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)
Join Our Team as a Regional Director of Clinical Reimbursement and Make a Difference in Quality Care!
Unlock Your Potential with Our Exciting Opportunity
Are you a registered nurse with a passion for optimizing reimbursement and ensuring the highest level of revenue integrity? Do you have experience as a Regional in the Long-Term Care (LTC) industry and a knack for coordinating strategic Assessment Reference Dates (ARDs) and completion dates? If so, we have an exceptional role for you as a Regional Director of Clinical Reimbursement. Join our team and become a subject matter expert in MDS completion and its impact on both care quality and revenue.
Position Highlights:
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Elevate Your Nursing Career: Apply Now!
Salary/ Wage Range
Compensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies and experience and may fall outside of the range shown.
Benefits:
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We are committed to maintaining a diverse and inclusive workplace. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for our job opportunities.