Clinical Reimbursement Manager

4 days ago


Philadelphia, Pennsylvania, United States Genesis Healthcare, Inc. Full time
Maximize Revenue through Reimbursement Excellence

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.
Requirements:
  • 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.
About Genesis HealthCare:

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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