New Perspective Senior Living · 6 days ago
Clinical Reimbursement Manager (Full Time)
Minnetonka, MN
Full-time
Hybrid
Mid Level
$65K/yr - $78K/yrNew Perspective Senior Living is a growing company serving over 4,000 seniors with a goal of reaching 10,000. The Clinical Reimbursement Manager will serve as a subject matter expert in Medicaid waiver programs, providing guidance and support to community teams for accurate billing and documentation.
Health Care
Responsibilities
As resident acuity changes, communicate/coordinate with MCO’s to support timely reassessments, service authorizations, and accurate Medicaid billing rates
Regular case manager communication to support appropriate reimbursement within government payor protocols
Create and maintain community beneficiary case manager communications files and case manager contact information in support of healthy working relationships
Conduct community site visits to update resident support plans (file new, remove expired); review resident needs, issues, and concerns with on-site nursing team to enable effective up-to-date communication with case managers; and provide team member education on government reimbursement processing protocols to include allowable services
In collaboration with the clinical and compliance teams, timely remediate identified process improvement needs to include perceived irregularities in documents necessary to support government reimbursement
Audit, track, and trend government beneficiary reimbursement metrics for impact on quality resident services delivery and regulatory compliance with reimbursement protocols and opportunities for process improvement
Qualification
Preferred
Licensed nurse (LPN or RN) or Licensed Social Worker strongly preferred
Experience as a Case Worker, Case Manager, or Care Coordinator preferred
Experience working with government payor case management, such as Elderly Waiver and CADI
Experience with Medicaid reimbursed services, including completion of Medicaid Rate Sheets
Detail-oriented with proficient documentation skills
Strong interpersonal and organizational skills with the ability to work independently as well as collaboratively
Proficient in working with electronic health records
Proficient in written and verbal communication
Proficient in working with Microsoft Excel and the full Microsoft Suite (Outlook, Word, PowerPoint, etc.)
Ability to travel up to 30% of the time with minimal overnight stays required
Benefits
Medical, Dental, & Vision Insurance
401(k) with Company Match!
Paid Time Off and Holidays
Company-Paid Basic Life Insurance
Voluntary Short-Term Disability
Company-Paid Long-Term Disability
Health Reimbursement Account/Health Savings Account
Flexible Spending Accounts
Education assistance - up to $5,000 per calendar year!
Leadership Development & Career Advancement
Real-time Access to Earned Wages
Referral Bonuses
Employee Assistance Program
Company
New Perspective Senior Living
New Perspective Senior Living is a hospital & health care company that offers independent living and memory care services.
Founded in 1998
1001-5000 employees
Funding
Current Stage
Late StageTotal Funding
$200M2024-04-29Private Equity· $200M
2024-04-29Debt Financing
Leadership Team
Ryan Novaczyk
Chief Executive Officer
Todd Novaczyk
CEO
Recent News
Senior Housing News
2024-05-24
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