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Medical Reimbursement Specialist Jobs

Reimbursement Specialist Jobs
By Randstad USA At Columbia, MD, United States
Basic understanding of Data Entry/Customer Relationship Management programs (SalesForce, Dynamics365, other)
Excellent organizational and time management skills
Reimbursement and/or Healthcare admissions/Intake experience within the healthcare
Basic knowledge of Medicare, Medicaid, and Private Insurance Reimbursement Methodology
Understanding of the patient’s benefits verification process including health plan benefit structure (coverage, deductible, out of pocket, benefits exclusions, etc.)
Prior experience working for a medical or pharmaceutical reimbursement hub or hotline
Medical Billing Reimbursement Specialist-6
By ZOLL LifeVest At ,
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
Billing And Reimbursement Specialist
By Advantage Home Health and Hospice At , Pittsburgh, 15236 $20 - $22 an hour
Required to run reports to maintain current AR, collections and reporting to management
Hospice billing for private insurers, managed care and Medicare billing
Hospice Collections for private insurers, managed care and Medicare billing
Home Health and Hospice Billing experience preferred
Experience with HHA Exchange, HMO, MMA, Medicaid and Medicare
Coordination of Managed Care Billing
Reimbursement Specialist - 1,500.00 Bonus Included
By AssistRx At Orlando, FL, United States
Compensation: $19/hr-$23/hr - Top pay will be offered to candidates with ophthalmology and buy and bill experience
In-depth understanding and experience with Major Medical & Pharmacy Benefit Coverage
3 to 5 years of experience interacting with healthcare providers in regard to health insurance plan requirements
WORK FROM HOME AVAILABLE AFTER 120 DAYS****
2 to 5 years of benefit investigation involving the analysis and interpretation of insurance coverage
Excellent verbal communication skills and grammar
Remote Medical Reimbursement Specialist
By LaSalle Network At Buffalo, NY, United States
Claim denials experience and knowledge to process appeals for both commercial and government payors
Detailed knowledge of insurances and their billing requirements
Remote Medical Reimbursement Specialist Responsibilities:
Remote Medical Reimbursement Specialist Requirements:
Good written/typing skills, ability to perform basic mathematical calculations for payments/adjustments and good communication skills
Contact insurance carriers and patients to resolve outstanding balances
Reimbursement Specialist Jobs
By Synectics Inc. At East Hanover, NJ, United States
Experience working with data entry system(s), fax machines, computer software, and telephone technology
Develop and maintain knowledge of PSS programs and payer coverage.
Broaden program knowledge over time.
Evolve skills to navigate the payer landscape regarding programs over time.
Roughly 6 months of proven Reimbursement Experience (such as Healthcare, Payers or Pharmaceuticals,)
Experience and exposure in balancing multiple priorities with multiple audiences
Reimbursement Specialist Jobs
By Soleo Health At Frisco, TX, United States
Remotely (USA). Home Infusion experience required.
Assists Reimbursement Contracts Manager in review of payor contracts and amendments.
Manages payor contract and amendment reimbursement related reference materials and other supporting documentation on company intranet sites.
Other duties as assigned by manager
4-5 years of experience with Home Infusion therapies and their associated drugs & HCPC
Knowledge of HIPAA guidelines, federal, state, and local regulations related to pharmacy or healthcare providers.
Reimbursement Integrity Specialist Jobs
By GenesisCare At United States
Maintains current knowledge of third-party payor reimbursements and managed care contracts.
Meets department production standards consistently as defined by department management.
Ensures systems are accurately updated and maintained with the payer requirements. This will include the billing system, EHRs and clearinghouse/EDI systems.
Coordinates updates or creation of rules according to payer requirements that eliminate avoidance of denials and loss revenue.
Prepares communication for all stakeholders on significant changes in payer requirements.
Maintains knowledge and is familiar with physician billing, accounts receivable, and EHR systems.
Reimbursement Specialist Jobs
By AACS COUNSELING At Marietta, GA, United States

AACS Counseling, a behavioral health services provider located at 1295 Terrell Mill Road SE Ste 104, Marietta, GA 30067. We currently need a skilled and experienced Medical Reimbursement Specialist to ...

Medical Billing Reimbursement Specialist-6
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
Sr. Manager Team Lead, Reimbursement - Medical Device (Remote)
By The Alpine Group, A TMAC Direct Agency At United States

Bachelor’s degree or better is required; MBA or equivalent is preferred

An interest in working in a dynamic environment with multiple stakeholder audiences

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 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 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
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
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
Remote Reimbursement Specialist 19.50 ($19.50 / Hour)
By Talentify.io At United States
1+ year of medical benefit experience (specialty pharmacy, medical insurance, payer, provider, healthcare)
Reimbursement Specialist is a remote position that will receive inbound and place outbound calls regarding medical and/or pharmacy benefit investigation.
Internet Speed Required Remote designated work space M-F 8am-8pm EST
Insurance Reimbursement Specialists are primarily responsible for working with insurance companies and medical billing staff to manage the billing/reimbursement process.
This process involves calling on specific payers to gain the necessary missing data to finalize the benefit investigation.
100% remote opportunity- can sit anywhere in the US.
Remote Reimbursement Specialist ($19.50 / Hour)
By Talentify.io At United States

Talentify helps candidates around the world to discover and stay focused on the jobs they want until they can complete a full application in the hiring company career page/ATS. Description ...