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Reimbursement Specialist Jobs

Clinical Reimbursement Coordinator Jobs
By Mission Health: Edwardsville Care Center At Edwardsville, KS, United States
1-2 years of experience as an MDS Coordinator / Clinical Reimbursement Coordinator
Experience with 3.0, PPS, and Case Mix
Current RN licensure with the KS Board of Nursing
Ability to pass license check, background check and drug screen
Ability to maintain confidentiality and comply with all HIPPA regulations
Desire to work with the elderly
Ad, Access & Reimbursement – Cv – Raleigh, Nc - Remote
By Novartis At Raleigh, NC, United States
Strategic account management experience using a proactive approach to anticipate access hurdles impacting accounts and patient access.
Accountable for engagement with non-prescribers, for example pharmacy, system leadership, financial counselors, office administrators, revenue cycle managers, etc.
Bachelor’s Degree required. Business and/or biological science education preferred. Advanced degree preferred.
Experience working with highly complex practices and/or health systems to establish access and acquisition pathways.
Deep expertise and experience integrating manufacturer-sponsored patient support programs.
Experience with specialty products acquired through Specialty Pharmacy networks
Access & Reimbursement Manager Jobs
By Jazz Pharmaceuticals At Baltimore, MD, United States
Account Management and/or Reimbursement experience working in the provider office setting, building strong customer relationships.
Provide managed care and reimbursement training and educational activities for internal and external stakeholders.
Demonstrates territory planning, priorities, and time management specific to geographical area of responsibility.
Experience working in a Specialty Pharmacy and Managed Care Environment
Serve as a field-based expert on the REMS program processes and procedures, including enrollment requirements for providers and patients.
Experience working in a competitive environment
Reimbursement Director Jobs
By The Brooklyn Hospital At Brooklyn, NY, United States
Manage all Wage Index, Occupational Mix data, and IRIS schedules for Institutional Cost Report
Bachelor’s degree in Accounting or Finance; CPA helpful
Minimum of 10 years’ progressively responsible experience in healthcare financial related field, including 4 years in hospital reimbursement and cost reporting
Experience in thepreparation of Medicare and Medicaid cost reports
Significant knowledge of reimbursement methodologies, budgeting, and cost accounting
PC proficiency and effective communication and people skills
Reimbursement Coordinator Jobs
By Roper St. Francis Healthcare At Ladson, SC, United States

Job Summary Monitors day-to-day operations and maintenance of EPIC system to ensure system's managed care contracts are reimbursed appropriately. Works with Revenue Cycle Vendor on issues ...

Access And Reimbursement Manager, Louisville
By Mallinckrodt Pharmaceuticals At Louisville, KY, United States
Background in Access & Reimbursement, Payer account management, Specialty Pharmacy distribution, Patient Services, Case Management
Working with a Patient Service Center/Hub in order to design case-specific strategies based on payer mix, benefit design, and authorization requirements.
Minimum of 5 years’ experience working with specialty pharmaceutical products, or minimum of 2 years’ access-related position outside of pharma
Strong understanding of insurance and benefit design with both commercial and government payers
Coordinating case pull-through with the Patient Service Center, Case Managers, Sales, and Specialty Pharmacies
Demonstrated analytical, problem solving, and relationship-building skills
Access & Reimbursement Manager (Arm) – Nps Cv – Altoona - Remote
By Novartis At Altoona, PA, United States
Prior account management experience or prior experience with complex accounts (Payer landscape, high patient volume, large systems)
Knowledge of Managed Care, Government, and Federal payer sectors, as well as Integrated Delivery Network/Integrated Health Systems a plus
Accountable for engagement with non-prescribers, for example pharmacy, system leadership, financial counselors, office administrators, revenue cycle managers, etc.
Experience with specialty pharmacy products acquired through Specialty Pharmacy networks or specialty distributors (buy and bill)
Experience with coding, billing and in office support programs
Specialty pharmacy experience required (ability to teach an office the entire process from script to injection)
Document Specialist - Reimbursement
By Global Technical Talent, an Inc. 5000 Company At United States
Risk Management - Applies basic Risk Management principles to work.
Carries out tasks related to area of responsibility with management oversight.
Applies knowledge to all marketing materials routed through Reimbursement in Veeva, to ensure compliance.
Minimum Two Years - This position does not require previous reimbursement experience.
2-3 years experience in a regulated industry (e.g., medical products, nutritional's) preferred.
Reimbursement experience is preferred but may consider quality assurance, research and development/support, scientific affairs, operations, or related area.
Reimbursement Policy Analyst Jobs
By Medica At United States
Advanced working knowledge and skill in this professional field with ability to function as a subject matter expert for other staff
Bachelor's degree or equivalent experience in related field, plus 5 years of work experience beyond degree
Coding certification (AAPC or AHIMA) or the completion of such certification within one year of employment is required.
CPC, CPC-P, CPC-H, CCS, or CCS-P certification preferred
Knowledge of CPT, HCPCS, and ICD-10 diagnosis codes and coding principles.
HMO and claims experience helpful.
Reimbursement Triage Specialist (Onsite)
By Guardant Health At Spring, TX, United States
Must be proficient using a computer, data entry, and have above average typing skills
A minimum of 1 year recent experience in both professional and facility billing, and collections with high volume and/or multiple accounts
Experience with contacting and follow up with insurance carriers on denials, file reconsideration requests, formal appeals and negotiations (preferred)
Basic math skills to accurately interpret payment & adjustment transactions (must be able to read & understand an EOB)
Provide reimbursement assistance to patients while providing superior customer service and respect to patients and their families
Correctly interpret EOB’s for follow-up and/or appeals
Reimbursement Review Services Associate Iv
By Conduent At United States
Have experience in process claims
Have experience in MPI and Mapping process and procedure
Have experience in facility and professional claims
Does your experience include Processing Claims services?
Verifying National Provider Identifier and Employer Tax Identification Numbers
Assuring timely processing of claims and contract mapping
Reimbursement Manager Jobs
By Össur At United States
Work cross-functionally with Ӧssur product management re. reimbursement issues / submissions to government contractors (e.g., PDAC).
All training related to the quality management system is done in accordance to the Training Management Process (PR-00042).
Attend DME MAC educational meetings.
5+ years of experience in medical device reimbursement, market access, reimbursement policy, healthcare provider, and/or healthcare payer operations
Strong understanding and working knowledge of private, federal, and state healthcare coverage
Prior experience with O&P facilities and/or physician practices preferred
Reimbursement Specialist Jobs
By Rady Children's Hospital-San Diego At Whittier, CA, United States
- 2 Years of Experience as a Healthcare Reimbursment Specialist
- H.S Diploma, GED or Equivalent
- Proficiency in microsoft products: Excel, Word and Outlook
Reimbursement Specialist Jobs
By R1 RCM At United States
Proven knowledge of Commercial, Government, and Managed Care insurance payers
Manage client invoicing inquiries and work to resolve account discrepancies
3+ years of experience in Revenue Cycle, HIM professional or hospital billing
2+ years of customer service experience 
Proven experience in working with multiple HIS Systems (e.g., Epic, Cerner, Meditech, STAR)
HIPAA compliant certification and/or the ability to renew through training
Reimbursement Analyst Jobs
By Priority Health At Grand Rapids, MI, United States
Required Associate's Degree Emphasis in health care, business management (or equivalent combination of education and experience).
Apply strong analytical skills and business knowledge to the investigation, analysis and recommendation of creative solutions to problems.
3 years of relevant experience Knowledge of FACETS and OnBase Required
3 years of relevant experience Knowledge of provider reimbursement methods and concepts (Medicare, Medicaid, Commercial) and industry standard pricing guidelines Required
1 year of relevant experience Knowledge of UB92 or 1500 billing Preferred
3 years of relevant experience Experience in Microsoft applications including Word, PowerPoint, Excel Required
Medical Billing Reimbursement Specialist
By ZOLL Data Systems At United States
Denial Management – Research and determine claim denials and take appropriate action for payment within federal, state, and payor guidelines.
Medical Insurance Policies - Knowledge and understanding of current policies and procedures required to determine claim resolution.
Legal/Subrogation Requests – Knowledge of HIPAA and multiple state guidelines to process attorney requests.
MS Excel skills (filtering and formatting reports)
MS Word skills (formatting of letters and templates)
Experience in billing 1500 and UB04 claim forms
Painter - Tuition Reimbursement
By Sunseeker Resorts At Punta Gorda, FL, United States
Excellent organizational, analytical and project management skills, with particular attention to quality and detail
Knowledge of techniques and principles of mixing paint colors, including primary colors, tinting capabilities, and reading color specifications
Strong leadership abilities, sound judgment, superior problem solving and decision-making skills
Knowledge of various practices, tools and equipment used in preparing and applying paint to a wide variety of surfaces.
Working knowledge of Microsoft Office
Ability to function well under pressure, manage multiple priorities, and meet established deadlines
Coding & Reimbursement Spec - Remote
By UVA Health At Virginia, United States
In addition to the above job responsibilities, other duties may be assigned.
COVID Vaccination Requirement and Guidelines
Assigns all pertinent.ICD-10-CM/PCS diagnosis and.ICD-10-CM/PCS/CPT-4 procedure codes based on official inpatient and outpatient coding guidelines.
The University of Virginia, i
Medical Reimbursement Specialist Jobs
By LaSalle Network At Dallas, TX, United States
Claim denials experience and knowledge to process appeals for both commercial and government payors
Detailed knowledge of insurances and their billing requirements.
2+ years of previous medical billing or collections experience in a hospital or physician setting
Good written/typing skills, ability to perform basic mathematical calculations for payments/adjustments, good communication skills
Contact insurance carriers and patients to resolve outstanding balances
Maintain optimal communication and rapport with all payers
Reimbursement Specialist Jobs
By UBC At Morgantown, WV, United States
Investigation of benefits and eligibility by phone and/or internet to determine coverage choices patient has in starting therapy.
Effectively manage and work though action item list to ensure it is current and tasks are completed in a timely fashion.
Computer proficiency in MS Office applications, with database experience preffered
Health insurance claims or patient accounting experience preferred
Knowledge of third party billing, coding, medical terminology, prior authorizations and appeals preferred
Detail oriented with good analytical skills

Are you looking for a rewarding career in the financial services industry? We are looking for a Reimbursement Specialist to join our team and help us manage our financial operations. You will be responsible for processing reimbursements, tracking payments, and ensuring accuracy of financial records. If you have a passion for finance and a keen eye for detail, this could be the perfect job for you!

Overview:

A Reimbursement Specialist is responsible for processing and managing reimbursement requests from customers. They are responsible for ensuring that all requests are handled in a timely and accurate manner, and that all necessary documentation is provided. They must also ensure that all payments are made in accordance with company policies and procedures.

Detailed Job Description:

The Reimbursement Specialist is responsible for processing and managing reimbursement requests from customers. This includes verifying customer eligibility, reviewing and verifying documentation, and processing payments. The Reimbursement Specialist must ensure that all requests are handled in a timely and accurate manner, and that all necessary documentation is provided. They must also ensure that all payments are made in accordance with company policies and procedures.

What is Reimbursement Specialist Job Skills Required?

• Strong organizational and time management skills
• Excellent customer service skills
• Ability to work independently and as part of a team
• Ability to multi-task and prioritize tasks
• Attention to detail
• Knowledge of reimbursement policies and procedures
• Knowledge of accounting principles
• Proficient in Microsoft Office Suite

What is Reimbursement Specialist Job Qualifications?

• Bachelor’s degree in Accounting, Finance, or related field
• At least 2 years of experience in reimbursement processing
• Knowledge of reimbursement policies and procedures
• Knowledge of accounting principles
• Proficient in Microsoft Office Suite

What is Reimbursement Specialist Job Knowledge?

• Knowledge of reimbursement policies and procedures
• Knowledge of accounting principles
• Knowledge of customer service principles
• Knowledge of data entry and filing systems

What is Reimbursement Specialist Job Experience?

• At least 2 years of experience in reimbursement processing
• Experience in customer service
• Experience in data entry and filing systems

What is Reimbursement Specialist Job Responsibilities?

• Process and manage reimbursement requests from customers
• Verify customer eligibility
• Review and verify documentation
• Process payments in accordance with company policies and procedures
• Ensure all requests are handled in a timely and accurate manner
• Provide customer service to customers
• Maintain accurate records and filing systems
• Assist with other duties as assigned