Clinical Reimbursement Specialist-Regional Job at Life Care Centers of America, Denver, CO

bjM2SktHTDFqc1BTcG9uYi81b29PMG1RNGc9PQ==
  • Life Care Centers of America
  • Denver, CO

Job Description

Position Summary:

The Clinical Reimbursement Specialist ensures correct monetary reimbursement for any services offered to patients and residents covered by insurance programs by reviewing patient records and clinical care programs. in accordance with all applicable laws, regulations, and Life Care standards.

Education, Experience, and Licensure Requirements:

  • Registered nurse with an active state license and MDS and RAI experience.

Specific Job Requirements:

  • Make independent decisions when circumstances warrant such action
  • Knowledgeable of practices and procedures as well as the laws, regulations, and guidelines governing functions in the post acute care facility
  • Implement and interpret the programs, goals, objectives, policies, and procedures of the department
  • Perform proficiently in all competency areas including but not limited to: patient rights, and safety and sanitation
  • Maintains professional working relationships with all associates, vendors, etc.
  • Maintains confidentiality of all proprietary and/or confidential information
  • Understand and follow company policies including harassment and compliance procedures
  • Displays integrity and professionalism by adhering to Life Care’s Code of Conduct and completes mandatory Code of Conduct and other appropriate compliance training

Essential Functions:

  • Exhibit excellent customer service and a positive attitude towards patients
  • Assist in the evacuation of patients
  • Demonstrate dependable, regular attendance
  • Concentrate and use reasoning skills and good judgment
  • Communicate and function productively on an interdisciplinary team
  • Sit, stand, bend, lift, push, pull, stoop, walk, reach, and move intermittently during working hours
  • Read, write, speak, and understand the English language

An Equal Opportunity Employer

Job Tags

Similar Jobs

Sunrise Systems, Inc.

Office Associate Job at Sunrise Systems, Inc.

 ...qualification: Process W-9 forms in our tax database with high accuracy and attention to detail. Sort and scan incoming paper mail and digital forms from shared email inboxes. Log voicemails into an Excel-based tracking template. Assist with generating and... 

Reeves Construction Company

Project Manager Job at Reeves Construction Company

 ...industry standards and in accordance with applicable specifications and requirements. Provide ongoing training and mentoring to entry level and midlevel engineers to promote employee development. Requirements ~5 years' previous asphalt paving /grading & storm... 

Carnivore Style

Social Media Assistant Job at Carnivore Style

**Company:** Carnivore Style**Location:** Work From Home (Remote)**Salary:** $3,200 $3,750 per month (depending on experience)...  ...Overview:** Were seeking a creative and detail-oriented **Social Media Assistant** to help us grow and engage our community. This role... 

Craft & Technical Solutions

1st Class Pipefitter Job at Craft & Technical Solutions

 ...Permanent Resident and provide a birth certificate, passport, permanent resident card or naturalization documentation. Benefits CTS, LLC offers a comprehensive benefit package to eligible employees. Eligible employees may enroll in: ~ Health ~ Dental ~... 

Cornerstone Residential

Leasing Agent Job at Cornerstone Residential

 ...for a dynamic person to join our team with a desire to learn the property management industry. Great potential for growth. Leasing Agents welcome prospective residents, assist with viewing/touring the property, provide accurate information about each apartment home...