Healthcare Reimbursement Specialist

4 days ago


Denville, New Jersey, United States Prime Healthcare Management Inc Full time

Job Summary:

Prime Healthcare Management Inc is seeking a skilled Reimbursement Specialist to join our team. As a key member of our revenue cycle team, you will be responsible for analyzing managed care contracts to ensure accurate and timely payment.

Key Responsibilities:

  • Analyze payments received from insurance companies to determine 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.
  • Collaborate with the PFS Director to ensure compliance with complex regulations and guidelines.

Requirements:

  • Minimum four years hospital billing and collection experience required.
  • Medical and Insurance terminology essential.
  • Knowledge of CPT, ICD-9, HCPCS coding structures.
  • Bachelor's degree preferred.

About Prime Healthcare Management Inc:

Prime Healthcare operates 45 hospitals and has more than 300 outpatient locations in 14 states. We are committed to providing high-quality patient care and are seeking talented professionals to join our team.



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