Reimbursement Specialist - Healthcare jobs in Washington

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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Regional Director of Clinical Reimbursement
  • Hill Valley Healthcare
  • , WA FULL_TIME
  • 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:

    • Play a pivotal role in optimizing reimbursement and tracking regions relevant data.
    • Ensure compliance within a region for revenue integrity requirements, including Physician Certification/Recertification and Denial letters.
    • Oversee chair revenue-related meetings and promptly respond to facility and regional team inquiries.
    • Promote accurate IDT documentation and provide education to region.
    • Oversee comprehensive care plans based on data collection and regulatory guidelines.
    • Participate in oversight of new MDS coordinator interviews, orientation, and ongoing education.

    Qualifications:

    • Registered nurse with 3 years reimbursement or similar experience in the LTC industry (preferred).
    • Computer literacy, including proficiency in Microsoft Word, Excel, PowerPoint, and Outlook.
    • Excellent written, verbal, and technological communication skills.
    • Strong organizational, analytical, and presentation abilities.
    • In-depth knowledge of state and federal regulations governing MDS and billing processes in the LTC setting.
    • Ability to collaborate with IDT members at facility, regional, and corporate levels.

    Benefits and Opportunities:

    • Competitive compensation with room for growth.
    • Comprehensive benefits package, including dental, health, and vision insurance.
    • Coverage for disability, basic term life, and AD&D insurance.
    • Access to wellness programs and paid time off.
    • Opportunity for ongoing education and training.
    • Join a diverse and inclusive workplace that values your unique contributions.

    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: 

    • Dental Insurance 
    • Health Insurance 
    • Vision Insurance 
    • Disability Insurance 
    • Basic Term Life and AD&D Insurance & Voluntary Term Life and AD&D Insurance 
    • Wellness Program 
    • Paid Time Off 
    • 401(k) 
    • Accident coverage, Hospital Indemnity coverage, Critical Illness coverage, Legal and Credit coverage
    • As a part of our team, you will receive compensation for your orientation period at the same rate as your base pay
    • Monthly Schedules on Mobile App: Stay organized and plan ahead, making it convenient for you to manage your work-life balance.
    • On-Demand Payroll Status: Keep track of your earnings effortlessly
    • Our mobile app enables you to access your payroll status on demand, providing you with transparency and financial convenience
    • Holiday Pay and Overtime Pay: We recognize the importance of holidays and the extra effort you put in during overtime
    • You will be eligible for holiday pay and overtime pay, ensuring your dedication is duly rewarded with our already high payrates!
    • Professional Development: Expand your knowledge and skills through ongoing training and educational opportunities, fostering career growth

    #IND123

    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.

  • 8 Days Ago

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Regional Director of Clinical Reimbursement
  • Hill Valley Healthcare
  • Vancouver, WA FULL_TIME
  • Hill Valley is looking for a dynamic regional director of clinical reimbursment to oversee and manage 7 skilled nursing facilities in Washington state and Las Vegas Nevada. I want a regional team memb...
  • 12 Days Ago

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Expense Reimbursement Specialist
  • Aston Carter
  • SeaTac, WA CONTRACTOR
  • Description: The Expense Reimbursement Specialist reviews and processes expense reports, verifies costs against report documentation, ensures company expense policy adherence, and communicates with al...
  • Just Posted

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Virtual Field Reimbursement Specialist
  • Syneos Health Commercial Solutions
  • Seattle, WA FULL_TIME
  • Description You are an expert facilitator: you open doors, foster communication, and bridge the gap. The Virtual Field Reimbursement Specialist (VFRS) will be responsible for the management of defined...
  • 13 Days Ago

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Virtual Field Reimbursement Specialist
  • Syneos Health Clinical
  • Seattle, WA FULL_TIME
  • Description You are an expert facilitator: you open doors, foster communication, and bridge the gap. The Virtual Field Reimbursement Specialist (VFRS) will be responsible for the management of defined...
  • 13 Days Ago

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Healthcare Specialist
  • Stericycle Inc
  • Spokane, WA FULL_TIME
  • About Us: At Stericycle, we deliver solutions and drive innovations that protect the environment, people, and public health. This includes working to create a more sustainable, shared future. Our inno...
  • 21 Days Ago

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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...
  • 3/28/2024 12:00:00 AM

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Clinical Reimbursement Specialist
  • Southeast Division
  • Altamonte Springs, FL
  • Position Summary The Clinical Reimbursement Specialist ensures correct monetary reimbursement for any services offered t...
  • 3/27/2024 12:00:00 AM

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Clinical Reimbursement Specialist
  • Southwest Division
  • Las Vegas, NV
  • Position Summary The Clinical Reimbursement Specialist ensures correct monetary reimbursement for any services offered t...
  • 3/27/2024 12:00:00 AM

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Clinical Reimbursement Specialist
  • CareOne
  • Fort Lee, NJ
  • Now Hiring - Clinical Reimbursement Specialist - Fort Lee, NJ 07024 The Clinical Reimbursement Specialist assures the im...
  • 3/26/2024 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...
  • 3/25/2024 12:00:00 AM

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Reimbursement Specialist
  • By The Bay Health
  • Larkspur, CA
  • This position offers competitive pay, generous benefits, and a supportive work environment! We are seeking a full-time R...
  • 3/25/2024 12:00:00 AM

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Reimbursement Specialist
  • PROMPTCARE HOME INFUSION LLC
  • New Providence, NJ
  • Job Type Full-time Description PromptCare is seeking a highly motivated and detail-oriented Reimbursement Specialist to ...
  • 3/25/2024 12:00:00 AM

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Medical Reimbursement Specialist
  • HealthDrive Corporation
  • Framingham, MA
  • Answer incoming facility and billing related customer telephone calls and provide exceptional customer service when inte...
  • 3/24/2024 12:00:00 AM

Washington (/ˈwɒʃɪŋtən/), officially the State of Washington, is a state in the Pacific Northwest region of the United States. Washington is the northwestern-most state of the contiguous United States. It borders Idaho to the east, bounded mostly by the meridian running north from the confluence of the Snake River and Clearwater River (about 116°57' west), except for the southernmost section where the border follows the Snake River. Oregon is to the south, with the Columbia River forming the western part and the 46th parallel forming the eastern part of the Oregon-Washington border. To the wes...
Source: Wikipedia (as of 04/17/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$48,608 to $59,064

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