Clinical Reimbursement Manager/MDS Director

3 days ago


Philadelphia, Pennsylvania, United States Genesis Healthcare, Inc. Full time
Clinical Reimbursement Manager Job Summary

Genesis HealthCare is a leading provider of healthcare services, offering a wide range of living options and professional clinical services. We are seeking a highly skilled Clinical Reimbursement Manager to join our team.

The ideal candidate will have experience in maximizing revenue through the evaluation and optimization of the Medicare/Medicaid reimbursement process. This role will involve participating in the development, implementation, evaluation, and outcomes management of reimbursement priorities in nursing centers to ensure proper utilization of services and maximize revenues.

The Clinical Reimbursement Manager will advise and assist Clinical Reimbursement/MDS Coordinators to ensure compliance with HCFA and State reimbursement regulations and Genesis Policies and Procedures. This will involve presenting changes in reimbursement regulations to nursing center operations through training classes and participating in nursing centers' Medicare meetings to review coverage and documentation issues and requirements.

The successful candidate will have a strong background in healthcare reimbursement, with experience in Medicare and Medicaid regulations. A Bachelor's degree in a related field is required, and a license as a Registered Nurse or equivalent professional license is preferred.

We offer a competitive salary range of $95,000 - $105,000 per year, as well as opportunities for career growth and development. If you are a motivated and experienced healthcare professional looking for a new challenge, we encourage you to apply.

Key Responsibilities:

  • Participate in the development, implementation, evaluation, and outcomes management of reimbursement priorities in nursing centers
  • 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

Requirements:

  • Graduate of an approved school of nursing with a license as a Registered Nurse or equivalent professional license
  • BS or BA degree in a related field
  • Experience in Medicare and Medicaid regulations

Genesis HealthCare, Inc. is an Equal Opportunity Employer



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