Medicare Compliance Specialist

17 hours ago


Hudson, Ohio, United States Hudson Elms Nursing Home Full time
Job Overview

Hudson Elms Nursing Home seeks an experienced Medicare Compliance Specialist to coordinate and monitor revenue related to Medicare, Managed Care, and Medicaid programs. This role ensures residents receive optimal skilled services by managing the MDS process and serving as a liaison for insurance companies.

The ideal candidate will have excellent communication and teaching skills, with experience in Medicare/Medicaid areas in long-term care or clinical training. They must be capable of maintaining regular attendance and be available to travel as required.

About Hudson Elms Nursing Home

We are a leading provider of skilled nursing care, dedicated to delivering high-quality services that meet the unique needs of our residents. Our team is passionate about making a positive impact on the lives of those we serve.

Responsibilities
  • Coordinate and monitor revenue related to Medicare, Managed Care, and Medicaid programs
  • Manage the MDS process and ensure timely completion of assessments
  • Serve as a liaison for insurance companies and facilitate communication between facilities and payers
  • Participate in Nursing Management weekend on-call rotation and assist with medication administration in emergencies
  • Educate facilities on Medicare/Medicaid-related areas, including eligibility, certification, coverage, documentation, utilization, and reimbursement
Requirements
  • Two years of experience in Medicare/Medicaid areas in long-term care or clinical training
  • Excellent communication and teaching skills
  • Capable of maintaining regular attendance and available to travel as required
  • Possess working knowledge of MDS 3.0, care plans, care guides, and the CMI reimbursement process
What We Offer
  • A competitive salary range of $65,000 - $85,000 per year
  • A comprehensive benefits package, including medical, dental, and vision coverage
  • Opportunities for professional growth and development
  • A supportive work environment with a team-oriented culture
How to Apply

If you are a motivated and detail-oriented individual with a passion for delivering exceptional patient care, please submit your application, including your resume and a cover letter, to [insert contact information].



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