Regional Clinical Reimbursement Specialist

Come join an amazing team!

Our care teams are true caregivers. They serve patients with dedication and compassion and are the heart of our patients’ care and recovery. Whether providing direct care or operational support, Priority Management seeks people who share our commitment to providing excellent care to our patients and residents. Our patients are our passion and we invite you to join our team!

Responsibilities:

Reimbursement specialists are responsible for communicating and working with insurance companies and medical billing staff to manage billing and various reimbursements. This position requires an advanced understanding of records, coding, and billing practices to ensure compliance and patient confidentiality. This position requires strong attention to detail and familiarity with clerical and office processes, as well as medical and insurance terminology.

Benefits Include:

• Medical
• Dental
• Vision
• Basic Company Paid Life insurance
• Long Term Disability
• Voluntary Life Insurance for the Employee, Employee Spouse and Employee Children
• Short Term Disability, Cancer, Critical Illness, Accidental and Universal Life
• Employee Referral Bonus Potential Program
• Daily Pay
• Tuition Reimbursement
• Paid Time Off

Qualifications

• Must have, as a minimum, three (3) years’ experience in a hospital, nursing care facility, or other related health care facility.
• Must have training in rehabilitative and restorative nursing practices.
• Must have a working knowledge of managed care rules, regulations, and guidelines.
• Must possess a current, unencumbered, active license to practice as an RN or LPN/LVN in this state.
• Must be a supportive team member, contribute to and be an example of team work and team concept.
• Must be able to read, write, speak, and understand the English language.
• Must possess the ability to make independent decisions when circumstances warrant such action. Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public.
• Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to managed care and nursing care facilities.
• Must possess leadership and supervisory ability and the willingness to work harmoniously with and supervise other personnel.
• Must possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures, etc., that are necessary for providing quality care.

Priority Management Group, LLC is an Equal Opportunity Employer that does not discriminate on the basis of actual or perceived race, creed, color, religion, alienage or national origin, ancestry, citizenship status, age, disability or handicap, sex, marital status, veteran status, sexual orientation, genetic information, arrest record, or any other characteristic protected by applicable Federal, State or Local laws. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment. Management Group, LLC is an Equal Opportunity Employer that does not discriminate on the basis of actual or perceived race, creed, color, religion, alienage or national origin, ancestry, citizenship status, age, disability or handicap, sex, marital status, veteran status, sexual orientation, genetic information, arrest record, or any other characteristic protected by applicable Federal, State or Local laws. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.