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Health Care Service
Chicago, IL | Full Time
$47k-57k (estimate)
2 Months Ago
The LaSalle Group
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Clarity Clinic
Chicago, IL | Full Time
$50k-66k (estimate)
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Key Rehabilitation
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$70k-91k (estimate)
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University of Illinois
Chicago, IL | Full Time
$56k-73k (estimate)
1 Month Ago
Reimbursement Specialist
$47k-57k (estimate)
Full Time | Business Services 2 Months Ago
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Health Care Service is Hiring a Reimbursement Specialist Near Chicago, IL

At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career.

Come join us and be part of a purpose driven company who is invested in your future!

Job SummaryThis position is responsible for translating contractual language/provisions into configurable reimbursement terms in the Enterprise Discounting application for Commercial lines of business (current and future) to ensure Blue Cross of Illinois network facilities receive accurate and timely contractual payments and allowances (i.e. discounts). Also responsible for auditing, claim testing, generating and validating monthly ad-hoc reports for both internal and external customers.

Required Job Qualifications:

* Bachelor Degree in Finance, Accounting, Math or Health Care and 2 years managed care / financial analysis experience, OR 6 years managed care / financial analysis experience.

* Verbal and written communication skills.

PC proficiency inclusive of spreadsheet/database software including Excel and Access.

Preferred Job Qualifications:
* Experience with software language such as SQL, SAS and SPSS.* Knowledge of hospital and institutional provider billing, payment methodologies, and managed care contracts.

* Experience working for a Managed Care Organization in Provider Data Operations, Network Management Contracting, or Provider Relations to include knowledge of business processes that impact facility/ancillary contract loading and auditing or 4 years pricing configuration experience with ancillary and hospital contracts (Medicare or Commercial plans) including claims testing and auditing

*This is a hybrid role requiring 3 days in the office and 2 days remote weekly.

We encourage people of all backgrounds and experiences to apply.Even if you don't think you are a perfect fit, apply anyway - you might have qualifications we haven't even thought of yet.

#LI-Hybrid

#LI-EL1

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

HCSC Employment Statement:

HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

Job Summary

JOB TYPE

Full Time

INDUSTRY

Business Services

SALARY

$47k-57k (estimate)

POST DATE

03/21/2024

EXPIRATION DATE

05/08/2024

WEBSITE

healthcareservicesgroup.com

HEADQUARTERS

BENSALEM, PA

SIZE

100 - 200

TYPE

Private

REVENUE

$10M - $50M

INDUSTRY

Business Services

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The job skills required for Reimbursement Specialist include Billing, Accounting, Health Care, Managed Care, Futures, Written Communication, etc. Having related job skills and expertise will give you an advantage when applying to be a Reimbursement Specialist. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Reimbursement Specialist. Select any job title you are interested in and start to search job requirements.

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The following is the career advancement route for Reimbursement Specialist positions, which can be used as a reference in future career path planning. As a Reimbursement Specialist, it can be promoted into senior positions as a Staff Nurse - RN, Sr. - Medical Management that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Reimbursement Specialist. You can explore the career advancement for a Reimbursement Specialist below and select your interested title to get hiring information.

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If you are interested in becoming a Reimbursement Specialist, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Reimbursement Specialist for your reference.

Step 1: Understand the job description and responsibilities of an Accountant.

Quotes from people on Reimbursement Specialist job description and responsibilities

Reimbursement specialists utilize reference materials and medical coding knowledge to address claims.

04/22/2022: Frankfort, KY

Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.

Career tips from people on Reimbursement Specialist jobs

The career path for a reimbursement specialist starts by first obtaining a high school diploma or GED.

05/26/2022: Boca Raton, FL

Educational prerequisites for reimbursement specialists vary, from a minimum of a high school diploma to a bachelor’s degree.

04/27/2022: New York, NY

Step 3: View the best colleges and universities for Reimbursement Specialist.

Butler University
Carroll College
Cooper Union
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Princeton University
Providence College
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