Genesis HealthCare

Director, Clinical Reimbursement

Genesis HealthCare

Kennett Square, PA 19348, USA
Full-TimeDepends on ExperienceSenior LevelMasters
Job Description

The Genesis HealthCare team is looking for an experienced, highly organized Director of Clinical Reimbursement to join our innovative team. The Director of Clinical Reimbursement will work to ensure that Genesis HealthCare's clinical reimbursement strategies are accurately implemented and effectively managed. The successful candidate will possess excellent communication and interpersonal skills, a comprehensive understanding of the healthcare reimbursement landscape, and a commitment to providing the highest quality clinical care for our patients.Minimum qualifications for this position include a Bachelor's degree in healthcare, finance, or a related field, at least 5 years of experience in healthcare reimbursement, and a strong working knowledge of reimbursement regulations. Industry certifications related to reimbursement or coding and a Master's degree in a relevant field is preferred. The successful candidate must have a passion for healthcare reimbursement, a strong attention to detail, and the ability to manage multiple complex projects simultaneously.

Responsibilities:

  1. Develop and implement strategies to maximize clinical reimbursement for Genesis HealthCare.
  2. Monitor reimbursement regulations and industry trends to ensure compliance with all applicable laws.
  3. Provide guidance and training to staff on reimbursement policies and procedures.
  4. Develop processes and procedures to ensure accurate and timely reimbursement of claims.
  5. Maintain relationships with insurance companies and other external partners to ensure accurate and timely reimbursement of claims.
  6. Analyze financial data and prepare reports for senior management.
  7. Monitor utilization and cost trends and develop strategies to optimize reimbursement.
  8. Establish and maintain relationships with external partners in the healthcare reimbursement industry.
  9. Oversee coding accuracy and ensure compliance with coding standards and regulations.
  10. Collaborate with other departments to ensure the highest quality of patient care.
Where is this job?
This job is located at Kennett Square, PA 19348, USA
Job Qualifications
  • Excellent Organizational And Communication Skills

  • Ability To Collaborate With Other Departments

  • Strong Working Knowledge Of Medicare Reimbursement Regulations

  • Experience In Strategic Planning And Budgeting

  • Experience In Managing And Leading Staff

  • Knowledge Of Icd- And Cpt Coding

  • Strong Understanding Of Medicare And Other Third-Party Payers

  • Understanding Of Relevant Healthcare Laws And Regulations

Required Skills
  • Documentation

  • Networking

  • Communication

  • Management

  • Negotiation

  • Leadership

  • Compliance

  • Collaboration

  • Analytical

  • Problem-Solving

  • Interpersonal

  • Attention-To-Detail

  • Regulatory

  • Financial

  • Reimbursement

Soft Skills
  • Communication

  • Customer Service

  • Leadership

  • Time management

  • creativity

  • Organization

  • self-motivation

  • Teamwork

  • Adaptability

  • Problem-Solving

Compensation

According to JobzMall, the average salary range for a Director, Clinical Reimbursement in Kennett Square, PA 19348, USA is $88,000 to $104,000 per year. This salary range is dependent on a variety of factors such as experience, qualifications, and industry.

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 PostedNovember 21st, 2023
Apply BeforeMay 22nd, 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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