Reimbursement Specialist - Healthcare jobs in California
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
- Prime Healthcare Management Inc
-
Ontario, CA
FULL_TIME
-
Overview
Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 45 hospitals and has more than 300 outpatient locations in 14 states providing more than 2.6 million patient visits annually. It is one of the nation’s leading health systems with nearly 50,000 employees and physicians. Fourteen of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team!
We are an Equal Opportunity Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation, or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf
Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf
Responsibilities
Involved in preparation of various government reports and support their audits. The Corporate Senior Government Reimbursement Specialist is responsible for preparing and understanding the complexity of a cost report. The Corporate Senior Government Reimbursement Specialist fully understands how one section of the report is linked to another and be able to evaluate the accuracy of the entire report.
Qualifications
Required qualifications:
- Bachelor’s degree Accounting or Finance
- Minimum 15 years in Government reimbursement and cost report preparation experience in a multi-hospital system.
- Experience in preparing and completing entire Medicare and Medicaid cost reports for a multi-state hospital system and provide the support at audit
- Knowledge of Medicare rules on Medicare DSH, Medicare bad debts, charity and hospital bad debts for S-10, Interns and Residents FTE counts, ESRD Add-on, Nurse Allied Health Education, Rural Health Clinic, Sole Community Hospital, Critical Access Hospital and Low Volume Adjustment. Apply the knowledge when preparing the cost report and its subsequent audit.
- Experience working with Besler’s EZWP program, HFS, PS&R, 835 files, financial statement and patient account data.
- Strong analytical skills and resourceful
- Experience working with hospital GL and patient accounting systems (Lawson, EPIC, Meditech)
- Strong communication skills
- 3 Days Ago
Preferred qualifications:
#LI-LA1 #Remote
We are an Equal Opportunity/Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources. EEO is the Law: https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf
Prime Healthcare offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. Benefits may vary based on employment status, i.e. full-time, part-time, per diem or temporary. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $94,848.00 to $142,272.00 on an annualized basis. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.
- Kroger Health & Wellness
-
Garden, CA
FULL_TIME
- Perform duties to process medical billing and PBM and medical collections with focus on accuracy, timeliness and adherence to process, to reduce denial rate, DSO, and bad debt. Recognize additional re...
- 4 Days Ago
- Guardant Health
-
Palo Alto, CA
FULL_TIME
- Job Description ABOUT THE TEAM : The Reimbursement Operations Team at Guardant Health is committed to building for the future, focusing on optimizing billing and reimbursement and ensuring we stay tru...
- 10 Days Ago
- PPMM
-
San Jose, CA
FULL_TIME
- Reimbursement SpecialistFull-Time Hybrid/Remote ESSENTIAL DUTIES Review Government and Non-Government Payer claims for accuracy, completeness and compliance with payer requirements. Review daily prebi...
- 2 Months Ago
- Providence Health
-
California, CA
FULL_TIME
- Description *Employee Reimbursement Specialist \Remote Candidates residing in WA, OR or CA are encouraged to apply.** The Employee (Caregiver) Reimbursement Specialist - Travel and Expense is responsi...
- 3 Days Ago
- Syneos Health Commercial Solutions
-
Los Angeles, CA
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...
- 1 Day Ago
Reimbursement Specialist - Healthcare jobs at Popular Companies
- 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
- 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
- Howard University
-
Washington, DC
- The Talent Acquisition department hires qualified candidates to fill positions which contribute to the overall strategic...
- 6/11/2024 12:00:00 AM
- 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
- 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
- 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
- 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
- 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