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Reimbursement Assistant Jobs (NOW HIRING)

DCH Health System

Manager Reimbursement

Tuscaloosa, AL · On-site

Completes Medicaid Assister Program each quarter. * Performs monthly operating reviews for assigned ... Monitors reimbursement workflow and directs staff to ensure all daily tasks are accomplished.

Bristol Hospice

Reimbursement Supervisor

Salt Lake City, UT · On-site +1

$60K - $70K/yr

As a Reimbursement Supervisor, you will lead the day-to-day functions of our billing and revenue ... Participate in special projects as needed * Assist with training of newly hired associates, as well ...

giftHEALTH Inc

Reimbursement Analyst

Columbus, OH · On-site

$24.81 - $29.18/hr

Position Summary A Reimbursement Analyst is responsible for being the primary point of contact in ... Key Responsibilities * Assist patients and healthcare providers with moderate to complex billing ...

ProCare Rx

Reimbursement Analyst

Gainesville, GA · On-site

Perform scheduled review and quality assurance of reimbursement in the system. * Assist the legal team by monitoring, understanding, and acting on state MAC laws. * Monitor and maintain contractual ...

TEKsystems

Reimbursement Analyst

Cary, NC · Hybrid

$19.45/hr

... assist the Expense Reimbursement team within the Finance Business Operations group. The Expense Reimbursement team analyzes asset-level expenses incurred by the division and coordinates internally to ...

BMR Partners

Reimbursement Specialist

Orange, CA

$26 - $30/hr

Must be able to work independently and be willing to assist in other areas of the department as needed. * Knowledge of insurance and specialized functions of billing and reimbursement, required.

HCA Healthcare

Reimbursement Manager

Brentwood, TN · On-site

Serve as a resource on reimbursement matters to hospital personnel. * Assist in preparation of feasibility studies for new service Education & Experience * Bachelors degree required * 3+ years of ...

BMR Partners Inc

Reimbursement Specialist

Orange, CA · On-site

$26 - $30/hr

Must be able to work independently and be willing to assist in other areas of the department as needed. * Knowledge of insurance and specialized functions of billing and reimbursement, required.

Pacs

$110K - $135K/yr

General Purpose Reporting directly to the Assistant Director of Reimbursement, the Reimbursement Manager is a pivotal role combining advanced technical expertise with team leadership. This position ...

Prompt Care Companies Inc

Reimbursement Specialist

$19.75 - $27/hr

The ideal candidate will have experience in infusion reimbursement and be able to work in a fast ... Maintain and update shared documentation to assist Intake Team with the various policies, rules and ...

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Reimbursement Assistant information

What are some common challenges faced by a Reimbursement Assistant, and how can they be managed effectively?

Reimbursement Assistants often encounter challenges such as navigating complex insurance policies, ensuring the accuracy of billing codes, and resolving discrepancies in claims. Staying organized and detail-oriented is essential, as even minor errors can delay payment processing. Effective communication with healthcare providers, patients, and insurance representatives is also crucial for quickly addressing issues and streamlining reimbursement. Utilizing up-to-date billing software and regularly participating in training can help you stay current with industry changes and improve your efficiency in the role.

What are the key skills and qualifications needed to thrive as a Reimbursement Assistant, and why are they important?

To thrive as a Reimbursement Assistant, you need strong attention to detail, knowledge of medical billing and coding, and a background in healthcare administration or a related field. Familiarity with insurance claim processing systems, billing software (such as Epic or Cerner), and relevant certifications like Certified Reimbursement Specialist (CRS) are typically required. Excellent organizational skills, problem-solving abilities, and effective communication help you efficiently handle claims and resolve discrepancies with insurers and patients. These skills ensure accurate reimbursement processing, minimize errors, and support timely revenue flow for healthcare organizations.

What are Reimbursement Assistants?

Reimbursement Assistants are professionals who help manage and process claims for payment or reimbursement, often within healthcare, insurance, or corporate settings. They review documentation, verify eligibility, and ensure that all required information is complete and accurate for claim submissions. Their work helps organizations and individuals receive timely payments and ensures compliance with relevant policies and regulations. Reimbursement Assistants often communicate with patients, insurance companies, or vendors to resolve discrepancies and follow up on outstanding claims.
What cities are hiring for Reimbursement Assistant jobs? Cities with the most Reimbursement Assistant job openings:
What are the most commonly searched types of Reimbursement jobs? The most popular types of Reimbursement jobs are:
What states have the most Reimbursement Assistant jobs? States with the most job openings for Reimbursement Assistant jobs include:
Reimbursement Assistant jobs near you
Manager Reimbursement

Manager Reimbursement

DCH Health System

Tuscaloosa, AL • On-site

Full-time

Posted 14 days ago

DCH Health System rating

6.9

Company rating: 6.9 out of 10

Based on 18 frontline employees who took The Breakroom Quiz

Job description

Overview
The Reimbursement Manager ensures compliance with regulations related to governmental and commercial reimbursement programs and works to mitigate the risk of loss of income and seize opportunities to provide value throughout the reimbursement process. This includes completion of governmental cost reporting, payor audits and providing interim reimbursement estimates.
Responsibilities
Key Responsibilities / Essential Functions
  1. Serves as primary resource for the DCH Health Care Authority to monitor and interpret Federal and State reimbursement regulations. Develops strategies to ensure proper reimbursement. Maintains proficiency in the use of the Federal Register and a thorough knowledge of Medicare, Medicaid, Tricare (Champus) and Blue Cross-reimbursement principles and regulations.
  2. Directs and assists with accurately preparing, completing, and reviewing any regulatory reports required by third-party and governmental agencies regarding Authority reimbursement.
  3. Serves as the primary liaison with external auditors and government agencies.
  4. Reviews and ensures proper third-party reimbursement.
  5. Monitors federal and state legislative changes for upcoming changes associated with governmental payor plans that impact hospital reimbursement and is aware of opportunities to influence policy.
  6. Ensures contractual accruals and settlement estimates are accurate by oversight and full understanding of the contractual deduction process.
  7. Assist in the preparation of budget calculations relating to 3rd party reimbursement to include contractual adjustment estimates.
  8. Researches and provides recommendations regarding the Core-Based Statistical Area enrollments to determine wage index classification.
  9. Prepare interim calculations to project estimated third-party rates of reimbursement.
  10. Oversee formal appeals when necessary.
  11. Completes Medicaid Assister Program each quarter.
  12. Performs monthly operating reviews for assigned departments.
  13. Prepares and files annual cost reports or any amendments.
  14. Coordinates appeals for Medicare cost reports.
  15. Responsible for the oversight of the DSH and S-10 filings.
  16. Monitors reimbursement workflow and directs staff to ensure all daily tasks are accomplished.
  17. Responsible for overseeing all governmental reimbursement audits.
  18. Actively works to maintain and improve area wage index and occupational mix adjustment.
  19. Prepare for and respond to year-end audits by third-party auditors.

Manager
  • Manages departmental budget
  • Interviews, selects, hires, and retains employees
  • Ensures orientation and training for employees
  • Manages performance
  • Promotes, demotes, or transfers employees to meet organizational needs
  • Executes employee accountability process up to and including termination
  • Manages departmental productivity standards
  • Performs compliance requirements
  • Approves payroll and is responsible for accurate payment of employees
  • Manages front line operations of area of accountability related to meeting/exceeding departmental goals

DCH Standards:
  • Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance evaluation.
  • Performs compliance requirements as outlined in the Employee Handbook
  • Must adhere to the DCH Behavioral Standards including creating positive relationships with patients/families, coworkers, colleagues and with self.
  • Performs essential job functions in a manner that ensures the safety of patients, visitors and employees.
  • Identifies and reduces unsafe practices that may result in harm to patients, visitors and employees.
  • Recognizes and takes appropriate action to reduce risks and hazards to promote safety for patients, visitors and employees.
  • Requires use of electronic mail, time and attendance software, learning management software and intranet.
  • Must adhere to all DCH Health System policies and procedures.
  • All other duties as assigned

Qualifications
Education:
  • Bachelor of Science or Bachelor of Business Administration degree with a degree in Accounting required.
  • Master's Degree in Business Administration or CPA preferred.

Experience:
  • Six (6) years of accounting experience required.
  • Four (4) years of experience in the hospital field or in the public accounting field performing audits for a hospital or intermediary client required.
  • Four (4) years' experience in a position of supervisor responsibility preferred.
  • Prior experience completing cost reports for government programs preferred.

Must be able to read, write legibly, speak, and comprehend English.

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