Clinical Reimbursement Manager
4 days ago
Genesis HealthCare, a leading provider of healthcare services, seeks a skilled Clinical Reimbursement Manager to optimize revenue through the evaluation and optimization of the Medicare/Medicaid reimbursement process.
Key Responsibilities:- Develop and implement reimbursement priorities in nursing centers to ensure proper utilization of services and maximize revenues.
- Advise and assist Clinical Reimbursement/MDS Coordinators to ensure compliance with HCFA and State reimbursement regulations and Genesis policies and procedures.
- Present changes in reimbursement regulations to nursing center operations through training classes.
- Participate in nursing centers' Medicare meetings to review coverage and documentation issues and requirements.
- Report any issues to the Nursing Home Administrator, Director of Nursing, and Clinical Reimbursement/MDS Coordinator.
- Graduate of an approved school of nursing with a license as a Registered Nurse or equivalent professional license.
- BS or BA degree required.
- Must have Medicare and Medicaid experience.
We are committed to delivering high-quality healthcare and everyday compassion. Our Core Values, Code of Conduct, and Ethics program foster a culture of care and compassion. We focus on improving the quality of care through creativity and innovation, honesty, and integrity in all we do.
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