Clinical Reimbursement Specialist
2 days ago
At Vi Living, we are seeking a highly skilled Clinical Reimbursement Specialist to join our team. As a Clinical Reimbursement Specialist, you will play a critical role in ensuring accurate and timely reimbursement for services provided to our residents.
Responsibilities:- Collaborate with the DON, CRM, and other disciplines to complete the Minimum Data Set (MDS), Resident Assessment Instrument (RAI), and associated processes.
- Manage the overall resident assessment process and tracking of Medicare/Managed Care/Medicaid case mix documents to ensure optimal reimbursement.
- Assist with resident care planning processes under the direction of the DON or CRM.
- Graduation from a School for Registered Nursing or Licensed Vocational Nurse is required.
- Minimum 1 year of previous experience in an MDS/Clinical Reimbursement Nurse role is preferred.
- Current State Licensure as a Registered Nurse or Licensed Vocational Nurse in the state where practicing is required.
- Maintains a courteous and professional manner through interactions with others.
- Uses a resident and customer-focused approach to problem solving and goal setting.
- Excellent knowledge of case-Mix, and the Federal Medicare PPS process.
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Reimbursement Specialist
4 weeks ago
San Diego, California, United States Rady Children's Hospital-San Diego Full timeJob SummaryUnder the direction of Rady Children's Hospital-San Diego Leadership, the Reimbursement Specialist is responsible for billing and collections of outstanding account balances for commercial, government, and managed care payors as assigned. The Reimbursement Specialist is required to identify and report payor issues to their leadership. It is a...
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Reimbursement Specialist I
3 weeks ago
San Diego, California, United States Rady Children's Hospital Full timeRady Children's Hospital is seeking a skilled Reimbursement Specialist I to join our team. The ideal candidate will have a strong background in billing and collections, with experience in managing commercial, government, and managed care payors. The Reimbursement Specialist I will be responsible for identifying and reporting payor issues, reading and...
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Virtual Field Reimbursement Specialist
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San Diego, California, United States B. Braun Medical Inc Full timeJob Title: Virtual Field Reimbursement SpecialistBraun Medical, Inc. is seeking a highly motivated and experienced Virtual Field Reimbursement Specialist to join our team. As a key member of our sales team, you will be responsible for promoting our full portfolio of IV Systems, Regional Anesthesia Products, and portable ultrasound equipment to healthcare...
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Reimbursement Specialist I
4 weeks ago
San Diego, California, United States Rady Children's Hospital Full timeRady Children's Hospital is seeking a skilled Reimbursement Specialist I to join our team. The ideal candidate will have a strong background in billing and collections, with experience in managing commercial, government, and managed care payors. The Reimbursement Specialist I will be responsible for identifying and reporting payor issues, reading and...
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Reimbursement Specialist I
1 week ago
San Diego, California, United States Rady Children's Hospital Full timeJob SummaryUnder the direction of PFS Leadership, the Reimbursement Specialist I is responsible for managing commercial, government, and managed care payor relationships to ensure timely and accurate reimbursement for outstanding account balances.The Reimbursement Specialist I must possess strong analytical and communication skills to identify and report...
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Reimbursement Specialist I
4 weeks ago
San Diego, California, United States Rady Children's Hospital Full timeRady Children's Hospital is seeking a skilled Reimbursement Specialist I to join our team. The successful candidate will be responsible for managing commercial, government, and managed care payor accounts, ensuring timely and accurate reimbursement. Key responsibilities include: * Identifying and resolving payor issues through effective communication and...
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Reimbursement Specialist II
4 weeks ago
San Diego, California, United States San Ysidro Health Center Full timeJob SummaryWe are seeking a highly skilled Reimbursement Specialist II to join our team at San Ysidro Health Center. As a key member of our revenue cycle team, you will be responsible for ensuring accurate and timely reimbursement for our patients.Key ResponsibilitiesPrepare and submit medical, dental, and hospital claims for reimbursementFollow up with...
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Reimbursement Specialist I
4 weeks ago
San Diego, California, United States Rady Children's Hospital San Diego Full timeRady Children's Hospital San Diego is seeking a skilled Reimbursement Specialist I to join our team. The successful candidate will be responsible for managing commercial, government, and managed care payor accounts, ensuring timely and accurate reimbursement for our organization. Key responsibilities include: * Identifying and resolving payor issues through...
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Reimbursement Specialist II
2 weeks ago
San Diego, California, United States San Ysidro Health Center Full timeJob SummaryThe Reimbursement Specialist II is a key member of our revenue cycle team, responsible for ensuring accurate and timely reimbursement for medical, dental, and hospital claims. This role requires strong analytical and communication skills, as well as the ability to work independently and as part of a team.Key ResponsibilitiesPrepare and review...
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Reimbursement Specialist I
6 days ago
San Diego, California, United States Rady Children's Hospital Full timeJob Summary:The Reimbursement Specialist I is a key member of the Rady Children's Hospital team, responsible for ensuring timely and accurate reimbursement for commercial, government, and managed care payors. This role requires strong analytical and communication skills, as well as the ability to interpret complex payor contract language.Key...
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Reimbursement Specialist II
3 weeks ago
San Diego, California, United States San Ysidro Health Center Full timeJob SummaryThe Reimbursement Specialist II is a key member of our revenue cycle team, responsible for ensuring accurate and timely reimbursement for medical, dental, and hospital claims. This role requires strong analytical and communication skills, as well as the ability to work independently and as part of a team.Key ResponsibilitiesPrepare and review...
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Reimbursement Specialist I
2 weeks ago
San Diego, California, United States Rady Children's Hospital Full timeJob Summary:Under the direction of Rady Children's Hospital Leadership, the Reimbursement Specialist I is responsible for managing the billing and collections process for commercial, government, and managed care payors. This role requires strong analytical and communication skills to identify and resolve payor issues, read and interpret complex payor...
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Reimbursement Specialist II
1 week ago
San Diego, California, United States San Ysidro Health Center Full timeJob SummaryThe Reimbursement Specialist II is a key member of our revenue cycle team, responsible for ensuring accurate and timely reimbursement for medical, dental, and hospital claims. This role requires strong analytical and communication skills, as well as the ability to work independently and as part of a team.Key ResponsibilitiesPrepare and review...
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Reimbursement Specialist
4 weeks ago
San Bernardino, California, United States TEKsystems Full timeReimbursement Specialist Job DescriptionJob Summary: We are seeking a highly skilled Reimbursement Specialist to join our team at TEKsystems. As a Reimbursement Specialist, you will be responsible for analyzing and auditing claims, identifying overpayments, and applying billing rules to determine the appropriate party to refund.Key Responsibilities:Analyze...
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Reimbursement Specialist I
1 month ago
San Diego, California, United States Rady Children's Hospital San Diego Full timeJob SummaryUnder the direction of Rady Children's Hospital San Diego Leadership, the Reimbursement Specialist I is responsible for managing and collecting outstanding account balances for commercial, government, and managed care payors as assigned. The Reimbursement Specialist I is required to identify and report payor issues to their leadership. It is a...
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Reimbursement Specialist I
1 month ago
San Diego, California, United States Rady Children's Hospital San Diego Full timeJob SummaryUnder the direction of Rady Children's Hospital San Diego Leadership, the Reimbursement Specialist I is responsible for managing and collecting outstanding account balances for commercial, government, and managed care payors as assigned. The Reimbursement Specialist I is required to identify and report payor issues to their leadership. It is a...
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Clinical Support Specialist
2 weeks ago
San Diego, California, United States AccentCare Full timeUnlock Your Potential as a Clinical Support SpecialistAt AccentCare, we're reimagining care and seeking a dedicated Clinical Support Specialist to join our team. As a professional in this role, you'll have the opportunity to make a meaningful impact on the lives of our patients and their families.What You'll Do:As a Clinical Support Specialist, you'll work...
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San Diego, California, United States MML US, Inc. Full timeMainstay Medical Clinical Specialist RoleMainstay Medical is a dynamic company that values collaboration and innovation in bringing our ReActiv8 therapy to patients in need.We're using this platform to provide an overview of the Clinical Specialist role and its responsibilities.We appreciate your interest in this position and encourage you to explore our...
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Clinical Documentation Specialist
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San Diego, California, United States UC San Diego Health System - Hillcrest Full timeJob Title: Clinical Documentation SpecialistWe are seeking a skilled Clinical Documentation Specialist to join our team at UC San Diego Health System - Hillcrest. As a Clinical Documentation Specialist, you will play a critical role in ensuring the accuracy and completeness of patient medical documentation.Responsibilities:Perform complex reviews of patient...