Clinical Reimbursement Specialist

2 weeks ago


Prestonsburg, Kentucky, United States Signature HealthCARE Full time
Job Summary

Signature HealthCARE is a family-based healthcare company that offers integrated services in 7 states across the continuum of care. We are seeking a skilled Clinical Reimbursement Specialist to join our team.

About the Role

The ideal candidate will be very detail-oriented, organized, and self-motivated, with a love for supporting and training stakeholders. They will be able to travel to assigned sites Monday through Friday.

Key Responsibilities

Assist with systems development and implementation of programs that apply to the Resident Assessment Instrument (RAI), Prospective Payment Systems (PPS), Quality Measures (QMs), Medicaid Casemix, and Medicare/Medicaid guidelines for all SHC stakeholders.

Assist with design and presentation of RAI, PPS, Quality Measures, Medicare, and Medicaid education utilizing various types of media, technology, workshops, classes, and one-on-one.

Conduct facility site visits to orient new MDS Coordinators as well as to evaluate and reinforce RAI/MDS/PPS processes.

Requirements

Current licensure as a Registered Nurse with the ability to obtain multi-state licensures.

Minimum of five (5) years related experience as a licensed Registered Nurse in a long-term care setting.

Eighty to ninety percent (80% - 90%) travel with overnight stays.

Benefits

Our exceptional benefits package and Signature Perks include medical, dental, and vision, voluntary life/disability, free telemedicine with medical plan, 401(k) and Roth 401(k), tuition forgiveness/education reimbursement, a variety of additional specialized insurances, pay advance and next day pay, work-life balance (WLB), partner perks and discounts, reward and recognition program (HEART), and vital links.

About Signature HealthCARE

Our team members are encouraged to employ their talents and abilities to solve problems. Our culture is built on three distinct pillars: learning, spirituality, and intra-preneurship. Each pillar has its own staff and initiatives, ensuring that our unique culture permeates the entire organization.

Signature HealthCARE is an Equal Opportunity-Affirmative Action Employer, Minority/Female/Disability/Veteran, and other protected categories.

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