Benedictine College

Clinical Reimbursement Manager

Benedictine College$93K — $101K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Current state RN licensure in good standing
  • Understanding of long-term care facility regulations
  • Expertise in RAI/MDS/Care Planning processes
  • Familiarity with Medicare, Medicaid, and private insurer procedures
  • Strong analytical skills for service evaluation

Responsibilities

  • Maintain communication between internal and external partners
  • Analyze services and interventions with the clinical team
  • Ensure payer communication regarding coverage appropriateness
  • Oversee coordination of clinical payment programming
  • Lead the MDS and RAI process

Benefits

  • Paid time off (PTO)
  • Retirement plans
  • Medical, dental, and vision insurance
  • Education assistance
  • Variety of additional voluntary benefits
Full Job Description
Overview

Our Clinical Reimbursement Manager oversees the coordination of all clinical payment programming. Also, our Clinical Reimbursement Managers serves as a point of contact to maintain coordination of the MDS and RAI process.

Responsibilities

  • The Clinical Reimbursement Manager maintains communication between internal and external partners.
  • The Clinical Reimbursement Manager analyzes services and interventions with the team.
  • The Clinical Reimbursement Manager communicates with responsible payers to ensure when coverage is appropriate.


Qualifications

  • Current state licensure as a Registered Nurse (RN), in good standing.
  • Knowledge of current state and federal regulations governing long-term care facilities.
  • Knowledge of RAI/MDS/Care Planning, Medicare, Private Insurers, and Medicaid processes.


Salary Range

$45.00- $49.00

Benefits Statement

A robust benefits package is available to eligible associates, designed to meet the needs of every stage of life, including paid time off (PTO), retirement, medical, dental, vision, education assistance, and a variety of additional voluntary benefits. For more information visit our website at www.benedictineliving.org.

About Benedictine College

Benedictine College is a private Catholic liberal arts college located in Atchison, Kansas. The college was founded in 1858 by Benedictine monks and is affiliated with the Roman Catholic Church. Benedictine College offers undergraduate degrees in over 50 majors and minors, as well as graduate degrees in education and theology. The college has a student population of around 2,000 and a student-to-faculty ratio of 13:1. The college's mission is to educate students within a community of faith and scholarship.
Learn more about Benedictine College
Size
100 employees
Industry

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