Senior Clinical Reimbursement Specialist
5 days ago
Vi Living is recognized as a Great Place to Work and one of Glassdoor's 100 Best Companies to work for. As a leader in senior living, we prioritize our residents' well-being and provide a supportive environment for our employees to grow and thrive.
SalaryThe estimated salary for this position is $45.47-$56.84 per hour, depending on experience.
Job DescriptionWe are seeking an experienced Senior Clinical Reimbursement Specialist - Resident Care Coordinator to join our team. In this role, you will collaborate with various disciplines to coordinate resident care and maximize reimbursement from Medicare/Managed Care/Medicaid services. Your expertise in clinical reimbursement and ability to navigate regulatory requirements will ensure compliance with federal regulations.
Key Responsibilities:- Manage the completion of the Minimum Data Set (MDS) and Resident Assessment Instrument (RAI) processes
- Collaborate with DON, CRM, and other disciplines to ensure accurate and timely data entry
- Analyze and interpret data to optimize reimbursement and improve resident outcomes
To be successful in this role, you must have:
- A registered nurse license in the state where practicing is required
- Minimum 1 year of experience in an MDS/Clinical Reimbursement Nurse role
- Strong knowledge of case-Mix, Federal Medicare PPS process, Quality Indicator Process, and OBRA regulations
- Excellent communication and interpersonal skills
As a valued member of our team, you will enjoy a range of benefits, including:
- Competitive pay
- Exceptional benefits package
- Access to earned wages
- Generous Paid Time Off
- Tuition Reimbursement
- Luxury work environment
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