Reimbursement Analyst RN-Long Term Care
Location: Kennett Square, Pennsylvania
Description: Genesis HealthCare is hiring Reimbursement Analyst RN-Long Term Care right now, this career will be presented in Pennsylvania. Detailed specification about this career opportunity please read the description below. Area of Interest : Finance/Billing
Position Type : Full Time - Permanent
Relocation Approved :
Recruiter : Law! ler, Shirley
Job Description :
The Medical Review Analyst (MRA) reviews medical records that have been requested by various CMS auditors, Medicare, and Third Party review entities. Additional duties include qualitative and quantitative review of MDS, clinical, and billing documentation prior to initial submission to assure completeness and billing accuracy. The MRA will notify centers for additional documentation as needed. Should the claim be denied from a medical or technical standpoint, the MRA will write concise and effective appeal letters at the redetermination level though presentation of the case to the Administrative Law Judge through the hearing and appeals process. The MRA will become proficient in our Medical Review tracking system. The MRA will also be responsible for researching Medicare/CMS regulations for SNF and long term care as needed. The MRA will be trained in all aspects of the ADR and medical review process.
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! Qualifications :
PA Licensed LPN or RN required
Previous experience and working knowledge of MDS 3.0 within a LTC setting required.
Strong understanding of assessment protocol required.
Excellent verbal and written communication skills required.
Strong attention to detail and analytical skills required.
Ability to learn database tracking systems and related software required.
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If you were eligible to this career, please send us your resume, with salary requirements and a resume to Genesis HealthCare.
Interested on this career, just click on the Apply button, you will be redirected to the official website
This career will be started on: Mon, 26 Aug 2013 07:23:27 GMT
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