Healthcare Reimbursement Specialist
4 days ago
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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