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)
Reimbursement Specialist | Tulsa, OK
$16.50- $20 depending on experience. Monday to Friday, 8:00 am – 5:00 pm.
Job Summary:
The Reimbursement Specialist is responsible for reviewing and submitting authorization requests to Medicaid and DMH (Department of Mental Health), correcting any authorization errors, and working daily reports in order to correct errors that would prevent services from billing out correctly. This position will train onsite and transition to remote work after 1-2 months.
Duties/Responsibilities:
Required Skills/Abilities:
Education and Experience:
High school diploma or equivalent.
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