Reimbursement Appeals Nurse Specialist
4 hours ago
We are seeking a highly skilled Reimbursement Appeals Nurse to join our team at Genesis HealthCare, Inc. This role requires a strong analytical mind and excellent communication skills to effectively review patient medical records and write compelling appeal arguments.
Key Responsibilities- Conduct comprehensive analytical reviews of patient medical records to identify reasons for denials and develop sound appeal arguments.
- Utilize clinical and regulatory knowledge to provide convincing appeal arguments and justify payment of services.
- Identify trends in charts resulting in denials and report them to the denial management team.
- Participate in Administrative Law Judge hearings and provide testimony as necessary.
- Request additional supporting clinical evidence to support appeal arguments when existing resources are inadequate.
- Ensure compliance with HIPAA and maintain accurate tracking records of appeals management activities.
- Registered Nurse with significant experience in the Healthcare Industry.
- Knowledge of regulatory requirements for reimbursement and reasons for denials.
Genesis HealthCare, Inc. is a leading provider of healthcare services, committed to delivering high-quality care to our patients. We are an equal opportunity employer and welcome applications from diverse candidates.
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Reimbursement Appeals Specialist
1 week ago
Philadelphia, Pennsylvania, United States Genesis HealthCare - Philadelphia, PA Full timeJob SummaryWe are seeking a highly skilled Reimbursement Appeals Nurse to join our team at Genesis HealthCare in Philadelphia, PA. As a key member of our denial management team, you will play a critical role in conducting comprehensive analytical reviews of patient medical records and writing compelling appeal arguments to secure payment for services...
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Reimbursement Appeals Specialist
1 week ago
Philadelphia, Pennsylvania, United States Genesis HealthCare - Philadelphia, PA Full timeJob SummaryWe are seeking a highly skilled Reimbursement Appeals Nurse to join our team at Genesis HealthCare in Philadelphia, PA. As a key member of our denial management team, you will play a critical role in conducting comprehensive analytical reviews of patient medical records and writing compelling appeal arguments to secure payment for services...
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Reimbursement Appeals Nurse Specialist
2 days ago
Philadelphia, Pennsylvania, United States Genesis Healthcare, Inc. Full timeJob SummaryWe are seeking a highly skilled Reimbursement Appeals Nurse to join our team at Genesis HealthCare, Inc.Key ResponsibilitiesConduct comprehensive analytical reviews of patient medical records to identify potential reimbursement issues.Write clear and concise appeal arguments to support payment of services provided.Identify and report trends in...
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Clinical Reimbursement Specialist
3 weeks ago
Philadelphia, Pennsylvania, United States Genesis Healthcare LLC Full timeJob SummaryGenesis Healthcare LLC is seeking a highly skilled Clinical Reimbursement Specialist to join our team. As a Clinical Reimbursement Specialist, you will play a critical role in assisting the denial management team by conducting comprehensive analytical reviews of patient medical records.Key ResponsibilitiesConduct thorough reviews of patient...
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Clinical Reimbursement Specialist
2 weeks ago
Philadelphia, Pennsylvania, United States Genesis Healthcare LLC Full timeJob Summary:Genesis Healthcare LLC is seeking a highly skilled Clinical Reimbursement Specialist to join our team. As a Clinical Reimbursement Specialist, you will play a critical role in assisting the denial management team by conducting comprehensive analytical reviews of patient medical records.Key Responsibilities:Conduct thorough reviews of patient...
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Clinical Reimbursement Specialist
2 weeks ago
Philadelphia, Pennsylvania, United States Genesis Healthcare LLC Full timeJob Title: Clinical Reimbursement SpecialistGenesis Healthcare LLC is seeking a skilled Clinical Reimbursement Specialist to join our team. As a Clinical Reimbursement Specialist, you will play a critical role in ensuring that our patients receive the reimbursement they deserve.Key Responsibilities:Conduct comprehensive analytical reviews of patient medical...
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Senior Appeals Specialist
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Healthcare Triage Specialist
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Claims Review Nurse
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Clinical Reimbursement Manager
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Philadelphia, Pennsylvania, United States Genesis HealthCare - Philadelphia, PA Full timeJob SummaryWe are seeking a highly skilled Clinical Reimbursement Manager to join our team at Genesis HealthCare in Philadelphia, PA. As a key member of our clinical team, you will be responsible for maximizing revenue through the evaluation and optimization of the Medicare/Medicaid reimbursement process.Key ResponsibilitiesParticipate in the development,...
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Clinical Reimbursement Manager
1 week ago
Philadelphia, Pennsylvania, United States Genesis HealthCare - Philadelphia, PA Full timeClinical Reimbursement ManagerGenesis HealthCare is a leading provider of healthcare services, delivering high-quality care and compassion to our patients and residents. We are seeking a skilled Clinical Reimbursement Manager to join our team in Philadelphia, PA.Key Responsibilities:Maximize revenue through the evaluation and optimization of the...
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Clinical Reimbursement Manager
1 week ago
Philadelphia, Pennsylvania, United States Genesis HealthCare - Philadelphia, PA Full timeClinical Reimbursement ManagerGenesis HealthCare is a leading provider of healthcare services, delivering high-quality care and compassion to our patients and residents. We are seeking a skilled Clinical Reimbursement Manager to join our team in Philadelphia, PA.Key Responsibilities:Maximize revenue through the evaluation and optimization of the...
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Clinical Reimbursement Manager
2 weeks ago
Philadelphia, Pennsylvania, United States Genesis Healthcare LLC Full timeJob SummaryGenesis Healthcare LLC is seeking a highly skilled Clinical Reimbursement Manager to join our team. As a key member of our clinical operations team, you will be responsible for maximizing revenue through the evaluation and optimization of the Medicare/Medicaid reimbursement process.Key ResponsibilitiesParticipate in the development,...
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Clinical Reimbursement Manager
1 week ago
Philadelphia, Pennsylvania, United States Genesis HealthCare - Philadelphia, PA Full timeClinical Reimbursement ManagerGenesis HealthCare is a leading provider of healthcare services, delivering high-quality care and compassion to our patients and residents. We are seeking a skilled Clinical Reimbursement Manager to join our team in Philadelphia, PA.Key Responsibilities:Maximize revenue through evaluation and optimization of Medicare/Medicaid...
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Clinical Reimbursement Manager
3 weeks ago
Philadelphia, Pennsylvania, United States Genesis Healthcare LLC Full timeJob SummaryGenesis Healthcare LLC is seeking a highly skilled Clinical Reimbursement Manager to maximize revenue through the evaluation and optimization of the Medicare/Medicaid reimbursement process.Key ResponsibilitiesParticipate in the development, implementation, evaluation, and outcomes management of reimbursement priorities in nursing centers to assure...
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