Clinical Reimbursement Specialist

2 weeks ago


Pennsylvania USA, United States Wallingford Nursing & Rehab - Wallingford, PA Full time
Join Our Team as a Clinical Reimbursement Coordinator

We are seeking a highly skilled Clinical Reimbursement Coordinator to join our team at Wallingford Nursing & Rehab in Wallingford, PA. As a Clinical Reimbursement Coordinator, 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 category assignment.
  • 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.
  • Maintain current BLS/CPR certification.
What We Offer:
  • Competitive hourly rate of $45.00.
  • Full-time position with benefits, including health, dental, vision, and company-paid life insurance.
  • Variable compensation plans and inclusive workplace with DEI committee.
  • Nursing Student Loan Debt Repayment and Tuition Assistance.
  • Tuition, Travel, and Wireless Service Discounts.
  • Employee Assistance Program to support mental health.


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