Talent.com
Senior Provider Reimbursement Specialist
Senior Provider Reimbursement SpecialistVirtualVocations • Shreveport, Louisiana, United States
Senior Provider Reimbursement Specialist

Senior Provider Reimbursement Specialist

VirtualVocations • Shreveport, Louisiana, United States
job_description.job_card.1_day_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

A company is looking for a Provider Reimbursement Policy Specialist Sr.

Key Responsibilities

Create and maintain standardized documentation for medical and clinical claim payment policies

Research and advise on Medical Coding and translate health care benefits to procedure code level

Act as a liaison between Payment Integrity vendors and internal teams to implement and troubleshoot Medical Policy Reimbursement

Required Qualifications

Associate's Degree or equivalent experience in Medical Policy and Reimbursement Claim Edits

Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), or Certified Professional Coder (CPC) + Certified Professional Coder-Hospital (COC)

10 or more years in Claim Auditing, Claims Billing, or related positions within a medical facility or insurance carrier

10 or more years in a Business Analyst function with a medical insurance carrier operations team

Experience with Medicaid, Medicare, and Commercial Insurance

serp_jobs.job_alerts.create_a_job

Reimbursement Specialist • Shreveport, Louisiana, United States

Job_description.internal_linking.related_jobs
Registered Nurse-LDRPN-PRN

Registered Nurse-LDRPN-PRN

CHRISTUS Health • Gilliam, Louisiana, United States
serp_jobs.job_card.full_time
The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with th...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Physical Therapist (PT) - $40.53 - $56 / hour

Physical Therapist (PT) - $40.53 - $56 / hour

Encompass Health Rehabilitation Hospital of Texarkana • Hosston, LA, US
serp_jobs.job_card.full_time +1
Physical Therapist Career Opportunity.Join a Team That Puts Your Passion for Care First.Are you seeking a fulfilling career that feels like home and lets you make a meaningful impact? At Encompass ...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
Registered Nurse

Registered Nurse

Encompass Health Rehabilitation Hospital of Texarkana • Bradley, AR, US
serp_jobs.job_card.full_time
Registered Nurse Career Opportunity.Encompass Health : Where Nursing Meets Heart, Home, and Healing.Are you seeking a nursing career deeply rooted in purpose, close to your heart and home? Encompass...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
Remote Authorization Specialist

Remote Authorization Specialist

VirtualVocations • Shreveport, Louisiana, United States
serp_jobs.filters.remote
serp_jobs.job_card.full_time
A company is looking for a Remote Authorization Specialist responsible for obtaining and maintaining prior authorization status for patient medications and therapies. Key Responsibilities Obtain a...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Provider Success Specialist

Provider Success Specialist

VirtualVocations • Shreveport, Louisiana, United States
serp_jobs.job_card.full_time
A company is looking for a Provider Success Specialist responsible for supporting provider relationships and ensuring quality service delivery. Key Responsibilities Assist newly approved providers...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Pre-Registration Specialist

Pre-Registration Specialist

VirtualVocations • Shreveport, Louisiana, United States
serp_jobs.job_card.full_time
A company is looking for a Pre-Registration Specialist responsible for managing the pre-registration team and ensuring accurate patient insurance verification. Key Responsibilities Contact insuran...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Registered Nurse-IMC Telemetry-Full Time

Registered Nurse-IMC Telemetry-Full Time

Christus Health • Youree, LA, United States
serp_jobs.job_card.full_time
Description Summary : The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation.Provides routine and ...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Intake Solutions Specialist

Intake Solutions Specialist

VirtualVocations • Shreveport, Louisiana, United States
serp_jobs.job_card.full_time
A company is looking for an Intake Solutions Specialist who supports clinical, technical, and provider teams by processing prior authorization requests for medical and pharmacy services.Key Respons...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Prior Authorization Specialist

Prior Authorization Specialist

VirtualVocations • Shreveport, Louisiana, United States
serp_jobs.job_card.full_time
A company is looking for a Prior Authorization Specialist - Contract.Key Responsibilities Verify patient insurance coverage using phone or online resources Submit prior authorizations to insuran...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Registered Nurse Float I-Nursing Float Pool-PRN

Registered Nurse Float I-Nursing Float Pool-PRN

CHRISTUS Health • Blanchard, Louisiana, United States
serp_jobs.job_card.full_time
Provides professional nursing care for the comfort and well-being of patients.Prepares equipment and assists physician during examinations and treatments. Administers prescribed medications, changes...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Physical Therapist Pool (PRN / Pool / As Needed)

Physical Therapist Pool (PRN / Pool / As Needed)

Encompass Health Rehabilitation Hospital of Texarkana • Queen City, TX, US
serp_jobs.job_card.full_time +1
Physical Therapist Career Opportunity.Join a Team That Puts Your Passion for Care First.Are you seeking a fulfilling career that feels like home and lets you make a meaningful impact? At Encompass ...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
Provider Enrollment Specialist

Provider Enrollment Specialist

VirtualVocations • Shreveport, Louisiana, United States
serp_jobs.job_card.full_time
A company is looking for a Provider Enrollment Specialist.Key Responsibilities : Maintains provider records and resolves provider-related issues for claims Coordinates provider mailing for claims...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
RN, Registered Nurse - Villages Surgery Center

RN, Registered Nurse - Villages Surgery Center

CHRISTUS Health • Blanchard, Louisiana, United States
serp_jobs.job_card.full_time
The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with th...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Physical Therapist (PT)

Physical Therapist (PT)

Encompass Health Rehabilitation Hospital of Texarkana • McLeod, TX, US
serp_jobs.job_card.full_time +1
Physical Therapist Career Opportunity.Join a Team That Puts Your Passion for Care First.Are you seeking a fulfilling career that feels like home and lets you make a meaningful impact? At Encompass ...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
Physical Therapist

Physical Therapist

Encompass Health Rehabilitation Hospital of Texarkana • Bradley, AR, US
serp_jobs.job_card.full_time +1
Physical Therapist Career Opportunity.Join a Team That Puts Your Passion for Care First.Are you seeking a fulfilling career that feels like home and lets you make a meaningful impact? At Encompass ...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
Insurance Authorization Specialist

Insurance Authorization Specialist

VirtualVocations • Shreveport, Louisiana, United States
serp_jobs.job_card.full_time
A company is looking for a PFS Insurance Specialist II to manage insurance verifications and authorizations for genetic testing. Key Responsibilities Verify insurance coverage benefits and determi...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Authorization Specialist

Authorization Specialist

Jeter Therapy Group • Shreveport, Louisiana, United States
serp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
Verify insurance coverage and obtain authorization for medical procedures and treatments.Review medical records and documentation to ensure accuracy and completeness. Assign appropriate medical code...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30
Registered Nurse-IMC Telemetry-PRN

Registered Nurse-IMC Telemetry-PRN

CHRISTUS Health • Keithville, Louisiana, United States
serp_jobs.job_card.full_time
The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with th...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted