago

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Reimbursement Specialist II
  • Alternate Solutions Health Network
  • Dayton, OH FULL_TIME
  • Agency: Alternate Solutions Health Network Our culture and people are what set us apart from other post-acute care providers. We're dedicated to the growth and development of our team to set them up f...
  • 15 Days Ago

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Reimbursement Specialist - FT
  • Magruder Hospital
  • Port Clinton, OH FULL_TIME
  • Improving Lives Together Magruder Hospital offers competitive wages with a comprehensive benefit package available to both full-time and part-time employees. We provide a full health plan and generous...
  • 7 Days Ago

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RN MDS (Reimbursement Specialist)
  • Progressive Quality Care
  • Parma, OH FULL_TIME
  • Parma Care Center has provided a family-like atmosphere for over three decades, with staff members who work as a team. Parma Care Center provides excellent care to our residents along with ancillary s...
  • 1 Month Ago

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Reimbursement Specialist(MDS Nurse)
  • Progressive Quality Care
  • Parma, OH FULL_TIME
  • Parma Care Center has provided a family-like atmosphere for over three decades, with staff members who work as a team. Parma Care Center provides excellent care to our residents along with ancillary s...
  • 28 Days Ago

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REIMBURSEMENT SPECIALIST - MEDICAL RECORDS
  • Aultman Health Foundation
  • CANTON, OH FULL_TIME
  • Position Summary This team does the following for both Aultman Hospital and Aultman Orrville Hospital: The clinical charge capture team is responsible for the review of all outpatient observation, and...
  • 1 Month Ago

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Reimbursement Specialist
  • Addus Homecare
  • Downers Grove, IL
  • >> We offer our team the best << Medical, Dental and Vision Benefits Continued Education PTO Plan Retirement Planning Li...
  • 4/17/2024 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...
  • 4/17/2024 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...
  • 4/16/2024 12:00:00 AM

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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...
  • 4/15/2024 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...
  • 4/14/2024 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...
  • 4/14/2024 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 ...
  • 4/14/2024 12:00:00 AM

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Clinical Reimbursement Specialist
  • Life Care Centers of America
  • Bedford, MA
  • Position Summary The Clinical Reimbursement Specialist ensures correct monetary reimbursement for any services offered t...
  • 4/14/2024 12:00:00 AM

Ohio /oʊˈhaɪoʊ/ (listen) is a Midwestern state in the Great Lakes region of the United States. Of the fifty states, it is the 34th largest by area, the seventh most populous, and the tenth most densely populated. The state's capital and largest city is Columbus. The state takes its name from the Ohio River, whose name in turn originated from the Seneca word ohiːyo', meaning "good river", "great river" or "large creek". Partitioned from the Northwest Territory, Ohio was the 17th state admitted to the Union on March 1, 1803, and the first under the Northwest Ordinance. Ohio is historically know...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$44,057 to $53,534

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