Registered Nurse (RN) Clinical Reimbursement Specialist
Compensation
$48 – $55 /hr
Employment type
Full-time
Work setting
On-site
Location
Melrose, MA
Schedule
Day shift
Posted
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Job overview
The Registered Nurse (RN) Clinical Reimbursement Specialist role is onsite in Melrose, MA. Compensation is $48–$55 per hour. The role supports Sweetwater Care’s work by helping ensure accurate and timely reimbursement for patient care services. The specialist reviews clinical and billing records, prepares claims using ICD-10 and CPT coding systems, and addresses denied claims. The role also monitors reimbursement compliance and analyzes data to identify process trends and improvement opportunities.
What you'll do
- Review medical records, patient information, and billing data for accurate reimbursement
- use ICD-10 and CPT coding systems to prepare claims
- identify and resolve denied claims
- stay current with reimbursement regulations and guidelines
- analyze data to identify trends and process improvements.
What we're looking for
- Skills & competencies
- registered nursernclinical reimbursementmedical recordsicd-10cpt codingdenial managementcompliancemelrose masweetwater care$48–$55/hrhealthcare
- Work arrangement
- Weekend coverage required
Why this role
Current Massachusetts RN licensure and at least two years of clinical reimbursement or related experience are required.
About the employer
Sweetwater Care is hiring for this role. Industry: Nursing Care Facilities (Skilled Nursing Facilities). Sector: 62.
Additional details
- Industry sector
- 62
- Industry
- Nursing Care Facilities (Skilled Nursing Facilities)
- Occupation code
- 29-1141.00
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Listing ID: f4d655a6-879d-4fde-8879-d60e9ef483b1