Clinical Reimbursement Specialist

4 weeks ago


Hadley, Massachusetts, United States Genesis Healthcare Services Full time

Job Summary:

Genesis Healthcare Services is seeking a skilled Clinical Reimbursement Specialist to join our team. As a Clinical Reimbursement Specialist, you will be responsible for the timely and accurate completion of the MDS treatment assessment tool and for reviewing care plans and their delivery to ensure compliance with our high standards of care.

Key Responsibilities:

  • Manage the overall process and tracking of all Medicare/Medicaid case-mix documents to assure appropriate reimbursement for services provided within the nursing center.
  • Conduct concurrent MDS reviews to assure achievement of maximum allowable RUG categories.
  • Integrate information from nursing, dietary, social services, restorative, rehabilitation, and physician services to ensure appropriate reimbursement.

Requirements:
  • Must be a graduate of an accredited School of Nursing with current Registered Nurse (RN) licensure. LPNs with MDS experience may be considered.
  • At least one year of long-term care nursing experience is required.

Benefits:
  • Variable compensation plans
  • Tuition, Travel, and Wireless Service Discounts
  • Employee Assistance Program to support mental health
  • Employee Foundation to assist financially with unforeseen hardships
  • Diverse, Equitable, and Inclusive (DEI) workplace with DEI committee
  • Health, Dental, Vision, Company-paid life insurance, 401K, Paid Time Off
  • Several voluntary insurances such as: Pet Insurance, Term and Whole Life Insurance, Short-term Disability, Hospital Indemnity, Personal Accident, Critical Illness, Cancer Coverage

About Us:
  • We are a multifaceted culture that is entrepreneurial, integrous, progressive, and diverse, equitable, and inclusive.
  • We provide career ladders, education, and training opportunities so employees can build a long and successful career with us.


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