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Provider Reimbursement Specialist (83503)

Role overview

Qualifications

  • Experience in healthcare services
  • Strong communication skills
  • Ability to analyze and resolve complex problems
  • Familiarity with claims processing

Responsibilities

  • Maintain relationships with healthcare providers and internal departments
  • Act as first line contact for claims projects and issues
  • Oversee resolution of project issues alongside supervisors
  • Assist with policy and procedure interpretation

Key facts

Hard skills

Other skills

  • Problem Solving
  • Communication
  • Teamwork

About the company

Centurion Health logo

Centurion Health

Hospitals & Health Care

Based in Sterling, Virginia, Centurion Health works with state and local governments to provide healthcare services for correctional facilities, state hospitals, community clinics and more. Providing patient care in more than 300 facilities across 15 states, Centurion is dedicated to ensuring locally-based quality care for individuals in the communities we serve. As a national leader in the correctional health industry, Centurion provides medical, dental, and behavioral health services to state prison systems as well as healthcare staffing solutions for various state agencies. Nationwide, we have more than 9,000 clinical and administrative employees ensuring high-quality care in a variety of settings. Centurion Health employees are among the nation’s top clinical, managerial, and administrative professionals. Our employees make an impact on the health and welfare of community members each day. Whether you are driven by purpose and impact or on a journey of professional growth, our career opportunities can offer both. At Centurion, we are dedicated to reimagining healthcare and transforming the health of the community, one person at a time. For more information on career opportunities with Centurion Health, please visit https://www.centurionjobs.com/

Company details

Company typeLarge
IndustryHospitals & Health Care
Company size5001 - 10000

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Job description

Centurion is proud to be a leading provider of comprehensive healthcare services to correctional facilities, state hospitals, and community mental health centers nationwide.

We are currently seeking a full-time Provider Reimbursement Specialist to join our Corporate Team. 

The Provider Reimbursement Specialist maintains relationships with physicians, hospitals, ancillary providers and Health Net’s internal Provider Network Management Dept. Acts as first line contact for providers/hospitals on claims projects and other non-routine claim issues. Oversees, in conjunction with the Adjustment and New Day Unit Supervisors, resolution of project issues and is responsible to communicate final resolution to the provider/hospital or other business units and/or managers, as needed and/or as required. Assists with policy and procedure interpretation. Researches, analyzes and resolves complex problems with claims development and finalization

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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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