reimbursement coordinator

Mission Health Communities

<p><b>Spring Hill Care and Rehab</b> in <b>Spring Hill, KS</b> is looking to hire a full-time <b>MDS/Clinical Reimbursement Coordinator</b> to join our team. Are you looking for a career with a health care company that will value you? Do you want to be part of a dynamic and caring clinical team? If so, please read on!</p><p>This nursing position earns a <b>competitive salary of $41.00 - $45 .50 per hour with a $15,000 sign on bonus.</b> We also provide comprehensive benefits, including medical, dental, vision, short- and long-term disability, a flexible spending account (FSA), a 401(k) plan, paid time off (PTO), life insurance, continuing education unit (CEU) reimbursement, and daily pay options. If this sounds like the right opportunity in health care for you, apply today!</p><p>As an MDS/Clinical Reimbursement Coordinator, The MDS Coordinator is responsible for the timely and accurate completion of the Federal and State assessment tools but may also be called upon to perform duties of an RN, if needed. This position requires an understanding of the MDS rules and regulations as described in the MDS User's Manual, including item coding, RAPS, CAA's, Care Planning, electronic submission, scheduling, PPS including knowledge of MDS submission process, final validation reports, and an understanding of Medicare rules and regulations including coverage, benefit periods, certification, 30 Day rule. you will intake all processed forms, including but not limited to, order sheets, doctor notes, pharmacy recommendations, order summaries and lab results and scanning them into electronic form to upload each document into the applicable resident's electronic medical record.</p><p><b>WORK SCHEDULE</b></p><p>This full-time health care position <b>works typically Monday-Friday subject to facility needs.</b></p><p>QUALIFICATIONS FOR A LICENSED PRACTICAL NURSE (LPN)</p><ul><li>Current RN licensure with the KS Board of Nursing</li><li>Current CPR certification</li><li>1-2 years of experience as an MDS Coordinator</li><li>Good organization skills</li><li>Experience with 3.0, PPS, and Case Mix</li><li>Ability to pass license check, background check and drug screen</li><li>Ability to maintain confidentiality and comply with all HIPPA regulations</li><li>Desire to work with the elderly</li></ul><p><b>ARE YOU READY TO JOIN OUR TEAM?</b></p><p>If you feel that you would be right for this rehabilitation nursing job, please fill out our initial 3-minute, mobile-friendly application. We look forward to meeting you!</p><p>Job Type: Full-time</p><p>Pay: $41.00 - $45.50 per hour</p><p>Benefits:</p><ul><li>401(k)</li><li>Dental insurance</li><li>Health insurance</li><li>Life insurance</li><li>Paid time off</li><li>Vision insurance</li></ul><p>Application Question(s):</p><ul><li>This is not a remote position.  Are you willing to relocate or commute to work on-site?</li></ul><p>License/Certification:</p><ul><li>RN (Required)</li></ul><p>Work Location: In person</p>

Clinical Reimbursement Coordinator

Genesis Healthcare

<div>Overview:
<div>At Genesis Healthcare, we are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. Whether you're an experienced professional or just starting your career, we offer opportunities for growth, development, and advancement in a range of roles. Join us in our mission to enhance the well-being of our patients and residents while making a meaningful impact in the communities we serve.</div>
Responsibilities:
<div><div>The MDS Coordinator - RN is responsible for the timely and accurate completion of the MDS treatment assessment tool and for reviewing care plans and their delivery for factors specific to our patients/residents such as physical, cognitive, and socialization factors to ensure compliance with our high standards of care.</div><div>
</div><ul><li>Manage the overall process and tracking of all Medicare/Medicaid case-mix documents to assure appropriate reimbursement for services provided within the nursing center.</li><li>Conduct concurrent MDS reviews to assure achievement of maximum allowable RUG categories.</li><li>Integrate information from nursing, dietary, social services, restorative, rehabilitation, and physician services to ensure appropriate reimbursement.</li></ul></div>
Qualifications:
<ul><li>Must be a graduate of an accredited School of Nursing with current Registered Nurse (RN) licensure. LPNs with MDS experience may be considered.</li><li>At least one year of long-term care nursing experience is required.</li></ul>
Benefits:
<div><ul><li>Variable compensation plans</li><li>Tuition, Travel, and Wireless Service Discounts</li><li>Employee Assistance Program to support mental health</li><li>Employee Foundation to financially assist through unforeseen hardships</li><li>Health, Dental, Vision, Company-paid life insurance, 401K, Paid Time Off</li><li>Free 24/7 virtual health care provided by licensed doctors for all Anthem medically-enrolled employees and their immediate family members</li><li>On-Demand Pay Program that allows for instant access to a portion of the money you&rsquo;ve already earned</li></ul><div></div><div><br>
We also offer several voluntary insurances such as:<br>
<ul><li>Pet Insurance</li><li>Term and Whole Life Insurance</li><li>Short-term Disability</li><li>Hospital Indemnity</li><li>Personal Accident</li><li>Critical Illness</li><li>Cancer Coverage</li></ul></div><div></div><div><br>
Restrictions apply based on collective bargaining agreements, applicable state law and factors such as pay classification, job grade, location, and length of service.</div></div><div></div>
Posted Salary Range: USD $90,000.00 - USD $100,000.00 /Yr.</div>

Clinical Reimbursement Coordinator, RN

Resmed

<div><p>As a global leader in health technology, ResMed has long pioneered cloud-connected medical devices and digital solutions that support people with sleep apnea, COPD, and other chronic conditions. Today, the company extends that expertise through Brightree's Residential Care Software (RCS), a dedicated partner helping post-acute care organizations strengthen financial performance and operational efficiency. With specialized teams, industry-leading workflows, and technology-enabled processes that manage every stage of the revenue cycle, our Residential Care Software empowers home- and facility-based providers to reduce administrative burden, accelerate reimbursement, and maintain compliance. Together with ResMed&rsquo;s broader digital health ecosystem, RCS is transforming how care organizations sustain and grow their business.
</p><p></p><p>Are you an experienced professional with a minimum of 2 years of home infusion billing and accounts receivable experience? If so, we have an exciting opportunity for you as a Home Infusion Reimbursement Coordinator. In this role, you will be a key player in ensuring accurate and timely reimbursement for home infusion services navigating the complexities of billing, claims, and compliance.
</p><p></p><p><b>Let's talk about Responsibilities:
</b></p><p>As a Home Infusion Reimbursement Coordinator, your primary focus will be on orchestrating the reimbursement process for home infusion services. This includes
</p><ul><li><p>Managing billing procedures
</p></li><li><p>Resolving complex claims
</p></li><li><p>Staying abreast of regulatory changes to maintain compliance.
</p></li><li><p>Engaging with internal and external stakeholders to streamline processes and optimize revenue outcomes.
</p></li><li><p>Collaborating with cross-functional teams to achieve service and sales goals.
</p></li></ul><p></p><p><b>Let&rsquo;s talk about Qualifications and Experience<br>
 </b><br>
</p><ul><li><p>Minimum of 2 years of home infusion billing experience.
 </p></li><li><p>2 years of experience in maintaining HIPAA standards.
 </p></li><li><p>Proficient in using computers and Microsoft products (Excel and Word).
 </p></li><li><p>Strong motivation in billing, claims, and document management.
 </p></li><li><p>Effective communication skills and problem-solving abilities.
 </p></li><li><p>High school diploma required; equivalent education and experience considered.
 </p></li><li><p>Broad knowledge of routines and procedures.
 </p></li><li><p>Proven track record of working towards and exceeding metrics.
</p></li></ul><p></p><p>We are shaping the future at ResMed, and we recognize the need to build on and broaden our existing skills and continue to attract and retain the world&rsquo;s best talent. We work hard to offer holistic benefits packages, provide flexible work arrangements, cultivate a workforce culture that allows employees to grow personally and professionally, and deliver competitive salaries to our team members. Employees scheduled to work 30 or more hours per week are eligible for benefits. This position qualifies for the following benefits package: comprehensive medical, vision, dental, and life, AD&amp;D, short-term and long-term disability insurance, sleep care management, Health Savings Account (HSA), Flexible Spending Account (FSA), commuter benefits, 401(k), Employee Stock Purchase Plan (ESPP), Employee Assistance Program (EAP), and tuition assistance. Employees accrue fifteen days Paid Time Off (PTO) in their first year of employment, receive 11 paid holidays plus 3 floating days and are eligible for 14 weeks of primary caregiver or two weeks of secondary caregiver leave when welcoming new family members.
</p><p></p><p>Individual pay decisions are based on a variety of factors, such as the candidate&rsquo;s geographic work location, relevant qualifications, work experience, and skills.
</p><p></p><p>At ResMed, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current base range for this position is: <b>16.48 - 24.72 USD Hourly.<br>
</b></p><p><br>
For remote positions located outside of the US, pay will be determined based the candidate&rsquo;s geographic work location, relevant qualifications, work experience, and skills.
</p><p></p><p>Joining us is more than saying &ldquo;yes&rdquo; to making the world a healthier place. It&rsquo;s discovering a career that&rsquo;s challenging, supportive and inspiring. Where a culture driven by excellence helps you not only meet your goals, but also create new ones. We focus on creating a diverse and inclusive culture, encouraging individual expression in the workplace and thrive on the innovative ideas this generates. If this sounds like the workplace for you, apply now! We commit to respond to every applicant.</p></div><p></p>

Home Infusion Reimbursement Specialist

Brightree

<div><div>As a global leader in health technology, ResMed has long pioneered cloud-connected medical devices and digital solutions that support people with sleep apnea, COPD, and other chronic conditions. Today, the company extends that expertise through Brightree's Residential Care Software (RCS), a dedicated partner helping post-acute care organizations strengthen financial performance and operational efficiency. With specialized teams, industry-leading workflows, and technology-enabled processes that manage every stage of the revenue cycle, our Residential Care Software empowers home- and facility-based providers to reduce administrative burden, accelerate reimbursement, and maintain compliance. Together with ResMed&rsquo;s broader digital health ecosystem, RCS is transforming how care organizations sustain and grow their business.</div><div></div><div>
Are you an experienced professional with a minimum of 2 years of home infusion billing and accounts receivable experience? If so, we have an exciting opportunity for you as a Home Infusion Reimbursement Coordinator. In this role, you will be a key player in ensuring accurate and timely reimbursement for home infusion services navigating the complexities of billing, claims, and compliance.</div><div></div><div>
Let's talk about Responsibilities:</div><div>
As a Home Infusion Reimbursement Coordinator, your primary focus will be on orchestrating the reimbursement process for home infusion services. This includes</div><ul><li><div>
Managing billing procedures</div></li><li><div>
Resolving complex claims</div></li><li><div>
Staying abreast of regulatory changes to maintain compliance.</div></li><li><div>
Engaging with internal and external stakeholders to streamline processes and optimize revenue outcomes.</div></li><li><div>
Collaborating with cross-functional teams to achieve service and sales goals.</div></li></ul><div></div><div>
Let&rsquo;s talk about Qualifications and Experience</div><ul><li><div><br>
 Minimum of 2 years of home infusion billing experience.</div></li><li><div>
 2 years of experience in maintaining HIPAA standards.</div></li><li><div>
 Proficient in using computers and Microsoft products (Excel and Word).</div></li><li><div>
 Strong motivation in billing, claims, and document management.</div></li><li><div>
 Effective communication skills and problem-solving abilities.</div></li><li><div>
 High school diploma required; equivalent education and experience considered.</div></li><li><div>
 Broad knowledge of routines and procedures.</div></li><li><div>
 Proven track record of working towards and exceeding metrics.</div></li></ul><div></div><div>
We are shaping the future at ResMed, and we recognize the need to build on and broaden our existing skills and continue to attract and retain the world&rsquo;s best talent. We work hard to offer holistic benefits packages, provide flexible work arrangements, cultivate a workforce culture that allows employees to grow personally and professionally, and deliver competitive salaries to our team members. Employees scheduled to work 30 or more hours per week are eligible for benefits. This position qualifies for the following benefits package: comprehensive medical, vision, dental, and life, AD&amp;D, short-term and long-term disability insurance, sleep care management, Health Savings Account (HSA), Flexible Spending Account (FSA), commuter benefits, 401(k), Employee Stock Purchase Plan (ESPP), Employee Assistance Program (EAP), and tuition assistance. Employees accrue fifteen days Paid Time Off (PTO) in their first year of employment, receive 11 paid holidays plus 3 floating days and are eligible for 14 weeks of primary caregiver or two weeks of secondary caregiver leave when welcoming new family members.</div><div></div><div>
Individual pay decisions are based on a variety of factors, such as the candidate&rsquo;s geographic work location, relevant qualifications, work experience, and skills.</div><div></div><div>
At ResMed, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current base range for this position is: 16.48 - 24.72 USD Hourly.</div><div><br>
For remote positions located outside of the US, pay will be determined based the candidate&rsquo;s geographic work location, relevant qualifications, work experience, and skills.</div><div></div><div>
Joining us is more than saying &ldquo;yes&rdquo; to making the world a healthier place. It&rsquo;s discovering a career that&rsquo;s challenging, supportive and inspiring. Where a culture driven by excellence helps you not only meet your goals, but also create new ones. We focus on creating a diverse and inclusive culture, encouraging individual expression in the workplace and thrive on the innovative ideas this generates. If this sounds like the workplace for you, apply now! We commit to respond to every applicant.</div></div><div></div>

Signet Health

<div>Overview:
<div><b>
Prospective Payment System Coordinator/Liaison</b></div><div><b>
Acute Inpatient Rehabilitation</b></div><div><b>
Confluence Health Hospital - Mares Campus</b></div><div><b>
Wenatchee, WA</b></div><div></div><div><br>
Signet Health, a national acute rehabilitation and behavioral health company is seeking a <b>Prospective Payment System (PPS) Coordinator/Liaison</b> for the 9-bed rehabilitation program at Confluence Health Hospital in Wenatchee, WA.</div><div></div><div><br>
The <b>PPS Coordinator/Liaison</b> plays a vital role in the management and optimization of reimbursement for inpatient rehabilitation services.</div><div><br>
</div><div>**Signet Health offers a highly competitive salary and comprehensive benefits package.**</div><div></div><div><b><br>
Responsibilities include, but are not limited to:</b></div><ul><li>
Coordinates the data collection on the Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI) for completion and timely submission to CMS.</li><li>
Ensures evidence of supporting documentation.</li><li>
Provides clinical staff education to ensure compliance with CMS guidelines.</li><li>
Coordinates all efforts for immediate issue resolution concerning GG scoring and rating.</li><li>
Conducts ongoing review of IRF-PAI related data and assists the Director to address action.</li><li>
Provides guidance to rehab physicians and clinical team on capturing tier codes for appropriate reimbursement.</li><li>
Provides feedback to the team through audits on scoring, rating, and quality measures.</li><li>
Implements a schedule for every patient for timely completion of the IRF-PAI.</li><li>
Reports key metrics to the leadership team at daily team meetings.</li><li>
Collaborates closely with HIM coding department to identify and document all applicable codes concurrently.</li></ul><br>
<div></div>
Requirements/Qualifications:
<div><b>
Qualifications:</b></div><ul><li>
Current Washington state licensure in nursing (RN) or allied health profession (PT, OT, SLP) required.</li><li>
Minimum of two years experience in rehabilitation or a closely related field required.</li><li>
Experience with ICD 10 coding preferred.</li><li>
Previous experience with CMS data collection, MDS, IRF-PAI, OASIS.</li></ul>
Hospital/Program Description:
<div>
Confluence Health Hospital offers medical rehabilitation services in North Central Washington to patients with recent medical issues such as stroke, brain injury, spinal cord injury, multiple trauma, amputation and other diagnosis with physical and/or cognitive impairment.</div></div><div></div>

PPS (Prospective Payment System) Coordinator, Acute Rehab RN

AARA Clinical Research

<p>Description:<br/></p><p>Arizona Arthritis &amp; Rheumatology Associates, P.C. is the largest private Rheumatology practice in the United States. The practice has over 60 providers, 15 sites and over 300 employees providing assessment and treatments for rheumatological, podiatric, and electromyography patients. Our providers work together to keep patients healthy, and are recognized for excellence in medicine and for being pioneers in new treatments, ably supported by our Research department.<br/></p><p>We are an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disability.<br/></p><p>Our vision is to provide the best Rheumatology care, anywhere and, to balance sustainable operation with the highest possible level of patient care.<br/></p><p>We are a seeking an ambitious, friendly, positive, and compassionate AR Coordinator to join our billing department at our Business Office in Phoenix.<br/></p><p>The job purpose for the A/R Coordinator is to take required action on unpaid account balances, most typically with insurance companies.<br/></p><p>Responsibilities:<br/></p><p>Working within the assigned scope of payers, reviews report that indicate payment on account is delinquent, defined as being unpaid after 31 days from the date of service<br/>Determines the root cause analysis for non-payment which requires research of applicable chart and authorization documentation, claim status feedback and/or explanation of benefit summaries<br/>Using all means necessary through telephone, email, website and written communication, works with the insurance company to resolve the account through payment<br/>Writes appeals as appropriate<br/>Escalates unpaid claims to the bureau of insurance, if necessary, when a disregard for compliance or trend presents form a particular payer.<br/>Follows adjustment policies set forth by the department director<br/>Answers patient billing inquiries on a schedule rotation<br/>Performs other duties as assigned<br/>Requirements:<br/></p><p>Qualifications:<br/></p><p>Required<br/></p><p>High School diploma or equivalent required<br/></p><p>Combined medical billing and payment experience required, 2 years<br/></p><p>Demonstrated knowledge of state, federal, and third-party claims processing 2 years.<br/></p><p>Demonstrated knowledge of state &amp; federal collections guidelines, 2 years<br/></p><p>Preferred<br/></p><p>A/R experience in a large healthcare practice, 2 years<br/></p><p>Clinical Billing and Collections, 1 year<br/></p><p>Associate&rsquo;s degree or advanced education specific to business administration or certified coding credential.<br/></p><p>NextGen PM system, 1 year.<br/></p><p>Learn more about AARA on our website at http://azarthritis.com<br/></p>

A/R Coordinator

Syneos Health Commercial Solutions

<div><p><b>Description</b>
</p><p>The Field Reimbursement Specialist (FRS) will be responsible for the management of defined accounts in a specified geographic region in the ophthalmic therapeutic area, specifically supporting our client&rsquo;s products.</p><p>
The FRS will execute the collaborative territory strategic plan through partnership with internal and external stakeholders, which may include call center services (HUB), sales, market access, and other collaboration partners. Responsibilities include ensuring understanding of reimbursement process, field reimbursement services, and patient support program. The Reimbursement Specialist will also work on patient-level reimbursement issue resolution, and thus will need access to be knowledge of and have had experience with patient health information (PHI).</p><p>
Field Reimbursement Specialists manage daily activities that support appropriate patient reimbursement to our client&rsquo;s products in the provider offices and work as a liaison to other patient assistance and reimbursement support services offered by our clients. Activities include, but are not limited to:</p><ul><li>
Act as an extension of the product providing live one-on-one coverage support.</li><li>
Offer assistance from physician order to reimbursement, supporting the entire reimbursement journey through payer prior authorization to appeals/denials requirements procedures and forms.</li><li>
Reviewing patient-specific information in cases where the site has specifically requested the assistance in resolving any issues or coverage challenges.</li><li>
Reviewing patient insurance benefit options.</li><li>
Identifying alternate funding/financial assistance programs.</li><li>
Coordinating with our client&rsquo;s patient support services programs representatives.</li><li>
Educating physician office staff on the use of our client&rsquo;s patient assistance and call center support services, including web‑based provider programs.</li><li>
Provide information on relevant reimbursement topics related to our client&rsquo;s products.</li><li>
Serve as payer expert for defined geography and able to communicate changes to key stakeholders in a timely manner.</li><li>
Provide office support in accurate coding and billing for the client&rsquo;s products.</li></ul><p><b>
Minimum Qualifications &amp; Education:</b></p><ul><li>
Bachelor&rsquo;s degree required</li><li>
Minimum two years&rsquo; of access and reimbursement, managed care, and/or billing and coding support experience</li><li>
Experience working with Buy and Bill products and a thorough understanding of the entire reimbursement process from script to injection required</li><li>
Ophthalmic, retina specialists and biosimilar experience preferred</li><li>
Experience establishing relationships within a practice by working closely to help remove reimbursement barriers to specialty products for their patients</li><li>
Knowledge of Centers of Medicare &amp; Medicaid Services (CMS) policies and processes with expertise in Medicare Part D (Pharmacy Benefit design and coverage policy) a plus</li><li>
Knowledge of Managed Care, Government, and Federal payer sectors, as well as Integrated Delivery Network/Integrated Health Systems a plus</li><li>
Ability to travel and cover large multistate geography territories, 50% travel required</li><li>
Excellent presentation and project management skills</li></ul><p>
The annual base salary for this position ranges from $155,000 to $160,000. The base salary range represents the anticipated low and high of the Syneos Health range for this position. Actual salary will vary based on various factors such as the candidate's qualifications, skills, competencies, and proficiency for the role. In addition, some positions may include eligibility to earn commissions/bonus based on company and / or individual performance.</p><p>
At Syneos Health, we are dedicated to building a diverse, inclusive and authentic workplace. If your past experience doesn&rsquo;t align perfectly, we encourage you to apply anyway. At times, we will consider transferable skills from previous roles. We also encourage you to join our Talent Network to stay connected to additional career opportunities.</p><p><b>
Why Syneos Health?</b> Our ability to collaborate and problem-solve makes a difference in patients&rsquo; lives daily. By joining one of our field access teams, you will partner with industry experts and be empowered to succeed with the support, resources, and autonomy needed to successfully navigate the complex reimbursement landscape. The diversification and breadth of our new and existing partnerships create a multitude of career paths and employment opportunities. Join our game-changing, global company dedicated to creating better, smarter, faster ways to get biopharmaceutical therapies to patients Experience the thrill of knowing that your everyday efforts are contributing to improving patients&rsquo; lives around the world.</p><p>
Work Here Matters Everywhere | How are you inspired to change lives?</p><p><i>
Syneos Health companies are affirmative action/equal opportunity employers (Minorities/Females/Veterans/Disabled)</i></p><p>
Syneos Health has a voluntary COVID-19 vaccination policy. We strongly encourage all employees to be fully vaccinated. Additionally, certain local governments or Syneos Health customers may have vaccine requirements that apply to some of our employees. These employees are required to submit proof of vaccination to Syneos Health and maintain compliance with these requirements.
<br>
At Syneos Health, we believe in providing an environment and culture in which Our People can thrive, develop and advance. We reward and recognize our people by providing valuable benefits and a quality-of-life balance. The benefits for this position will include a competitive compensation package, Health benefits to include Medical, Dental and Vision, Company match 401k, flexible paid time off (PTO) and sick time. Because certain states and municipalities have regulated paid sick time requirements, eligibility for paid sick time may vary depending on where you work. Syneos Health complies with all applicable federal, state, and municipal paid sick time requirements.</p><p><br>
400003488</p></div>

Field Reimbursement Specialist

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10000 reimbursement coordinator jobs Near Me

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A/R Coordinator

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