Current jobs related to Clinical Reimbursement Specialist - San Diego - Vi Living
-
Clinical Reimbursement Specialist
3 weeks ago
San Diego, California, United States Vi Living Full timeJob Title: Clinical Reimbursement SpecialistAt Vi Living, we are seeking a highly skilled Clinical Reimbursement Specialist to join our team. As a Clinical Reimbursement Specialist, you will play a critical role in ensuring accurate and timely reimbursement for services provided to our residents.Responsibilities:Collaborate with the DON, CRM, and other...
-
Reimbursement Specialist I
1 month ago
San Diego, United States Rady Children's Hospital Full timeJOB SUMMARY: Under the direction of PFS Leadership, the Reimbursement Specialist I is responsible for billing and collections of outstanding account balances for commercial, government, and managed care payors as assigned. The Reimbursement Specialist I is required to identify and report payor issues to their leadership. It is a requirement for the...
-
Reimbursement Specialist I
1 month ago
San Diego, California, United States Rady Children's Hospital Full timeRady Children's Hospital is seeking a skilled Reimbursement Specialist I to join our team. The ideal candidate will have a strong background in billing and collections, with experience in managing commercial, government, and managed care payors. The Reimbursement Specialist I will be responsible for identifying and reporting payor issues, reading and...
-
Reimbursement Specialist I
3 days ago
San Diego, California, United States Rady Children's Hospital Full timeJob Summary:Under the direction of PFS Leadership, the Reimbursement Specialist I is responsible for billing and collections of outstanding account balances for commercial, government, and managed care payors as assigned.The Reimbursement Specialist I is required to identify and report payor issues to their leadership.It is a requirement for the...
-
Reimbursement Specialist I
1 month ago
San Diego, California, United States Rady Children's Hospital Full timeRady Children's Hospital is seeking a skilled Reimbursement Specialist I to join our team. The ideal candidate will have a strong background in billing and collections, with experience in managing commercial, government, and managed care payors. The Reimbursement Specialist I will be responsible for identifying and reporting payor issues, reading and...
-
Clinical Phlebotomy Specialist
1 week ago
San Diego, California, United States ALLIANCE CLINICAL LLC Full timeJob SummaryThe Clinical Phlebotomy Specialist will perform phlebotomy on research clinic patients using established laboratory procedures under the direction and ongoing supervision of the Clinical Operations Manager and the Principal Investigator.Key Responsibilities:Comply with all company policies, procedures, and conduct.Strictly adhere to...
-
Reimbursement Specialist I
2 days ago
San Diego, California, United States Rady Children's Hospital Full timeJob Summary:Under the direction of PFS Leadership, the Reimbursement Specialist I is responsible for billing and collections of outstanding account balances for commercial, government, and managed care payors as assigned.The Reimbursement Specialist I is required to identify and report payor issues to their leadership.This position requires the ability to...
-
Reimbursement Specialist I
4 weeks ago
San Diego, California, United States Rady Children's Hospital Full timeJob SummaryUnder the direction of PFS Leadership, the Reimbursement Specialist I is responsible for managing commercial, government, and managed care payor relationships to ensure timely and accurate reimbursement for outstanding account balances.The Reimbursement Specialist I must possess strong analytical and communication skills to identify and report...
-
Reimbursement Specialist I
1 month ago
San Diego, California, United States Rady Children's Hospital Full timeRady Children's Hospital is seeking a skilled Reimbursement Specialist I to join our team. The successful candidate will be responsible for managing commercial, government, and managed care payor accounts, ensuring timely and accurate reimbursement. Key responsibilities include: * Identifying and resolving payor issues through effective communication and...
-
Reimbursement Specialist I
3 weeks ago
San Diego, California, United States Rady Children's Hospital Full timeJob Summary:The Reimbursement Specialist I is a key member of the Rady Children's Hospital team, responsible for ensuring timely and accurate reimbursement for commercial, government, and managed care payors. This role requires strong analytical and communication skills, as well as the ability to interpret complex payor contract language.Key...
-
Reimbursement Specialist II
1 month ago
San Diego, California, United States San Ysidro Health Center Full timeJob SummaryThe Reimbursement Specialist II is a key member of our revenue cycle team, responsible for ensuring accurate and timely reimbursement for medical, dental, and hospital claims. This role requires strong analytical and communication skills, as well as the ability to work independently and as part of a team.Key ResponsibilitiesPrepare and review...
-
Reimbursement Specialist II
1 month ago
San Diego, California, United States San Ysidro Health Center Full timeJob SummaryThe Reimbursement Specialist II is a key member of our revenue cycle team, responsible for ensuring accurate and timely reimbursement for medical, dental, and hospital claims. This role requires strong analytical and communication skills, as well as the ability to work independently and as part of a team.Key ResponsibilitiesPrepare and review...
-
Reimbursement Specialist I
1 month ago
San Diego, California, United States Rady Children's Hospital Full timeJob Summary:Under the direction of Rady Children's Hospital Leadership, the Reimbursement Specialist I is responsible for managing the billing and collections process for commercial, government, and managed care payors. This role requires strong analytical and communication skills to identify and resolve payor issues, read and interpret complex payor...
-
Reimbursement Specialist II
4 weeks ago
San Diego, California, United States San Ysidro Health Center Full timeJob SummaryThe Reimbursement Specialist II is a key member of our revenue cycle team, responsible for ensuring accurate and timely reimbursement for medical, dental, and hospital claims. This role requires strong analytical and communication skills, as well as the ability to work independently and as part of a team.Key ResponsibilitiesPrepare and review...
-
Reimbursement Specialist II
2 weeks ago
San Diego, California, United States San Ysidro Health Center Full timeJob SummaryThe Reimbursement Specialist II is a key member of our revenue cycle team, responsible for ensuring accurate and timely reimbursement for medical, dental, and hospital claims. This role requires strong analytical and communication skills, as well as the ability to work independently and as part of a team.Key ResponsibilitiesPrepare and transmit...
-
Clinical Reimbursement Specialist
1 week ago
San Jose, California, United States Vi Living Full timeJob SummaryWe are seeking a skilled Clinical Reimbursement Coordinator - Registered Nurse to join our team at Vi Living. This role is responsible for collaborating with the Director of Nursing and various disciplines to ensure accurate and optimal reimbursement for services provided within our Care Center.Key Responsibilities:Assist in the completion of the...
-
MDS Coordinator
2 days ago
San Mateo, California, United States Vi Living Full timeJob SummaryAs a skilled MDS Coordinator - Clinical Reimbursement Specialist at Vi Living, you will play a vital role in ensuring the accurate and timely completion of the Minimum Data Set (MDS) and Resident Assessment Instrument (RAI). Collaborating with the DON, CRM, and various disciplines, you will assist in managing the overall resident assessment...
-
Reimbursement and Contracts Specialist
3 days ago
San Diego, California, United States PROMETHEUS LABORATORIES INC Full timeJob DescriptionPrometheus Laboratories Inc. is seeking a skilled Reimbursement and Contracts Specialist to support the Health Systems, Market Access, Payor Relations, and Legal teams. This role will involve managing contracts, facilitating communication between teams, and ensuring that contracts are processed and documented appropriately.Key...
-
Financial Specialist
2 days ago
San Diego, California, United States vTech Solution Full timeJob Summary:As a Reimbursement Specialist at vTech Solution, you will be responsible for billing and collections of outstanding account balances for commercial, government, and managed care payors. This role requires strong analytical and communication skills to identify and report payor issues to leadership.The ideal candidate will have proficiency in...
-
Reimbursement Specialist II
1 month ago
San Diego, United States San Ysidro Health Center Full timePosition Summary: The Reimbursement Specialist II is responsible for the complete revenue cycle including billing medical, dental and/or hospital claims. They are responsible for payer follow up and appealing of denied encounters to ensure accuracy of reimbursement. Essential Functions of the Job: Prepares accounts and encounters for accuracy for billing;...
Clinical Reimbursement Specialist
3 months ago
Vi is recognized as a Great Place to Work and one of Glassdoor's 100 Best Companies to work for. Learn from the best and accelerate your career with Vi.
What We Offer:
- Competitive pay
- Exceptional benefits
- Generous Paid Time Off - start accruing on day one
- 401k with company match
- Paid maternity and paternity benefits
- Award-winning training and development
- Tuition Reimbursement
- Luxury work environment
- Meaningful and rewarding work
Vi at La Jolla Village is located at 8515 Costa Verde Blvd, San Diego CA 92122
Responsibilities:Clinical Reimbursement Specialist (CRS) – RN or LVN
Collaborates with the DON, CRM (where applicable) and various disciplines to assist in the completion of the Minimum Data Set (MDS), Resident Assessment Instrument (RAI), and all associated processes. With guidance and oversight from the DON or CRM (where applicable), the CRS ensures completion of the assessment within the timeframe as mandated by federal regulations and company policies. The CRS manages the overall resident assessment process and tracking of all Medicare/Managed Care/Medicaid case mix documents in order to ensure appropriate and optimal reimbursement for services provided within the Care Center. Responsibilities also include assisting with the coordination of resident care planning processes under the direction of the DON or CRM (where applicable). Performs other duties as assigned.
Qualifications: Education and Experience:- Education: Graduation from a School for Registered Nursing or Licensed Vocational Nurse is required.
- Work Experience: Minimum 1 year of previous experience in an MDS/Clinical Reimbursement Nurse role is preferred.
- Licensure / Certification, where required:
- Current State Licensure as a Registered Nurse or Licensed Vocational Nurse in the state where practicing is required. Current CPR and Automated External Defibrillator (AED) certifications are required.
- Current First Aid certification is required or must be willing and able to become First Aid certified. Food handlers certification, where required.
- Maintains a courteous and professional manner through interactions with others.
- Uses a resident and customer-focused approach to problem solving and goal setting.
- Uses discretion in handling confidential information, incorporating all Federal, State and local privacy and confidentiality requirements.
- Excellent knowledge of case-Mix, and the Federal Medicare PPS process as required.
- Thorough understanding of the Quality Indicator Process, and OBRA regulations.
- Must possess knowledge of regulatory compliance and Continuing Care Retirement Community operations.
- Good oral and written communication skills and ability to interface and maintain effective relationships with all departments and employees in a team-oriented environment.
- Computer proficiency using Microsoft Office.
- Must be sensitive to the needs of older adults and enjoy working with a senior population.
The application window is anticipated to close within 30 days of the date of the posting.
Pay Range: USD $38.00 - USD $52.63 /Hr.