Registered Nurse Assessment Coordinator – RNAC to assist with accurate and timely completion of both the RAI and Care Management process from admission to discharge.
Compensation
$40 to $43 per hour based on experience.
Responsibilities
Complete all required sections of the MDS
Intensive focus on Care Plans: creation, documentation, monitoring and leading the Care Plan meetings
Ensure documentation is present in the medical record to support MDS coding
Work in collaboration with the IDT to assess the needs and formulate a plan of care for the residents
Obtain and ensure Skilled Certification/Re-Certification documentation is accurate
Requirements
Licensed as a Registered Nurse - RN in Pennsylvania
Responsible for providing comprehensive patient care congruent with role and approved population foci (Family/Individual across lifespan, Adult/Gerontology, Women’s Health/Gender Related, and Psychiatric Mental Health) through systemic assessment, diagnosis, treatment, management, and follow up affecting direct patient care.
Responsibilities
Provides health promotion and the assessment, diagnosis, and management of patient problems
Practices within approved protocols, guidelines, and clinical pathways and evidence based medicine
Ability to float, round to multiple facilities and/or take call
Provides accurate billing, coding and documentation
Completes medical records and submit charges in a timely manner
Requirements
Graduate of a Nurse Practitioner program approved by the State of Texas; Master of Science in Nursing required
Graduate of a nationally accredited Physician Assistant program; Master of Physician Assistant Studies required
Assists hospitals and medical providers in resolving accounts resulting from work-related injuries by gathering insurance details, submitting claims, reviewing payments/denials, and appeals.
Compensation
Pay Range: $18.00 - $24.75 per hour
Responsibilities
Maintain a queue of Workers’ Compensation accounts as assigned by management
Contact patient’s employer, Workers’ Compensation carrier, and injured worker via telephone and mail to obtain injury information and insurance information
Support patients by answering any questions about the Workers’ Compensation process
Coordinate with appropriate client personnel to ensure appropriate filing guidelines are met for reimbursement
Request appropriate information, both verbally and written, from appropriate parties to ensure proper claim disposition
The Hope Therapy Center is seeking an experienced, detail-oriented Medical Billing Specialist to join our team on a part-time basis to oversee medical insurance authorizations, claims review, payment reconciliation, credentialing, and communication with insurance providers.
Responsibilities
Manage insurance authorizations, including obtaining, tracking, and maintaining approvals to support uninterrupted client services.
Maintain client and provider information within CentralReach, including staff accounts and reporting.
Monitor billing activity and analyze reports to ensure claims are submitted accurately and on time.
Review Explanation of Benefits (EOBs), investigate payment discrepancies, and assist with claim denials and appeals.
Identify outstanding claims, unpaid balances, and problem accounts, and work toward timely resolution.
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