Reimbursement Specialist - Healthcare jobs in Houston, TX

We’re seeking an Regional Reimbursement Nurse to join our growing team to Cover Houston and Texas Coast!

Reliability, trustworthiness and consistency with regard to attendance is extremely important to this job. The ability to regularly and timely attend work, cooperative and politely work and deal with others, and to effectively multi-task and work in a stressful environment are also essential functions to this job.

Benefits:

• Health/Dental/Vision Insurance
• Ancillary policies including AD&D, STD, Cardiac, Cancer, Critical Illness, Hospital Confinement
• Whole and Term Life Insurance
• Tuition Reimbursement
• Paid Time Off
• Immediate 401(k)
• Unparalleled Corporate Support

Responsibilities:

• Support Facility Staff :Schedules residents for appropriate admission, annual, quarterly, Medicare assessment or change-of-condition assessments, overseeing communication to nursing and other departments.
• Assures compliance with Federal and State regulations regarding completion/coordination of the comprehensive assessment (MDS).
• Monitors MDS and care plan documentation on all residents, assuring that complete, orderly chronological and current documentation is in file.
• Maintains proficiency in software.
• Coordinate and attends regular Medicaid meetings to discuss current residents, pending residents and recipients.
• Coordinate and attends all ITTM meetings in order to gather information, communicate changes, maintain and update the clinical records including the Care plan.
• Performs care plan updates as needed.
• Provide DON, Administrator and pertinent staff with the Quality Indicators Report.
• Perform transmissions of the MDS on a timely basis.
• Remains current with changes in the industry through attendance at outside workshops and conferences.
• Perform Ancillary management, collection and reporting to corporate billing personnel.

Requirements:

• Licensed Nurse in good standing.
• Geriatric nursing background.
• Restorative care philosophy, excellent professional skill (both assessment and hands-on and good communication and organization skills).
• Working knowledge of nursing home regulations.
• Ability to work independently as well as a meaningful member of the team.
• Excellent organizational skills in order to coordinate many projects simultaneously.

We are an equal opportunity employer and prohibit discrimination/harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

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