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)
Description
Opening Date: 05/08/2024
Closing Date: 05/22/2024
Job Title: Healthcare Reimbursement Assistant
Salary/Wage: $20.45/hr.
Tribal Level 110
Location: Siletz, OR
Classification: Full Time, Non-Exempt
Job Posting Number: 2438736
INTRODUCTION:
This trainee position is to develop an entry-level applicant into a Healthcare Reimbursement Technician. When the trainee completes the required training in medical terminology, demonstrates the ability to interpret IHS/PRC regulations, policies, and operating procedures to determine eligibility using the Code of Federal Regulations (CFR) public health law.
DUTIES:
Requirements
REQUIREMENTS:
High School diploma or GED and one year of experience in either accounts payable/receivable bookkeeping or medical billing.
This position works closely with the Healthcare Reimbursment Technician I and II in all aspects of the position duties. This position advances to a Healthcare Reimbursment Technician Iafter two –years experience and demonstrated competencey and successfully completing a medical terminology class.
Knowledge of:
Able to: