Reimbursement Specialist - Healthcare jobs in Nevada

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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Field Reimbursement Specialist
  • Syneos Health/ inVentiv Health Commercial LLC
  • Las Vegas, NV FULL_TIME
  • Description

    You are an expert facilitator: you open doors, foster communication, and bridge the gap.

    In this role, you will be responsible for the management of defined accounts in a specified geographic region within the cardiac therapeutic area, specifically supporting our customer's products. The FRS will execute the collaborative territory strategic plan through partnership with internal and external stakeholders, which may include call center services (HUB), sales, market access, and other collaboration partners. You will:

    • Act as an extension of the call center and/or HUB and provide live one-on-one coverage support
    • Serve as payer expert for defined geography and able to communicate payer changes to key stakeholders in a timely manner
    • Offer office education during the entire access process which may include formulary coverage/utilization management criteria, insurance forms & procedures, benefits investigation, prior authorization, appeal, and/or claims resolution
    • Review patient-specific information in reimbursement cases where the office has specifically requested assistance in resolving access issue or coverage challenge

    Essential Requirements:

    • Bachelor's degree
    • 3 years' experience in public or private third-party reimbursement arena or pharmaceutical industry in managed care, clinical support, or sales
    • Experience with specialty/biologic products
    • Demonstrated ability to educate offices on access processes
    • Must live within territory or within territory boundaries.

    Desired Requirements:

    • Cardiology experience

    At Syneos Health, we are dedicated to building a diverse, inclusive and authentic workplace. If your past experience doesn't align perfectly, we encourage you to apply anyway. At times, we will consider transferable skills from previous roles. We also encourage you to join our Talent Network to stay connected to additional career opportunities.

    Why Syneos Health? Our ability to collaborate and problem-solve makes a difference in patients' lives daily. By joining one of our field access teams, you will partner with industry experts and be empowered to succeed with the support, resources, and autonomy needed to successfully navigate the complex reimbursement landscape. The diversification and breadth of our new and existing partnerships create a multitude of career paths and employment opportunities. Join our game-changing, global company dedicated to creating better, smarter, faster ways to get biopharmaceutical therapies to patients Experience the thrill of knowing that your everyday efforts are contributing to improving patients' lives around the world.

    Work Here Matters Everywhere | How are you inspired to change lives?

    Syneos Health companies are affirmative action/equal opportunity employers (Minorities/Females/Veterans/Disabled)

    Syneos Health has a voluntary COVID-19 vaccination policy. We strongly encourage all employees to be fully vaccinated. Additionally, certain local governments or Syneos Health customers may have vaccine requirements that apply to some of our employees. These employees are required to submit proof of vaccination to Syneos Health and maintain compliance with these requirements.
    At Syneos Health, we believe in providing an environment and culture in which Our People can thrive, develop and advance. We reward and recognize our people by providing valuable benefits and a quality-of-life balance. The benefits for this position will include a competitive compensation package, Health benefits to include Medical, Dental and Vision, Company match 401k, flexible paid time off (PTO) and sick time. Because certain states and municipalities have regulated paid sick time requirements, eligibility for paid sick time may vary depending on where you work. Syneos Health complies with all applicable federal, state, and municipal paid sick time requirements.

    #LI-West

    #LI-JR1

     

  • 3 Days Ago

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REIMBURSEMENT SPECIALIST/ANALY
  • UHS
  • LAS VEGAS, NV FULL_TIME
  • Responsibilities Western Region CBOThe Western Region Consolidated Business Office provides business office services including billing, collections, cash posting, pre-access management, variance and c...
  • 30 Days Ago

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Clinical Reimbursement Specialist
  • Southwest Division
  • Las Vegas, NV FULL_TIME
  • Position Summary The Clinical Reimbursement Specialist ensures correct monetary reimbursement for any services offered to patients and residents covered by insurance programs by reviewing patient reco...
  • 1 Month Ago

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Healthcare Receptionist
  • Serenity Healthcare
  • Summerlin, NV FULL_TIME
  • Healthcare ReceptionistLocation: Summerlin, NVAre you someone who enjoys connecting with clients/customers? Then this opportunity is for you! Serenity is seeking a Healthcare Receptionist for our Summ...
  • 6 Days Ago

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Healthcare Receptionist
  • Serenity Healthcare
  • Summerlin South, NV FULL_TIME
  • Are you someone who enjoys connecting with clients/customers? Then this opportunity is for you! Serenity is seeking a receptionist to join our team and drive success within our clinic. The position is...
  • 11 Days Ago

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Healthcare Receptionist
  • Serenity Healthcare
  • Las Vegas, NV FULL_TIME
  • Location: Summerlin, NVAre you someone who enjoys connecting with clients/customers? Then this opportunity is for you! Serenity is seeking a Healthcare Receptionist for our Summerlin, NV office; to jo...
  • 11 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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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- 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

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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
  • 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

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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

Nevada is almost entirely within the Basin and Range Province, and is broken up by many north-south mountain ranges. Most of these ranges have endorheic valleys between them, which belies the image portrayed by the term Great Basin. Much of the northern part of the state is within the Great Basin, a mild desert that experiences hot temperatures in the summer and cold temperatures in the winter. Occasionally, moisture from the Arizona Monsoon will cause summer thunderstorms; Pacific storms may blanket the area with snow. The state's highest recorded temperature was 125 °F (52 °C) in Laughlin (e...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$45,433 to $55,208

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