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Clinical Reimbursement Manager
2 months ago
Genesis Healthcare LLC is seeking a highly skilled Clinical Reimbursement Manager to join our team. As a key member of our clinical operations team, you will be responsible for maximizing revenue through the evaluation and optimization of the Medicare/Medicaid reimbursement process.
Key Responsibilities- Participate in the development, implementation, evaluation, and outcomes management of reimbursement priorities in nursing centers to assure proper utilization of services to maximize revenues.
- Advise and assist the Clinical Reimbursement/MDS Coordinators to assure compliance to HCFA and State reimbursement regulations and Genesis Policies and Procedures.
- Present changes in reimbursement regulations imposed on nursing center operations through training classes.
- Participate in nursing centers' Medicare meetings to review coverage and documentation issues and requirements. Report any issues to the Nursing Home Administrator, Director of Nursing, and Clinical Reimbursement/MDS Coordinator.
- Assist in the selection and orientation of new nursing center Clinical Reimbursement Coordinators.
We are a leading provider of healthcare services, dedicated to improving the lives we touch through the delivery of high-quality healthcare and everyday compassion. Our Core Values, Code of Conduct, and Ethics program foster a culture of care and compassion, and we focus on improving the quality of care through creativity and innovation, honesty, and integrity in all we do.
We offer career ladders, education, and training opportunities to help you build a long and successful career with Genesis. We value your contributions to our mission and vision and instill an environment of teamwork and enjoyment in working together. We recognize and celebrate our shared successes and take great pride in meeting or exceeding CDC and CMS standards.
Qualifications- Must be a graduate of an approved school of nursing with a license as a Registered Nurse or equivalent professional license (i.e., Physical Therapist).
- BS or a BA degree is required.
- Must have Medicare and Medicaid experience.
