Talent.com
Senior Provider Reimbursement Specialist
Senior Provider Reimbursement SpecialistVirtualVocations • Abilene, Texas, United States
Senior Provider Reimbursement Specialist

Senior Provider Reimbursement Specialist

VirtualVocations • Abilene, Texas, United States
1 day ago
Job type
  • Full-time
Job description

A company is looking for a Provider Reimbursement Policy Specialist Sr.

Key Responsibilities

Create and maintain standardized documentation for medical and clinical claim payment policies

Research and advise on Medical Coding and translate health care benefits to procedure code level

Act as a liaison between Payment Integrity vendors and internal teams to implement and troubleshoot Medical Policy Reimbursement

Required Qualifications

Associate's Degree or equivalent experience in Medical Policy and Reimbursement Claim Edits

Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), or Certified Professional Coder (CPC) + Certified Professional Coder-Hospital (COC)

10 or more years in Claim Auditing, Claims Billing, or related positions within a medical facility or insurance carrier

10 or more years in a Business Analyst function with a medical insurance carrier operations team

Experience with Medicaid, Medicare, and Commercial Insurance

Create a job alert for this search

Reimbursement Specialist • Abilene, Texas, United States

Related jobs
Product Support Representative - Tier 1 (RCM / Billing / Healthcare)

Product Support Representative - Tier 1 (RCM / Billing / Healthcare)

Raintree Systems, Inc • TX, US
Full-time
Quick Apply
Associate Product Support Representative (RCM / Billing) Location : .Austin, Dallas, Houston TX / Hybrid Department : Customer Support At Raintree, we’re not just shaping the future of therapy tec...Show more
Last updated: 30+ days ago
Reserve Entomologist

Reserve Entomologist

United States Army • Winters, TX, US
Full-time
THE ARMY HEALTH CARE ADVANTAGE As a member of the Army health care team, you'll receive benefits that you won't be able to get in a civilian career. Challenging Work Feel inspired with great case di...Show more
Last updated: 1 day ago • Promoted
Pain Management Physician - $170 - $210 / hourly (, TX, United States)

Pain Management Physician - $170 - $210 / hourly (, TX, United States)

DocCafe • , TX, United States, TX, US
Part-time
DocCafe has an immediate opening for the following position : Physician - Pain Management in Texas.DocCafe is the premier physician and advanced practice job board to help you advance your healthcar...Show more
Last updated: 30+ days ago • Promoted
Pain Management Physician - $350,000 - $450,000 / yearly (, TX, United States)

Pain Management Physician - $350,000 - $450,000 / yearly (, TX, United States)

DocCafe • , TX, United States, TX, US
Part-time
DocCafe has an immediate opening for the following position : Physician - Pain Management in Texas.Make $350,000 - $450,000 / yearly. DocCafe is the premier physician and advanced practice job board to...Show more
Last updated: 30+ days ago • Promoted
Advanced Practice Provider Critical Care

Advanced Practice Provider Critical Care

Exceed Medical • TX, Texas, US
Full-time
Quick Apply
At Exceed Medical, our mission is simple : .We are redefining healthcare by delivering cutting-edge medical services, expanding access through seamless virtual care, and always putting patients at th...Show more
Last updated: 30+ days ago
Clinical Provider (Texas, USA)

Clinical Provider (Texas, USA)

Intellect • TX, US
Remote
Full-time
Quick Apply
You will be a practitioner on our telehealth platform 'Intellect', where your role is to support our clients' mental health and personal growth based on the individual needs and goals.This is deliv...Show more
Last updated: 30+ days ago
Physical Therapist

Physical Therapist

United States Army • Tye, TX, US
Full-time +1
Ensure the physical readiness of Army Soldiers If you're a skilled physical therapy professional seeking a career that blends your expertise with a commitment to serving the U.Army, becoming an Arm...Show more
Last updated: 21 hours ago • Promoted • New!
Active Pulmonary Disease Officer

Active Pulmonary Disease Officer

United States Army • Clyde, TX, US
Full-time
THE ARMY HEALTH CARE ADVANTAGE As a member of the Army health care team, you’ll receive benefits that you won’t be able to get in a civilian career. Challenging Work Feel inspired with great case di...Show more
Last updated: 19 hours ago • Promoted • New!
Director of Radiology

Director of Radiology

Ballinger Memorial Hospital • Abilene, TX, US
Full-time
Ballinger Memorial Hospital District.Ballinger Memorial Hospital District offers.All employees are enrolled in the TCDRS retirement plan, with a. Full-Time employees are eligible for medical, dental...Show more
Last updated: 30+ days ago • Promoted
Leadership Advancement Program

Leadership Advancement Program

Biolife Plasma Services Careers • Abilene, Texas, United States
Full-time
By clicking the “Apply” button, I understand that my employment application process with Takeda will commence and that.I provide in my application will be processed in line with.I further attest th...Show more
Last updated: 1 day ago • Promoted
Territory Manager, Surgical Pain - Houston North

Territory Manager, Surgical Pain - Houston North

Avanos Medical • TX, United States
Full-time
Job Title : Territory Manager, Surgical Pain - Houston North.Job Country : United States (US).Here at Avanos Medical, we passionately believe in three things : . Making a difference in our products, ser...Show more
Last updated: 17 days ago • Promoted
Center Manager Readiness Program - Relocation Required

Center Manager Readiness Program - Relocation Required

Biolife Plasma Services Careers • Abilene, Texas, United States
Full-time
By clicking the “Apply” button, I understand that my employment application process with Takeda will commence and that.I provide in my application will be processed in line with.I further attest th...Show more
Last updated: 1 day ago • Promoted
Senior Analyst

Senior Analyst

Shrive Technologies LLC • TX, United States
Full-time
Quick Apply
MessageBody"> Job Details : System Configuration : Assist in configuring and customizing the Paragon EHR solution to align with the organization's specific needs a...Show more
Last updated: 3 hours ago • New!
Director of Transplant Services

Director of Transplant Services

PATTERNS LLC • TX, United States
Full-time +1
Job Title : Director of Transplant Services.Days | Monday – Friday | 8 : 00 AM – 5 : 00 PM.We’re seeking an experienced Director of Transplant Services to lead a high-performing transplant program in Da...Show more
Last updated: 2 days ago • Promoted
Active Urologist

Active Urologist

United States Army • Tye, TX, US
Full-time
THE ARMY HEALTH CARE ADVANTAGE As a member of the Army health care team, you’ll receive benefits that you won’t be able to get in a civilian career. Challenging Work Feel inspired with great case di...Show more
Last updated: 19 hours ago • Promoted • New!
Bilingual Registered Nurse Care Coach - BONUS Eligible

Bilingual Registered Nurse Care Coach - BONUS Eligible

CircleLink Health • TX, US
Remote
Part-time
Quick Apply
CircleLink Health is looking for passionate, tech savvy registered nurses to work remotely and serve patients enrolled in Medicare’s Chronic Care Management Program. RN Care Coach will be assigned a...Show more
Last updated: 25 days ago
Reserve Occupational Therapist

Reserve Occupational Therapist

United States Army • Baird, TX, US
Permanent
Army Occupational Therapists have the strength to heal our Nation's defenders If you are a professional in the field of occupational therapy and want to combine your specialized skills with a desir...Show more
Last updated: 1 day ago • Promoted
Reserve Preventive Medicine Officer

Reserve Preventive Medicine Officer

United States Army • Anson, TX, United States
Permanent
Army Preventive Medicine Officers are key to the prevention of disease and injury to our Soldiers and their families.If you are a professional in the preventive medicine field and want to combine y...Show more
Last updated: 30+ days ago • Promoted
Army Reserve Internal Medicine Physician

Army Reserve Internal Medicine Physician

United States Army • Tye, TX, US
Full-time +1
THE STRENGTH TO HEAL OUR NATION’S DEFENDERS.The physicians who are a part of the internal medicine group provide diagnoses and treatments for localized ailments and diseases.Whether your specialty ...Show more
Last updated: 19 hours ago • Promoted • New!
Bill Review Director

Bill Review Director

Ethos Risk Services • TX, USA
Full-time
Quick Apply
Ethos Risk Services is a leading insurance claims investigation and medical management company committed to providing better data that translates into better decision-making for our clients.We are ...Show more
Last updated: 6 days ago