Clinical Reimbursement Specialist

6 days ago


Hadley, Massachusetts, United States Genesis Healthcare Services Full time
Job Summary

Genesis Healthcare Services is seeking a highly skilled Clinical Reimbursement Specialist to join our team. As a key member of our MDS team, you will be responsible for ensuring accurate and timely completion of Medicare/Medicaid case-mix documents, reviewing care plans, and integrating information from various departments to ensure optimal reimbursement.

Key Responsibilities
  • Manage the overall process and tracking of Medicare/Medicaid case-mix documents to ensure accurate reimbursement.
  • Conduct concurrent MDS reviews to achieve maximum allowable RUG categories.
  • Integrate information from nursing, dietary, social services, restorative, rehabilitation, and physician services to ensure optimal reimbursement.
Requirements
  • Graduate of an accredited School of Nursing with current Registered Nurse (RN) licensure.
  • At least one year of long-term care nursing experience required.
What We Offer
  • A dynamic and supportive work environment.
  • Opportunities for career growth and professional development.
  • A comprehensive benefits package, including health, dental, and vision insurance.
  • A 401(k) plan with company match.
  • Paid time off and holidays.
About Us

Genesis Healthcare Services is a leading provider of healthcare services, committed to delivering high-quality care and compassion to our patients and communities. We are an equal opportunity employer, dedicated to fostering a diverse and inclusive workplace.



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