Director of Reimbursement

Vetter Senior Living is seeking a Director of Reimbursement to provide Medicare/MDS support to our senior living facilities. Through strong personal relationships, you will deliver support that exceeds our facilities' expectations while helping us remain a premier provider of long-term care services.

About Us

Our mission is Dignity in Life. We are "Family Serving Family," guided by our values of Serving, Integrity, Teamwork, and Excellence. You will be part of a highly respected team of skilled and caring people committed to making quality service a way of life.

What You Will Do

• Review current Medicare and Medicaid programs and MDS systems to identify strengths and opportunities for improvement.
• Ensure all services are captured for appropriate reimbursement.
• Set standards and benchmarks for Medicare Part A & B utilization that maximize reimbursement while meeting all regulatory requirements.
• Review, set guidelines and develop tools to manage the financial impact of the admission process.
• Analyze ADL coding, assess accuracy, and identify miscoding or under-coding that could contribute to lost revenue.
• Develop comprehensive ADL training for all staff, along with ongoing competency tests and audits.
• Develop and maintain PDPM and RUG education, including RUG distribution, assessment reference date selection, interdisciplinary communication, and timely MDS submission to meet billing timeframes.
• Develop training programs as legislation changes and serve as a teacher, model and consultant for other staff.
• Manage education related to iQIES reports and Quality Metrics.
• Build cooperative working relationships with other departments and uphold safety, regulatory, and company standards.

Qualifications

• Ten years of work experience as an RN and five years working with Medicare and MDS.
• Excellent background in Medicaid and Medicare rules and MDS functions, and good working knowledge of nursing home regulations.
• Proven training experience and a solid knowledge base of geriatric health care.
• Sound judgment and technical skills; able to meet deadlines and manage several projects simultaneously.
• Effective verbal and written communication with personnel, professionals, business contacts and the public.
• High personal integrity, a caring attitude and a strong desire to relate to and work with others.

Benefits

Vetter Senior Living offers a competitive benefits package, including:

• Health, dental, and vision insurance
• 401(k) with company match
• Paid Time Off (PTO)
• Paid holidays
• Educational Loan Reimbursement Program
• Earned wage Access
• Employee Assistance Program (EAP)
• A family-oriented culture dedicated to supporting team members and residents alike

Join our team and help advance our mission of Dignity in Life while supporting quality care across our senior living communities.