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Reimbursement Assistant Jobs (NOW HIRING)

ProCare Rx

Reimbursement Analyst

Gainesville, GA

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 ...

CareDx, Inc.

Reimbursement Specialist

Brisbane, CA · On-site

$23.25 - $32/hr

The primary responsibility of the Insurance Reimbursement Specialist is to maximize reimbursement ... Identify claims that need a first, second, or third level appeal. * Assist teammates with projects ...

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.

Lifepoint Health

Reimbursement Specialist

Missoula, MT

$15.50 - $21.50/hr

Job: Reimbursement Specialist Schedule: PRN (ONLY AS NEEDED) Your experience matters Community ... or a medical assistant, health unit coordinator, or healthcare business service program.

BAKERRIPLEY

HS Teacher Assistant (1795)

Houston, TX · On-site

$13.25 - $17/hr

... reimbursement. * Assist with students exhibiting behavioral/management needs. * Assumes the lead role in the teacher's absence. * Makes home visits with the teacher as required or requested.

Numotion

Reimbursement Specialist

$25 - $30/hr

The Reimbursement Specialist will work to achieve cost effective accounts receivables performance ... Conduct required training, as needed. * Assist/conduct new hire onboarding for Billing and ...

CareDx, Inc.

Reimbursement Specialist

Brisbane, CA · Remote

$23.25 - $32/hr

The primary responsibility of the Insurance Reimbursement Specialist is to maximize reimbursement ... Identify claims that need a first, second, or third level appeal. * Assist teammates with projects ...

HealthDrive

Reimbursement Manager

Framingham, MA · On-site

$90K - $110K/yr

As a Reimbursement Manager withing our Revenue Cycle Department, you will play a pivotal role in ... * Assist with various projects and month-end close processes to meet business objectives.

Lifepoint Health

Reimbursement Specialist

Missoula, MT · On-site

$15.50 - $21.50/hr

Job: Reimbursement Specialist Schedule: PRN (ONLY AS NEEDED) Your experience matters Community ... or a medical assistant, health unit coordinator, or healthcare business service program.

Kia Georgia, Inc.

Reimbursement Specialist

West Point, GA · On-site

$16.50 - $22.75/hr

Kia Georgia, Inc. is seeking a Reimbursement Specialist to manage warranty expenses and claims ... Provide data to the teams responsible using data analysis to assist teams in driving solutions ...

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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
Reimbursement Analyst

Reimbursement Analyst

ProCare Rx

Gainesville, GA

Full-time

Posted 7 days ago

Job description

PRINCIPLE RESPONSIBILITIES (include but are not limited to):

  • Analyze pharmacy claims data utilization to identify financial trends, opportunities, and potential risks, including changes to profit margins.
  • Work with Pharmacy Network to identify new contract requirements and methods to validate set up in the system.
  • 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 Generic Effective Rate agreements.
  • Assist with implementation of new MAC tables for new clients.
  • Assist with MAC review appeals from pharmacies & clients.
  • Communicate MAC prices of new drugs with other team members.

REQUIREMENTS

  • Bachelor’s degree in Finance, Economics or other business-related field, or 4+ years of financial or pricing analysis experience in PBM or Healthcare related field preferred.
  • Demonstrate expanded understanding of advanced Excel functionality preferred.
  • Aptitude to learn or demonstrated understanding of databases and query languages (e.g., SQL, DBF, Access, SAS, etc.) preferred.
  • Ability to effectively communicate, verbally and in writing, potentially technical information to a non-technical audience preferred.
  • Ability to work independently and in a fast-paced environment preferred.
  • Strong analytical and problem-solving skills preferred.

PHYSICAL DEMANDS

Requires sitting, standing, and occasional light lifting.

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