Clinical Reimbursement Specialist
3 weeks ago
At Signature HealthCARE, we're seeking a highly skilled Clinical Reimbursement Specialist to join our team. As a key member of our healthcare team, you'll play a vital role in ensuring the accuracy and compliance of our reimbursement processes.
About the RoleWe're looking for a detail-oriented and organized individual with a passion for supporting and training stakeholders. The ideal candidate will have a strong background in healthcare reimbursement and coding, with the ability to travel to assigned sites Monday through Friday.
Key Responsibilities- Assist with the development and implementation of programs related to the Resident Assessment Instrument (RAI), Prospective Payment Systems (PPS), Quality Measures (QM's), Medicaid Casemix, and Medicare/Medicaid guidelines.
- Design and present educational materials and workshops on RAI, PPS, Quality Measures, Medicare, and Medicaid using various media and technologies.
- Conduct facility site visits to orient new MDS Coordinators and evaluate and reinforce RAI/MDS/PPS processes.
- Current licensure as a Registered Nurse with the ability to obtain multi-state licensures.
- Minimum of five years of related experience as a licensed Registered Nurse in a long-term care setting.
- Eighty to ninety percent travel with overnight stays.
At Signature HealthCARE, we're committed to providing our team members with a comprehensive benefits package and exceptional perks, including:
- Medical, dental, and vision insurance.
- Voluntary life and disability insurance.
- Free telemedicine with medical plan.
- 401(k) and Roth 401(k) retirement plans.
- Tuition forgiveness/education reimbursement.
- A variety of additional specialized insurances.
- Pay advance and next-day pay.
- Work-life balance (WLB) and partner perks and discounts.
- Reward and recognition program (HEART).
We're an equal opportunity-affirmative action employer, committed to diversity and inclusion. If you're passionate about healthcare reimbursement and coding, and want to join a dynamic team, apply today
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