Genesis Administrative Services

Role Description The Operating System Specialist is responsible for supporting the maintenance, audit, and optimization of Powerback Rehab’s contracted computerized billing and documentation platforms. This role provides essential technical assistance to users, ensures system configuration aligns with organizational policies, and delivers educational programs to drive user proficiency. - System Governance and Compliance: - Configuration Support: Assists the Director in ensuring all system settings and access controls reflect current organizational policies and procedures. - Audit & Compliance: Conducts regular system audits to maintain data integrity and documentation standards. - System Expertise: Utilizes extensive experience with Net Health EMR (Electronic Medical Record) and other therapy-specific platforms to maintain optimal software performance. - User Support and Customer Service: - Primary Liaison: Serves as a key corporate contact for employees regarding the day-to-day operation of billing and documentation software. - Technical Assistance: Provides direct support by resolving technical inquiries and troubleshooting software issues for end-users. - Service Excellence: Delivers high-quality customer service while maintaining professional rapport with coworkers and facility personnel. - Professionalism: Projects a positive and professional image in all interactions and corporate representations. - Training and Educational Development: - Training Implementation: Coordinates and facilitates educational programs for employees and customers regarding computerized systems. - Record Keeping: Maintains meticulous records of training sessions, including dates, subject matter, and attendance metrics. - Collaborative Reporting: Participates in and reports on system-related updates at assigned corporate and customer meetings. - Performs other duties as assigned. Qualifications - Must have a valid Physical Therapy license in the state(s) of practice, or proof of license and eligibility. - Must have a Master’s degree in Physical Therapy; or - Must have a Master’s degree in a Physical Therapy related field in addition to a Bachelor’s degree in Physical Therapy; or - Must have a Bachelor’s degree in Physical Therapy plus 5 years of progressively responsible PT experience. - The qualifying Physical Therapy degree earned outside of the U.S. must be evaluated to be the U.S. equivalent to a degree in Physical Therapy. - Availability for limited to moderate overnight travel. Requirements - MUST HAVE A VALID STATE PHYSICAL THERAPY LICENSURE. Benefits - We offer Medical, Dental, and Vision plans to Full-Time team members. We offer Dental and Vision to Part-Time team members. - We offer generous paid time off to Full-Time and Part-Time team members. - Our Powerback Clinical Mentorship Program kicks off on day one, helping you learn from the best in the field. - Keep growing with free CEUs through Medbridge. - We support Visa or Green Card sponsorships, plus our Journey Travel Program lets you work across the U.S. with the security of a full-time role. - Enjoy exclusive discounts on Wireless/TV, Home/Auto/Renters and Pet Insurance, Childcare, Eldercare, and more. - Earn rewards through our PowerZone Employee Recognition Program, and expand your expertise with our Clinicians in Action professional development program. Company Description At Powerback, we're on a mission to improve lives. As the leader in physical, occupational, speech, and respiratory therapies, we help older adults stay active and thrive while providing essential therapy for children at home and in school. With over four decades of trusted service, our reach spans skilled nursing centers, assisted and independent living facilities, outpatient clinics, and home-based care. We're proud to deliver personalized care exactly where and when it's needed most.

Overview FULL-TIME (REMOTE) CORPORATE DENIALS & APPEALS SPECIALIST MUST HAVE HEALTHCARE BILLING/COLLECTIONS EXPERIENCE W/CONCENTRATION ON DENIALS / APPEALS At Powerback, we're on a mission to improve lives. As the leader in physical, occupational, speech, and respiratory therapies, we help older adults stay active and thrive while providing essential therapy for children at home and in school. With over 38 years of trusted service, our reach spans skilled nursing centers, assisted and independent living facilities, outpatient clinics, and home-based care. We're proud to deliver personalized care exactly where and when it's needed most. Join an industry-leading team that restores hope and makes a lasting impact. If you're passionate about making a meaningful difference and want to be part of the future of rehabilitation and wellness, Powerback is the place for you. Why Powerback? - Benefits: We offer Medical, Dental, and Vision plans to Full-Time team members. We offer Dental and Vision to Part-Time team members. - Paid Time Off: We offer generous paid time off to Full-Time and Part-Time team members. - Support for New Grads: Our Powerback Clinical Mentorship Program kicks off on day one, helping you learn from the best in the field. - Continuing Education: Keep growing with free CEUs through Medbridge. - H-1B Visa & Relocation Assistance: We support Visa or Green Card sponsorships, plus our Journey Travel Program lets you work across the U.S. with the security of a full-time role. - Perks at Powerback: Enjoy exclusive discounts on Wireless/TV, Home/Auto/Renters and Pet Insurance, Childcare, Eldercare, and more. Earn rewards through our PowerZone Employee Recognition Program, and expand your expertise with our Clinicians in Action professional development program Responsibilities The Denials and Appeals Specialist is responsible for the follow up of denied claims from all commercial and contracted payers. The follow up includes initial assessment of the denials received to determine the appropriate process. Once determined, established policy and procedure will be followed for appeal submission. Reviews assigned accounts that have a payer denial based on the response from the payer and takes appropriate action, including appeals, based on the type of denial. Documents all necessary elements; reason for denial/audit, denial status, and action taken in the electronic medical record per denial management policy. Provides missing or additional information if necessary, to expedite the resolution of the denied claim. This may include writing detailed appeal letters supporting the claim and reimbursement. Performs all appeals and denials recovery procedures needed to appropriately and accurately resolve denied claims. This includes working with internal and external customers. Consistently meets productivity and quality standards established by management, recommending new approaches for enhancing performance and productivity when appropriate. Keeps Supervisor/Manager informed of any problems or issues related to the appeal process and/or current appeals. Performs other duties as assigned. Qualifications * High School diploma or equivalent education and experience required. College degree preferred. * Must be proficient using MS Office or Google Suite applications. * Strong analytical skills. * Minimum of 1 - 2 years of previous revenue cycle management experience. Posted Salary Range USD $20.00 - USD $20.00 /Hr.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Director, Regulatory and Compliance Strategy serves as a strategic liaison between the company's lines of business and its regulatory and compliance functions. This role is responsible for ensuring business operations are conducted in accordance with all applicable federal and state laws, professional standards, and regulations while fostering strategic alignment and facilitating seamless communication across departments. The Director provides expert regulatory guidance, monitors the legislative landscape, assesses risk, and drives compliance initiatives to support the company's strategic objectives. - Responsible for policies and procedures development, maintenance, and revision. - Oversight of audit processes, including analysis and report development to support the Quality Improvement Program. - Monitoring, reviewing, implementing, and providing organizational support on reimbursement, payer, and regulations in skilled nursing, outpatient, and home health settings. - Ensuring all companies/business areas integrate and comply with national and state legislation as well as adherence to Powerback policies and standards. - Assists the organization, the health care industry, and other entities as assigned as a technical consultant and resource for legislative process, regulatory development, and business compliance. - Acts as subject matter expert, providing regulatory and professional advice and guidance to assigned line(s) of business. - Monitors regulatory changes and emerging issues, assesses their impact, and disseminates critical intelligence to key stakeholders. - Serves as a primary resource for interpreting regulatory policy and offering strategic direction on compliance matters. - Oversees updates and maintenance of regulatory data, reimbursement resources, and company policies and procedures. - Leads identification, assessment, and reporting of regulatory, operational, and financial risk areas. - Develops and implements mitigation strategies and ensures appropriate controls are in place. - Supports compliance with reimbursement requirements, business operations, health and safety standards, and clinical documentation/billing requirements. - Provides compliance oversight and reporting for Quality Improvement and Policies & Procedures Committees. - Conducts onsite and remote audits, analyses, and support for Corporate Compliance and internal audit functions. - Contributes to the development, implementation, and continuous improvement of the corporate compliance program. - Develops and implements processes and systems to promote patient advocacy, professional integrity, regulatory compliance, and service reimbursement. - Assists in the development and maintenance of compliance resources (e.g., coding tools, clinical programs, operational initiatives). - Utilizes a project management approach to drive interdepartmental and interdisciplinary initiatives to timely completion. - Builds strong partnerships across company lines of business, regulatory affairs, legal, and other departments. - Establishes and maintains collaborative relationships with internal systems and external agencies. - Represents the company on industry and professional committees. - Acts as a liaison and ad hoc resource to legal services on regulatory, reimbursement, and operational risk areas. - Develops and delivers targeted training programs to ensure employees understand regulatory requirements. - Promotes a culture of compliance, accountability, and awareness throughout the organization. - Provides informational support for corporate publications, resource documents, and compliance communications. - Supervises, mentors, and evaluates assigned staff to ensure professional growth and departmental effectiveness. - Maintains budgetary oversight and manages resources efficiently for areas of responsibility. - Performs other duties as assigned to support corporate compliance and organizational goals. Qualifications - Possess, at minimum, a bachelor’s degree in physical therapy, occupational therapy, or speech language-pathology, with a master’s or doctorate degree preferred. - Have a minimum of 10 years’ experience in clinical care, of which 8 years involved progressive experience in regulatory affairs, compliance, or a related field in the healthcare industry. - Demonstrated experience in a strategic or leadership role with a strong understanding of business operations. - Hold office(s) or leadership role on state and/or national professional, government relations, clinical, policy, or steering committee(s) and/or executive board(s). Benefits - Medical, Dental, and Vision plans to Full-Time team members. - Dental and Vision to Part-Time team members. - Generous paid time off to Full-Time and Part-Time team members. - Powerback Clinical Mentorship Program for new grads. - Free CEUs through Medbridge. - Support for Visa or Green Card sponsorships. - Exclusive discounts on various services and products. - Rewards through the PowerZone Employee Recognition Program. - Professional development program: Clinicians in Action. Posted Salary Range USD $110,000.00 - USD $120,000.00 /Yr.