Clinical Reimbursement Specialist

4 days ago


Lebanon, United States Lebanon Center Full time
About the Role

We are seeking a highly skilled Clinical Reimbursement Specialist to join our team at the Lebanon Center. As a key member of our healthcare team, you will play a critical role in ensuring accurate and timely reimbursement for our services.

Key Responsibilities
  • Maintain accurate schedules of all MDS assessments, including reference dates, to ensure timely submission of case-mix documents.
  • Perform concurrent MDS reviews to identify opportunities for enhanced reimbursement and ensure accurate RUGs categorization.
  • Communicate case-mix data required for billing to the Business Office, including RUGs categories, modifiers, and state case-mix scores.
  • Provide education and instruction on MDS terminology and format to nursing center staff.
Requirements
  • Graduate of an accredited School of Nursing with current RN licensure in the state of employment.
  • One year of long-term care clinical nursing experience.
  • Experience with Medicare/Medicaid reimbursement, MDS completion, clinical resource utilization, and/or case management is highly desirable.
  • Current BLS/CPR certification is required.
What We Offer
  • Competitive hourly rate of $50.00.
  • A comprehensive benefits package, including health, dental, vision, and company-paid life insurance.
  • A 401K plan with employer match.
  • Variable compensation plans.
  • Inclusive workplace with a dedicated DEI committee.
  • Nursing Student Loan Debt Repayment and Tuition Assistance.
  • Tuition, Travel, and Wireless Service Discounts.
  • Employee Assistance Program for mental health support.
  • Employee Foundation for financial assistance during unforeseen hardships.


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