Genesis HealthCare

Clinical Reimbursement Coordinator, RN

Genesis HealthCare

Pennsburg, PA 18073, USA
Full-TimeDepends on ExperienceSenior LevelMasters
Job Description

Are you a compassionate and detail-oriented Registered Nurse looking for a challenging and rewarding career opportunity? Look no further than Genesis HealthCare! We are currently seeking a Clinical Reimbursement Coordinator (RN) to join our team and play a vital role in managing and optimizing our facility's reimbursement process. In this role, you will utilize your clinical expertise and knowledge of Medicare and Medicaid regulations to ensure accurate and timely reimbursement for our patients' care. If you have a passion for providing quality care and possess strong analytical, communication, and leadership skills, we would love for you to join our dedicated team.

  1. Manage the facility's reimbursement process for Medicare and Medicaid patients.
  2. Utilize clinical expertise and knowledge of regulations to ensure accurate and timely reimbursement.
  3. Collaborate with other departments to gather necessary information for reimbursement claims.
  4. Monitor and analyze reimbursement data and identify areas for improvement.
  5. Communicate with insurance companies and government agencies to resolve reimbursement issues.
  6. Train and educate staff on reimbursement regulations and processes.
  7. Stay updated on changes in reimbursement regulations and implement necessary changes in procedures.
  8. Ensure compliance with all documentation and coding requirements for reimbursement.
  9. Maintain accurate records and documentation related to reimbursement.
  10. Serve as a resource for staff and patients regarding reimbursement questions and concerns.
  11. Work closely with the finance team to ensure timely and accurate billing.
  12. Provide leadership and guidance to the reimbursement team.
  13. Participate in meetings and trainings related to reimbursement and healthcare regulations.
  14. Continuously evaluate and improve reimbursement processes to maximize efficiency and accuracy.
  15. Maintain confidentiality and adhere to all legal and ethical standards in regards to patient information.
Where is this job?
This job is located at Pennsburg, PA 18073, USA
Job Qualifications
  • Current Rn Licensure In The State Of Employment.

  • Excellent Communication And Interpersonal Skills, With The Ability To Work Collaboratively With Interdisciplinary Teams And External Stakeholders.

  • Minimum Of 3 Years Of Experience In Long-Term Care Or Skilled Nursing Facility.

  • Knowledge Of Medicare And Medicaid Regulations And Reimbursement Guidelines.

  • Strong Understanding Of Mds (Minimum Data Set) And Rai (Resident Assessment Instrument).

Required Skills
  • Quality Assurance

  • Data Analysis

  • Documentation Accuracy

  • Billing And Coding

  • Clinical Assessment

  • Utilization Review

  • Interdisciplinary Communication

  • Medicare/Medicaid Knowledge

  • Medical Records Management

  • Reimbursement Regulations

Soft Skills
  • Communication

  • Conflict Resolution

  • Emotional Intelligence

  • Leadership

  • Time management

  • creativity

  • Teamwork

  • Active Listening

  • Adaptability

  • Problem-Solving

Compensation

According to JobzMall, the average salary range for a Clinical Reimbursement Coordinator, RN in Pennsburg, PA 18073, USA is $75,000-$85,000 per year. However, this can vary depending on factors such as years of experience, additional certifications, and the specific employer.

Additional Information
Genesis HealthCare is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
Required LanguagesEnglish
Job PostedMarch 25th, 2025
Apply BeforeJuly 20th, 2025
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About Genesis HealthCare

Genesis HealthCare is a provider of short-term post-acute, rehabilitation, skilled nursing and long-term care services. Genesis operates approximately 500 skilled nursing centers and assisted/senior living residences in 34 states across the United States.

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