Medicaid Reimbursement Specialist

4 weeks ago


Greenwood, South Carolina, United States Crystal Rehabilitation and Healthcare Center Full time
Job Summary:

We are seeking a highly skilled MDS Coordinator to join our team at Crystal Rehabilitation and Healthcare Center. As a key member of our interdisciplinary team, you will be responsible for coordinating and completing clinical assessments, supporting documentation, care planning, and transmitting MDS 3.0, all as required by federal and state regulations.

Key Responsibilities:
Coordinating preparation of MDS and Care Plan as per regulatory requirements
Maintaining MDS/Care plan schedule for interdisciplinary team
Completing responses to requests for additional information from the intermediary and appeals decisions
Ensuring preparation of Medicare denial letters for each resident discharged from Medicare coverage within time limits imposed by Medicare guidelines
Participating in the ongoing evaluation of documentation required for Medicaid reimbursement

Requirements:
Current RN or LVN/LPN license in state of practice
Graduate of an accredited school of nursing
1+ years of experience in skilled nursing facility with previous experience in completing MDSs and Care Plans as an MDS Coordinator
Demonstrated proficiency in the RAI / PPS processes
Strong attention to detail, documentation, and resident assessment skills
Good communication, organizational, and computer skills

Benefits:
We offer a competitive compensation and benefits package to include voluntary Medical, Dental, Vision, AD&D Benefits, LT/ST Disability, Life Insurance, Flex Spending Account and 401K

EOE M/F/D/V
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