other
Posted Apr 22Sr Specialist, Transfer Diagnosis Related Group
Remote
Responsibilities
- Identify and determine facility information for follow up and calls to MACs and post-acute care providers, including home health agencies, skilled nursing facilities, assisting living facilities and long-term care facilities.
- Review patient medical records to determine if post-acute care was received and contacting the post-acute providers to determine dates of service and level of care provided.
- Develop and maintain strong working relations with the assigned client and team members.
Requirements
- Bachelor’s degree preferred.
- Basic knowledge of Medicare and managed Medicare concepts, including plan reimbursement.
- Basic skills in Microsoft Office, including Excel, Word, and Teams.
- Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
Benefits
- The Opportunity: CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive
- Benefits Career Advancement This position pays between $22.45 - $24.70/hr based on
- Using the validation process, ensure identified underpayments are pursuable utilizing resources including online Medicare administrative contractor (MAC) portals, DDE, CMS inpatient prices, Ensemble proprietary software, and client host systems.
- Understand the Medicare PACT policy, the affected discharge dispositions, and post-acute service providers.
- benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.
- Recognition – We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.
- Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position.
- A candidate entry rate of pay does not typically fall at the minimum or maximum of the role’s range.