Reimbursement Specialist - Healthcare jobs in New York
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)
Recently Added Reimbursement Specialist - Healthcare jobs
Reimbursement Specialist
- Slocum-Dickson Medical Group
-
New Hartford, NY
FULL_TIME
-
Description
JOB SUMMARY: This position is responsible for the analysis of data and preparation of reports for the Business Office. This position of a Data Analyst also uses Crystal Reports via the BI Portal and Microsoft Products for preparation, design, and running of reports and queries for analysis in support of the Business Office.
Duties & Responsibilities- Prepares, creates, and runs reports and queries for the Business Office.
- Updates the Referring Provider file through Service Now requests. Works closely with the Director of Contracting to maintain the various insurance fee schedules and sends updates to the IT Department when appropriate.
- Annually reviews and sets charges for services by utilizing the formula approved by the Finance Committee and shares the necessary this information with the IT Department to update the system.
- Maintains the various payor fee schedules (in coordination with the Director of contracting) and sends updates to the IT Department when appropriate.
- Prepares monthly drug profit/loss reports for providers and reviews with the designee from the Business Office.
- Sends monthly profile variance files to payors and Business Office designees for resolution.
- Updates Daily Admin report
- Prepares weekly EPIC Graph Package for distribution for Business Office
- Performs other related Business Office Analyst duties as required
- May be exposed to hazardous drugs. Attends OSHA training upon initial employee orientation and annually completes an OSHA competency.
RELATIONSHIP WITH OTHERS: Must have excellent relationship with Department Management and Physicians consistent with the ability to gather information and preparation of needed reports and spreadsheets.
EDUCATION/EXPERIENCE/KNOWLEDGE: Accounting Degree or equivalent. Skilled in Microsoft products including Word, Excel and Access.
PHYSICAL REQUIREMENTS: Requires sitting, standing bending and reaching. May require lifting up to 20 pounds. Requires manual dexterity sufficient to operate standard office equipment such as computer, fax, calculators and telephone. Requires normal hearing and vision. - 2 Days Ago
Reimbursement Specialist
- RCIL
-
Utica, NY
FULL_TIME
- Non-Exempt Annual Salary: $36,757Job Duties:The successful candidate will be expected to:Review incoming program reimbursement to ensure regulatory complianceMaintain an updated knowledgebase of progr...
- 4 Days Ago
Reimbursement specialist
- Xcenda, LLC
-
New York, NY
FULL_TIME
- Our team members are at the heart of everything we do. At Cencora, we are united in our responsibility to create healthier futures, and every person here is essential to us being able to deliver on th...
- 16 Days Ago
Reimbursement Specialist Supervisor
- RCIL
-
Utica, NY
FULL_TIME
- Annual Exempt Salary: $58,458.40Job Duties:The successful candidate will be expected to:Oversee the day-to-day operations of the Self-Direction Reimbursement Specialists. Oversee accurate and timely p...
- 2 Days Ago
Revenue & Reimbursement Specialist
- Robert Half
-
Old Bethpage, NY
OTHER
- Looking for a new career? If finance piques your interest, there is an opening for a Billing Clerk at an exciting firm. As a Billing Clerk, you will be required to review bills and perform data entry ...
- 5 Days Ago
Budget & Reimbursement Specialist
- National Health Care
-
Valley Stream, NY
FULL_TIME
- National Health Care Associates, provider of high-quality long-term care and short-term rehabilitation services with skilled nursing facilities in the Northeast U.S., is seeking a Budget expert to joi...
- 6 Days Ago
Reimbursement Specialist - Healthcare jobs at Popular Companies
Reimbursement Specialist
- Randstad Life Sciences
-
Tempe, AZ
- Job Description Job Description Job Description Provides mission critical support to company brands by helping patients ...
- 6/11/2024 12:00:00 AM
Reimbursement Specialist
- Randstad Life Sciences
-
Tempe, AZ
- Job Description Job Description Job Description The Reimbursement Specialist will be responsible for providing support a...
- 6/11/2024 12:00:00 AM
Reimbursement Specialist
- Synergy Orthopedics
-
Plymouth Meeting, PA
- Job Description Job Description Objective: The Reimbursement Specialist will be expected to follow up on open claims and...
- 6/10/2024 12:00:00 AM
Reimbursement Specialist
- Randstad Life Sciences
-
East Hanover, NJ
- Job Description Job Description Title: Reimbursement Specialist 1 Duration: 6 months Pay Rate : $27.50/hr on W2 Location...
- 6/10/2024 12:00:00 AM
Reimbursement Specialist- Collections
- BMR Partners Inc
-
Orange, CA
- Job Type Full-time Description The Reimbursement Specialist is responsible for assisting the Reimbursement Supervisor in...
- 6/10/2024 12:00:00 AM
Reimbursement Specialist
- Prompt Care Companies Inc
-
New Providence, NJ
- Job Type Full-time Description PromptCare is seeking a highly motivated and detail-oriented Reimbursement Specialist to ...
- 6/8/2024 12:00:00 AM
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...
- 6/8/2024 12:00:00 AM
Reimbursement Specialist
- University Health System- San Antonio
-
San Antonio, TX
- POSITION SUMMARY/RESPONSIBILITIES Identifies and enrolls indigent and under-insured patients into drug assistance reimbu...
- 6/8/2024 12:00:00 AM
About New York
New York is a state in the Northeastern United States. New York was one of the original thirteen colonies that formed the United States.
New York covers 54,555 square miles (141,300 km2) and ranks as the 27th largest state by size.[3] The highest elevation in New York is Mount Marcy in the Adirondacks, at 5,344 feet (1,629 meters) above sea level; while the state's lowest point is at sea level, on the Atlantic Ocean.
In contrast with New York City's urban landscape, the vast majority of the state's geographic area is dominated by meadows, forests, rivers, farms, mountains, and lakes. Most of...
Source: Wikipedia (as of 04/17/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$48,238 to $58,618
Most Popular Cities in New York for Reimbursement Specialist - Healthcare Jobs
What does a Reimbursement Specialist - Healthcare do?
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