Reimbursement Specialist - Healthcare jobs in Rhode Island
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
Field Reimbursement Manager- Northeast
- AtriCure
-
Island, RI
FULL_TIME
-
Who We Are
AtriCure, Inc. provides innovative technologies for the treatment of Afib and related conditions. Afib affects more than 33 million people worldwide. Electrophysiologists and cardiothoracic surgeons around the globe use AtriCure technologies for the treatment of Afib and reduction of Afib related complications. AtriCure’s Isolator® Synergy™ Ablation System is the first medical device to receive FDA approval for the treatment of persistent Afib. AtriCure’s AtriClip® Left Atrial Appendage Exclusion System products are the most widely sold LAA management devices worldwide. AtriCure’s Hybrid AF™ Therapy is a minimally invasive procedure that provides a lasting solution for long-standing persistent Afib patients. AtriCure’s cryoICE cryoSPHERE® probe is cleared for temporary ablation of peripheral nerves to block pain, providing pain relief in cardiac and thoracic procedures. For more information, visit AtriCure.com or follow us on Twitter @AtriCure.
We foster a culture of inclusion by embracing diverse experiences and individuals where everyone’s authentic self is welcome. We offer supporting programs and resources that provide enriching and equitable opportunities for each person to contribute professionally and personally.
What Impact You Can Make
The Field Reimbursement Manager (FRM) will be responsible for supporting the company’s global health economics, reimbursement, and market access strategy. This role will collaborate closely with the Director and VP of HE&R, Senior Leadership, Sales, and Marketing team members to develop and deliver the reimbursement strategy and support for our therapies in interactions with customers.- Other support responsibilities could include leading direct payor advocacy strategies, evidence planning and strategy, and constructing health economic tools.
- Provide reimbursement support for customers to expand adoption across all therapeutic product lines, including working closely with customer reimbursement hotline.
- Present to a variety of stakeholders, including physicians, hospital C-Suite, service line leadership, purchasing / materials management staff, and billing/coding staff.
- Deliver materials for hospital C-Suite, value analysis committees, service line directors, billing/coding staff, and other value purchasers.
- Help identify physicians to assist with reimbursement or payor coverage policy revisions.
- Serve as a strategic business partner with field sales leadership to develop and deliver value messaging during quarterly business reviews.
- Partner closely with US sales organization to support regional and national sales meetings.
- Capture customer interactions in a CRM system to track touchpoint activity across multiple endeavors and departments.
- Collaborate on corporate initiated reimbursement strategies as needed.
- Bachelor of Science, in relevant field
- Minimum of five (5) years successful field reimbursement, preferably medical device, experience:
- Ability to analyze and interpret regulations and legislation re: coding, coverage & reimbursement in the medical device industry.
- Comfortable driving multiple initiatives at a rapid pace, making thoughtful recommendations with available data.
- Experience in working closely with global sales and marketing commercial teams, including ability to influence cross functionally.
- Strong moderator/presenter, and comfortable in front of senior hospital administration.
- Ability to travel up to 10-20% depending on territory.
- Competitive Salary plus yearly bonus
- Car allowance, gas and cell phone reimbursement, expense account
- Health care (medical, dental, vision, health savings account) and wellness programs (onsite fitness center or gym discounts)
- 401K retirement savings plus match
- Volunteer Time Off (VTO): We encourage your community and philanthropic involvement
- Extended Parental Leave
- Discounted Employee Stock Purchase Program
- Salary range of $130,000 - $176,000 (highly experienced). The pay for the successful candidate will depend on various factors (e.g., qualifications, education, prior experience).
- Tuition Reimbursement
AtriCure has a variety of benefits available for US based employees and their families. Examples include Medical & Dental beginning day 1 of employment, 401K plus match, 20 days of paid Parental Leave, in addition to maternity leave, for new moms and dads, Volunteer Time off, Pet Insurance, and more. Corporate-based employees also have full access to our on-site fitness center and cafeteria. To see a complete list of our benefits, please visit our careers website: https://www.atricure.com/benefits AtriCure participates in the federal E-Verify program to confirm the identity of and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here https://www.e-verify.gov/ AtriCure is an Equal Employment Opportunity/Affirmative Action employer and provides Drug Free Workplaces. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national or ethnic origin, age, protected veteran status, status as an individual with disability, sexual orientation, gender identity or any other characteristic protected by federal, state, or local law(s). - 1 Day Ago
Access Reimbursement Manager
- Syneos Health Commercial Solutions
-
Providence, RI
FULL_TIME
- Description You are an expert facilitator: you open doors, foster communication, and bridge the gap. In this role, you will operate as the subject-matter expert on reimbursement, access, and coverage ...
- 10 Days Ago
Registered Nurse / Home Healthcare
- Cross Country Healthcare
-
East Providence, RI
FULL_TIME
- Job DescriptionAs a home health nurse (RN HH), you will deliver healthcare in patients' residences, helping them maintain their independence. You will provide one-on-one care for patients in their hom...
- 27 Days Ago
Healthcare Instructor
- Community College of Rhode Island
-
Warwick, RI
FULL_TIME
- Department Workforce Partnerships Position Category Temporary/Part-time About CCRI The Community College of Rhode Island is the state’s only public comprehensive associate degree-granting institution....
- 22 Days Ago
Entry Level Healthcare IT Analyst
- Optimum Healthcare IT
-
Providence, RI
FULL_TIME
- Entry Level Healthcare IT AnalystStart Your Career in Healthcare Information Technology Today!Getting your first job can be difficult when employers want experience, but to gain that experience, you nee...
- Just Posted
Licensed Practical Nurse / Home Healthcare
- Cross Country Healthcare
-
Warwick, RI
FULL_TIME
- Job Description As a licensed practical nurse (LPN), you'll provide patient care under the supervision of a nurse or physician. Working in a hospital, private practice, home health environment or othe...
- 21 Days Ago
Reimbursement Specialist - Healthcare jobs at Popular Companies
About Rhode Island
Rhode Island (/ˌroʊd -/ (listen)), officially the State of Rhode Island and Providence Plantations, is a state in the New England region of the United States. It is the smallest state in area, the seventh least populous, the second most densely populated, and it has the longest official name of any state. Rhode Island is bordered by Connecticut to the west, Massachusetts to the north and east, and the Atlantic Ocean to the south via Rhode Island Sound and Block Island Sound. It also shares a small maritime border with New York. Providence is the state capital and most populous city in Rhode Is...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$47,134 to $57,277
Most Popular Cities in Rhode Island 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