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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
Apm - Tuition Reimbursement - Canton, Ma
By Michael Page At Canton, CT, United States
Aid Project Management team in RFIs, Submittals, Change orders, and close out
Proactively identify and resolve any issues or conflicts that may arise during the project, ensuring effective stakeholder management.
Assign tasks and responsibilities to team members, ensuring clear communication of project objectives and expectations.
Collaborate with architects, engineers, and other stakeholders to address design changes, scope adjustments, and project requirements.
Manage project communications, including progress reports, change orders, and project documentation.
At least 2 years of experience in a General Contractor role.
Grants Reimbursement Manager Jobs
By Intertribal Agriculture Council At , Remote $60,864 - $79,414 a year
Bachelor’s Degree in accounting or related field or equivalent experience
3-5 years of accounting or billing experience preferred.
Excellent verbal and written communication skills.
In a remote work environment, must possess the ability to work independently.
Proficient in G Suite; experience with Salesforce, Raisers Edge, Financial Edge, and related platforms a preference.
Conduct contract research, document collection, and data analysis related to reimbursement requests.
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
Access & Reimbursement Manager (Remote)
By Jazz Pharmaceuticals At Los Angeles, CA, United States
Account Management and/or Reimbursement experience working in the provider office setting, building strong customer relationships.
Experience working in a Specialty Pharmacy and Managed Care Environment
Experience working in a competitive environment
Experience working with HUB, Patient Services, and/or REMS programs.
Experience in building a team atmosphere with sales representatives, either with direct or indirect leadership authority.
Proven skills in strategic decision-making and problem-solving.
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.
Travel & Expense Reimbursement Program Specialist
By Shriners Children's At United States
1 year of experience in travel management role required
3 or more years of direct experience with Expense Reimbursement processing for a medium to large multi-national organization required
Thorough knowledge of at least one segment of the corporate travel industry (air, hotel, etc.) required
Intermediate experience with MS Excel required
Working knowledge of Accounts Payable
Must have excellent communication skills
Access & Reimbursement Manager (Arm) – Nps Cv – Brooklyn - Remote
By Novartis At Brooklyn, NY, 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)
Access And Reimbursement Manager Mid-Atlantic
By Biogen At Baltimore, MD, United States
Demonstrate knowledge of pharmacy benefit reimbursement practices, compliance, billing and coding processes, and utilization management/prior authorization process.
Exemplary work ethic, cross-functional stakeholder management skills, and an ability to manage multiple and often-evolving strategic priorities
The ideal candidate will have 5-7 years of reimbursement experience; psychiatry, co-promotion and/or launch experience is preferred
Extensive experience with patient services model and financial assistance programs experience
Work with internal cross-functional partners (MA&R Payer Marketing) to assist in implementing pull-through and push-through programs designed to maximize payer coverage.
BA/BS required; MBA, MHA or RN preferred
Reimbursement Coordinator Jobs
By Saint Luke's Health System At Kansas City, MO, United States
Saint Luke’s offers competitive salaries and benefits packages to all eligible employees, click here to find out more.
Ensures payor precertification has been obtained and communicate to all appropriate parties and placed on the account for billing purposes
Requires extensive phone and computer work
Interacts with patients, payors, schedulers, and physicians’ offices
We believe in creating a collaborative environment where all voices are heard.
We are here for you and will support you in achieving your goals.
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 ...

Director, Field Reimbursement, West Region
By Cerapedics Inc. At Los Angeles, CA, United States
5+ years of commercial experience in the medical device, medical-benefit pharmaceutical, pharma-benefit medical device, biotech or healthcare-related industry
Identify payers and providers that require access and/or reimbursement education and support regarding Cerapedics' products
Able to apply effective communication techniques, engages in focused dialogue, and demonstrate good listening skills
Possess complex problem solving and decision making skills
Able to identify themes and data to make strong recommendations to improve operations and patient and customer experiences
Advanced office software skills, particularly MS Excel and PowerPoint
Ad, Access & Reimbursement – Pss Crm – Manhattan, Ny - Remote
By Novartis At Manhattan, NY, 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
Ad, Access & Reimbursement – Pss Crm – Houston - Tx - Remote
By Novartis At Houston, TX, 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
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

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