Lois Cimino
Hagerstown,MD
Summary
Results-driven Clinical Reimbursement Manager at Genesis Healthcare, skilled in denial resolution and HCPCS coding. Achieved significant reductions in reimbursement claim errors through meticulous documentation and strong communication. Committed to HIPAA compliance and patient confidentiality, ensuring optimal Medicare compliance and reimbursement processes.
Overview
45
45
years of professional experience
Work History
Clinical Reimbursement Manager
Genesis Healthcare
09.1978 - 09.2023
- Conducted regular audits of MDS, identifying areas fo,r improvement and implementing corrective actions as needed relative to Medicare compliance and reimbursement.
- Obtained insurance authorization for managed part B therapies for patience ensuring adequate documentation to justify same.
- Observed strict data confidentiality procedures to protect patients' information.
- Reduced errors in reimbursement claims through rigorous attention to detail and thorough documentation.
Education
Nursing
Frederick Community College
Frederick, MD06-1989
Skills
- Denial resolution
- HCPCS coding
- HIPAA compliance
- Written and verbal communication
Timeline
Clinical Reimbursement Manager
Genesis Healthcare
09.1978 - 09.2023
Nursing
Frederick Community College
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