Clinical Reimbursement Specialist

15 hours ago


Bedford, Massachusetts, United States Northeast Division Full time
Job Summary

The Clinical Reimbursement Specialist plays a vital role in ensuring accurate and timely reimbursement for patient services at Northeast Division facilities. This position requires a registered nurse with active state licensure and experience in MDS and RAI.

Key Responsibilities
  • Review patient records and clinical care programs to ensure compliance with laws, regulations, and Life Care standards.
  • Make independent decisions when circumstances warrant such action.
  • Implement and interpret departmental programs, goals, objectives, policies, and procedures.
  • Perform proficiently in all competency areas, including patient rights, safety, and sanitation.
  • Maintain professional relationships with associates, vendors, and other stakeholders.
  • Ensure confidentiality of proprietary and confidential information.
  • Understand and follow company policies, including harassment and compliance procedures.
Essential Functions
  • Provide excellent customer service and maintain a positive attitude towards patients.
  • Assist in patient evacuation and maintain a safe working environment.
  • Exhibit dependable attendance and concentration skills.
  • Communicate effectively on an interdisciplinary team.
  • Perform physical tasks, including sitting, standing, and lifting, as required.
  • Read, write, speak, and understand the English language.


  • Bedford, Massachusetts, United States LogixHealth Full time

    About the RoleWe are seeking a skilled Reimbursement Specialist to join our team at LogixHealth. As a Reimbursement Specialist, you will play a critical role in ensuring accurate and timely reimbursement for our clients.Key ResponsibilitiesReview and analyze insurance company reimbursements to identify potential issues and discrepanciesDevelop and implement...


  • Bedford, Massachusetts, United States LogixHealth Full time

    About the RoleWe are seeking a skilled Reimbursement Specialist to join our team at LogixHealth. As a Reimbursement Specialist, you will play a critical role in ensuring the accuracy and efficiency of our revenue cycle management services.Key ResponsibilitiesReview and analyze insurance company reimbursements to identify potential issues and...


  • Bedford, Massachusetts, United States LogixHealth Full time

    Job OverviewLogixHealth is seeking a skilled Reimbursement Analyst to join our team. As a Reimbursement Analyst, you will play a critical role in reviewing insurance company reimbursements, identifying issues, and appealing if necessary. You will also prepare audit results and keep department managers informed of all findings and audits.Key...


  • New Bedford, Massachusetts, United States LogixHealth Full time

    Job Title: Healthcare Reimbursement SpecialistAt LogixHealth, we're seeking a skilled Healthcare Reimbursement Specialist to join our team. As a key member of our revenue cycle management team, you will play a critical role in ensuring accurate and timely reimbursement for our clients.Key Responsibilities:Review and analyze insurance company reimbursements...


  • New Bedford, Massachusetts, United States LogixHealth Full time

    Job Title: Healthcare Reimbursement SpecialistLogixHealth is seeking a skilled Healthcare Reimbursement Specialist to join our team. As a key member of our revenue cycle management team, you will play a critical role in ensuring accurate and timely reimbursement for our clients.Key Responsibilities:Review and analyze insurance company reimbursements to...

  • Clinical Specialist

    4 weeks ago


    Bedford, Massachusetts, United States The Edinburg Center Full time

    About the RoleThe Edinburg Center is seeking a skilled Clinical Specialist to join our team of dedicated professionals. As a Clinical Specialist, you will play a vital role in providing high-quality care and support to young adults with Autism Spectrum Disorder (ASD) and serious emotional and behavioral health disturbances.Key ResponsibilitiesEngage young...


  • New Bedford, Massachusetts, United States Southcoast Health System Full time

    About the RoleWe are seeking a highly skilled Clinical Pharmacist Specialist to join our Ambulatory Care team at Southcoast Health System. As a key member of our team, you will play a vital role in providing exceptional patient care and contributing to the development of our pharmacy programs.Key ResponsibilitiesEstablish and maintain liaison relationships...


  • New Bedford, Massachusetts, United States SouthCoast Health Full time

    About the RoleWe are seeking a highly skilled Clinical Pharmacist Specialist to join our Ambulatory Care team at Southcoast Health. As a key member of our team, you will play a vital role in providing exceptional patient care and contributing to the development of best practices in pharmacy services.Key ResponsibilitiesEstablish and maintain liaison...


  • New Bedford, Massachusetts, United States Southcoast Health System Full time

    Job Title: Clinical Technician-Emergency Department SpecialistWe are seeking a skilled Clinical Technician-Emergency Department Specialist to join our team at Southcoast Health System.About the Role:As a Clinical Technician-Emergency Department Specialist, you will be responsible for providing direct patient care, including phlebotomy, EKG, minor invasive...


  • New Bedford, Massachusetts, United States SouthCoast Health Full time

    About the RoleWe are seeking a highly skilled Clinical Pharmacist Specialist to join our Ambulatory Care team at Southcoast Health. As a key member of our team, you will play a critical role in providing exceptional patient care and contributing to the development of best practices in pharmacy services.ResponsibilitiesEstablish and maintain liaison...

  • Clinical Specialist

    3 weeks ago


    New Bedford, Massachusetts, United States The Edinburg Center Full time

    Job Title: Clinician ICWAWe are seeking a skilled Clinician to join our team at The Edinburg Center, Inc. in North Eastern Massachusetts. As a Clinician, you will play a vital role in providing intensive community wrap-around services to young adults with Autism Spectrum Disorder (ASD) and serious emotional and behavioral health disturbances.Key...

  • Clinical Specialist

    2 weeks ago


    New Bedford, Massachusetts, United States The Edinburg Center Full time

    Job Title: ClinicianWe are seeking a skilled Clinician to join our team at The Edinburg Center. As a Clinician, you will work with young adults with Autism Spectrum Disorder (ASD) and serious emotional and behavioral health disturbances.Key Responsibilities:Engage young adults in the intake process, completing all required assessments and developing...


  • New Bedford, Massachusetts, United States SouthCoast Health Full time

    Key ResponsibilitiesUnder the direction of the Executive Director, Pharmacy or designee, establish and maintain liaison relationships with the medical and office staff in a SPN primary care practice and other settings.Key Performance IndicatorsEnsure the safe and effective use of medications by Pharmacist, Clinical, Pharmacy, Healthcare,...

  • Clinical Psychologist

    3 weeks ago


    New Bedford, Massachusetts, United States Brickyard Healthcare Full time

    About the RoleWe are seeking a highly skilled Clinical Psychologist to join our team at Brickyard Healthcare. As a Pain Management Specialist, you will play a critical role in providing high-quality care to our patients.Key ResponsibilitiesConduct initial patient assessments to develop effective treatment plansProvide individual and group psychotherapy, as...


  • Bedford, Massachusetts, United States Mass General Brigham Full time

    About the RoleMass General Brigham is seeking a highly skilled Clinical Pharmacist to join our team in Bedford, Massachusetts.This is an exciting opportunity to work in a dynamic environment where you will have the chance to make a meaningful impact on patient care.Key ResponsibilitiesProvide medication management through an evaluation of medications for...


  • Bedford, Massachusetts, United States Mass General Brigham Full time

    About the RoleMass General Brigham is seeking a highly skilled Clinical Pharmacist to join our team in Bedford, Massachusetts.This is an exciting opportunity to work in a dynamic environment where you will be responsible for providing medication management services to patients, ensuring safe and effective utilization of medications tailored to specific...

  • Clinical Lead

    2 weeks ago


    Bedford, Massachusetts, United States The Edinburg Center Full time

    Job Title: Clinical LeadWe are seeking a highly skilled and experienced Clinical Lead to join our team at The Edinburg Center. As a Clinical Lead, you will be responsible for providing clinical supervision to staff, ensuring services are recovery-oriented, evidence-based, and trauma-informed.Key Responsibilities:Provide clinical supervision to staff,...

  • Clinical Specialist

    2 weeks ago


    New Bedford, Massachusetts, United States Gandara Full time

    Job Title:ClinicianJob Summary:The Clinician will work in the Outpatient Clinic in a team model setting and will establish open communication, support, and accountability among workers and consumers.S/he is accountable to the Clinical Supervisor, who is responsible for providing supervision and training.The Clinician is one who actively promotes the...


  • Bedford, Massachusetts, United States Werfen Full time

    {"Job Title": "Patient Blood Management Specialist", "Job Summary": "At Werfen, we are seeking a highly skilled Patient Blood Management Specialist to join our team. As a key member of our sales team, you will be responsible for driving revenue growth and expanding our presence in the market.Responsibilities:* Achieve reagent growth goals through the...


  • New Bedford, Massachusetts, United States SouthCoast Health Full time

    Southcoast Health is a not-for-profit, charitable health system with multiple hospitals, clinics, and facilities throughout Southeastern Massachusetts and Rhode Island. We are committed to providing inclusive, ethical workplaces where our highly skilled caregivers offer world-class, comprehensive healthcare close to home. As a Clinical Technician-Emergency...