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1 Reimbursement Specialist Job in Denville, NJ

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Saint Clare's Denville Hospital
Denville, NJ | Full Time
$53k-65k (estimate)
1 Month Ago
Reimbursement Specialist
$53k-65k (estimate)
Full Time 1 Month Ago
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Saint Clare's Denville Hospital is Hiring a Reimbursement Specialist Near Denville, NJ

Under the supervision of the Manager, the Reimbursement Specialist is the responsible for accurate and timely payment analysis of managed care contracts to determine that the appropriate reimbursement is received.

Responsibilities:

  • Utilize many complex and varying regulations, guidelines and systems to analyze payments received from insurance companies.
  • Ensure maximum and correct reimbursement receivables.
  • Proactively work with payers and in-house resources to identify and resolve issues that hinder optimal and correct account payment.
  • Utilize and apply the appropriate regulations in order to ensure compliance in payment practices.

Qualifications:

  • 2 years hospital billing and collection experience required.
  • Medical and Insurance terminology essential.
  • Knowledge of CPT, ICD-9, HCPCS coding structures.
  • Experience with payment/EOB review
  • Associates or Bachelor's degree preferred

Job Type: Full-time

Benefits:

  • Health insurance

Schedule:

  • 8 hour shift
  • Day shift
  • Monday to Friday

Education:

  • High school or equivalent (Required)

Work Location: In person

Job Summary

JOB TYPE

Full Time

SALARY

$53k-65k (estimate)

POST DATE

04/26/2023

EXPIRATION DATE

08/24/2024

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Saint Clare's Denville Hospital
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The job skills required for Reimbursement Specialist include CPT, Managed Care, Planning, Health Insurance, Dedication, 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.

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.

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