Reimbursement Specialist - Healthcare jobs in Massachusetts

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)

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RN CLINICAL REIMBURSEMENT SPECIALIST
  • Integritus Healthcare
  • New Bedford, MA FULL_TIME
  • The Clinical Reimbursement Specialist (CRS) will work collaboratively with the Clinical Reimbursement Coordinators/MMQ nurses, Rehabilitation Program Managers, Administrators, and Directors of Nursing and their respective leadership teams in each affiliate to achieve service mix goals. Salary Based on Experience and Sign on Bonus .

    10 years' health care experience, 5 years' regional leadership/consulting experience in area of clinical reimbursement preferred. Experience in providing staff training and consultation. Must have a working knowledge of MDS/Care planning and be proficient in RAI process. Must have a working knowledge of Federal, State, and private pay reimbursement programs, such as: Medicaid; Medicare/RUGS IV; private insurance; VA programs; bordering state contracts; et al.
  • 12 Days Ago

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RN CLINICAL REIMBURSEMENT SPECIALIST
  • Integritus Healthcare Inc.
  • Pittsfield, MA FULL_TIME
  • The Clinical Reimbursement Specialist (CRS) will work collaboratively with the Clinical Reimbursement Coordinators/MMQ nurses, Rehabilitation Program Managers, Administrators, and Directors of Nursing...
  • 23 Days Ago

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CLINICAL REIMBURSEMENT SPECIALIST/ MULTI FACILITY
  • Personal Healthcare Management LLC
  • Everett, MA FULL_TIME
  • CLINICAL REIMBURSEMENT SPECIALIST/ MULTI FACILITY We offer competitive compensation and benefit plans including: Competitive Pay Medical, Dental, Vision Insurance Generous PTO Life and Disability insu...
  • 30 Days Ago

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Reimbursement specialist
  • American Renal Associates
  • Beverly, MA FULL_TIME
  • Billing and Reimbursement Specialist The Billing and Reimbursement Specialist is assigned a group of dialysis facilities and is responsible for the accurate and efficient billing and collecting of hea...
  • 9 Days Ago

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Reimbursement specialist
  • ThreePDS Inc.
  • Beverly, MA FULL_TIME
  • This position can be in office, hybrid, or remote! The Overpayment Specialist (OVPS-I) is assigned a group of credit balances and is responsible for accurately and efficiently resolving open claims. A...
  • 9 Days Ago

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Reimbursement Coordinator
  • Healthcare Support Staffing
  • Woburn, MA FULL_TIME
  • Company DescriptionAre you an experienced Reimbursement Coordinator looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapi...
  • 21 Days Ago

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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

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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

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Coding and Reimbursement Specialist
  • 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

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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

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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

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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

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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

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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

Massachusetts is the 7th-smallest state in the United States. It is located in the New England region of the northeastern United States and has an area of 10,555 square miles (27,340 km2), 25.7% of which is water. Several large bays distinctly shape its coast. Boston is the largest city, at the inmost point of Massachusetts Bay, and the mouth of the Charles River. Despite its small size, Massachusetts features numerous topographically distinctive regions. The large coastal plain of the Atlantic Ocean in the eastern section of the state contains Greater Boston, along with most of the state's po...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$49,234 to $59,828

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