Clinical Reimbursement Specialist-RegionalLife Care Centers of America • Denver, CO, US

No longer accepting applications

Clinical Reimbursement Specialist-Regional

Life Care Centers of America • Denver, CO, US

30+ days ago

Job type

Full-time

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

Create a job alert for this search

Clinical Reimbursement • Denver, CO, US

Related jobs

Field Reimbursement Manager (Immunology Rheumatology)– (DENVER SOUTH) – Johnson & Johnson HCS, Inc.

Johnson & Johnson • Denver, Colorado, USA

Full-time +1

At Johnson & Johnsonwe believe health is everything.Our strength in healthcare innovation empowers us to build aworld where complex diseases are prevented treated and curedwhere treatments are ...Show more

Last updated: 12 days ago • Promoted

Field Reimbursement Manager (FRM) - West- Job ID : 1745

Ascendis Pharma • Denver, CO, US

Full-time

Field Reimbursement Manager (FRM).Ascendis Pharma is a dynamic, fast-growing global biopharmaceutical company with locations in Denmark, Europe, and the United States. Today, we're advancing program...Show more

Last updated: 30+ days ago • Promoted

Sr Director Rebate Invoice and Audit - Synergie Medication Collective

Blue Cross Blue Shield Association • Denver, CO, United States

Full-time

The hiring range for this role is : .This is the lowest to highest salary we.A candidate's position within the.Note : No amount of pay is considered to be wages or compensation until such amount is ea...Show more

Last updated: 20 days ago • Promoted

Medical Director - Medicaid (remote)

Humana Inc • Denver, CO, United States

Remote

Full-time

Become a part of our caring community and help us put health first.The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderate...Show more

Last updated: 2 days ago • Promoted

Medicare Specialist

The Jonus Group • Centennial, CO, United States

Full-time

Looking for a dedicated and experienced Medicare Specialist to join a growing team.This is a full-time, in-office position where you will play a pivotal role in assisting clients with Medicare prod...Show more

Last updated: 30+ days ago • Promoted

Clinical Regional Manager (RM)

Syneos Health / inVentiv Health Commercial LLC • Denver, CO, United States

Full-time

There's one thing you do that's exceptional : lead.You formulate a plan and empower your team to provide clinical expertise to health care providers helping them to improve patient outcomes.Your cap...Show more

Last updated: 30+ days ago • Promoted

Regional Medical Scientific Director, Pulmonary Hypertension (Remote Colorado, Kansas, New Mexico, Oklahoma, Utah)

MSD • Denver, Colorado, USA

Remote

Full-time

We are seeking a Growth and Improvement minded Regional Medical Scientific Director Cardiopulmonary & Pulmonary Hypertension that can help drive our Strategic Operating Priorities.Invent Purs...Show more

Last updated: 11 days ago • Promoted

Reimbursement Analyst II

Common Spirit Health • Englewood, CO, US

Full-time

The Reimbursement Analyst is responsible for supporting Dignity Health hospitals with the technical expertise necessary for the preparation of monthly Financial Statements and to fulfill various re...Show more

Last updated: 30+ days ago • Promoted

Clinical RN Director

Summit View Surgery Center (12702) • Littleton, CO, US

Full-time

Summit View Surgery Center is hiring a Clinical Director - Outpatient Surgery to join the team!.Summit View Surgery Center is a modern, multi-specialty facility equipped with two operating rooms an...Show more

Last updated: 26 days ago • Promoted

RN Clinical Coordinator

CommonSpirit Health • Broomfield, CO, United States

Full-time

At CommonSpirit Mountain Region, we believe in the healing power of humanity and serving the common good through our dedicated work and shared mission to celebrate humankindness.Anthony North Hospi...Show more

Last updated: 9 days ago • Promoted

RN Clinical Manager, Home Health

BAYADA Home Health Care • Denver, Colorado, USA

Full-time

Clinical Manager (RN required).Denver Visits office in Denver CO.As one of the Clinical Managers you will lead the field staff in providing exceptional client service clinical excellence and adhere...Show more

Last updated: 11 days ago • Promoted

Access & Reimbursement Manager (Denver, CO)

San Diego Staffing • Denver, CO, US

Full-time

Access & Reimbursement Manager.Be a part of a global team that is inspired to make a difference in the lives of people living with rare disease. At Travere Therapeutics, we recognize that our except...Show more

Last updated: 30+ days ago • Promoted

RN Clinical Research

UC Health • Littleton, CO, United States

Full-time

UCHealth UCHlth Leprino Building AMC, US : CO : Aurora.Pay is dependent on applicant's relevant experience.Provides direct patient care and ongoing assessments, delivers education to research volunteer...Show more

Last updated: 11 hours ago • Promoted • New!

RN Clinical Coordinator Emergency Room

Unavailable • Westminster, CO, United States

Full-time +1

Last updated: 9 days ago • Promoted

Clinical Rehabilitation Specialist, PRN

Lifepoint Health • Denver, Colorado, USA

Full-time +1

Clinical Rehabilitation Specialist.Facility : Kindred Hospital ARU.Schedule : 1-2 weekends per month.At Lifepoint Rehabilitation we are driven by a profound commitment to prioritize your well-being s...Show more

Last updated: 20 days ago • Promoted

Senior Reimbursement Manager

VirtualVocations • Arvada, Colorado, United States

Full-time

A company is looking for a National Reimbursement Senior Manager.Key Responsibilities Lead reimbursement strategy and execution across California and emerging EPR states Oversee the lifecycle of...Show more

Last updated: 2 days ago • Promoted

Clinical RN Director

Summit View Surgery Center • Littleton, Colorado, United States

Full-time

Summit View Surgery Center is hiring a Clinical Director - Outpatient Surgery to join the team! Summit View Surgery Center is a modern, multi-specialty facility equipped with two operating rooms an...Show more

Last updated: 7 days ago • Promoted

RN Clinical Coordinator OR

AH Rocky Mountain • Castle Rock, CO, United States

Full-time

All the benefits and perks you need for you and your family : .Student Loan Repayment Program.Whole Person Wellbeing Resources. Joining AdventHealth is about being part of something bigger.Its about b...Show more

Last updated: 9 days ago • Promoted