Reimbursement Specialist

20 hours ago


Denville, New Jersey, United States Prime Healthcare Full time
Overview

Prime Healthcare is a leading health system with a strong commitment to delivering high-quality patient care. As a Reimbursement Specialist, you will play a critical role in ensuring that our patients receive accurate and timely reimbursement for their medical services.

Responsibilities
  • Analyze managed care contracts to determine appropriate reimbursement
  • Utilize complex regulations, guidelines, and systems to ensure maximum and correct reimbursement receivables
  • Proactively work with payers and in-house resources to resolve issues that hinder optimal account payment
  • Apply regulations to ensure compliance in payment practices
Qualifications
  • Minimum four years hospital billing and collection experience
  • Medical and Insurance terminology essential
  • Knowledge of CPT, ICD-9, HCPCS coding structures
  • Experience with payment/EOB review
  • Bachelor's degree preferred
Why Work for Prime Healthcare?

Prime Healthcare is an award-winning health system with a strong commitment to delivering high-quality patient care. We offer a dynamic and supportive work environment, with opportunities for professional growth and development.



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