Value-Based Reimbursement Specialist

Highmark Health is seeking a dedicated Value-Based Reimbursement Specialist to join their team. This role is crucial in ensuring accurate and efficient reimbursement processes within the healthcare industry. Let's delve into the responsibilities, requirements, benefits, and more associated with this position.

Responsibilities:

  • Analyze and evaluate reimbursement data to ensure compliance with regulations.
  • Collaborate with internal teams to optimize reimbursement strategies.
  • Develop and implement processes to improve reimbursement accuracy.
  • Monitor reimbursement trends and identify areas for improvement.
  • Communicate reimbursement policies and procedures to stakeholders.
  • Conduct audits to verify reimbursement accuracy.
  • Stay updated on industry changes and their impact on reimbursement.
  • Provide training and support to staff on reimbursement best practices.
  • Resolve reimbursement discrepancies in a timely manner.
  • Generate reports and analysis related to reimbursement performance.

Requirements:

  • Bachelor's degree in Healthcare Administration or related field.
  • Minimum of 3 years of experience in healthcare reimbursement.
  • Strong understanding of reimbursement methodologies and regulations.
  • Excellent analytical and problem-solving skills.
  • Proficiency in data analysis and reporting tools.
  • Ability to work collaboratively in a team environment.
  • Detail-oriented with a focus on accuracy.
  • Excellent communication and interpersonal skills.
  • Knowledge of coding systems such as CPT and ICD-10.
  • Certification in Healthcare Reimbursement is a plus.

Benefits:

  •  Competitive salary and benefits package.
  • Opportunities for professional development and growth.
  • Work-life balance initiatives.
  • Health and wellness programs.
  •  Collaborative and inclusive work environment.
  • Employee assistance programs.
  • Retirement savings plans.
  • Health insurance coverage.
  •  Paid time off and holidays.
  •  Recognition and rewards for outstanding performance.

Health Insurance:

Highmark Health offers comprehensive health insurance coverage to all employees, ensuring access to quality healthcare services and support for their well-being.

Why Join Us?

Joining Highmark Health as a Value-Based Reimbursement Specialist offers the opportunity to make a meaningful impact in the healthcare industry. You will be part of a dynamic team dedicated to improving reimbursement processes and ensuring financial sustainability for healthcare providers.

How to Apply:

If you meet the requirements and are passionate about healthcare reimbursement, we encourage you to apply for the Value-Based Reimbursement Specialist position at Highmark Health. Visit our careers page to submit your application and join us in our mission to provide high-quality, cost-effective healthcare solutions.

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