Get It Recruit - Finance

Reimbursement Manager -- Remote | WFH

About Us

We are dedicated to providing quality healthcare to rural communities. As a valued member of our team, you will play a crucial role in enhancing our healthcare delivery network. Our network includes over 60 community hospitals, 60 rehabilitation and behavioral health hospitals, and 250 additional care sites across the United States. We are committed to serving communities nationwide by offering exceptional care, and we believe in the power of our talented teams to create environments where employees find purpose and fulfillment.

What You'll Do

As a Reimbursement Manager, you will be responsible for managing and filing Medicare and Medicaid cost reports, as well as other regulatory reports. You will collaborate with Medicare Audit Contractors (MACs) and Medicaid State Agencies during audits, calculate reimbursement-related settlements and accruals for month-end close, and forecast Medicaid supplemental payment income. Your key responsibilities include:

Key Responsibilities

  • Mitigate risk of income loss and identify opportunities for value throughout the reimbursement process related to Medicare and Medicaid programs. This includes planning, filing, and auditing cost reports for multiple acute care hospitals.
  • Complete monthly Governmental Exhibits for the calculation of Medicare and Medicaid reimbursement-related settlements as part of month-end close for several acute-care hospitals.
  • Represent hospitals during MAC audits of Medicare cost reports, wage index, and cost report Worksheet S-10 Uncompensated Care.
  • Collaborate with hospitals to ensure accurate Medicare and Medicaid contractual accruals and settlement estimates.
  • Monitor state legislative activity to keep the organization informed about upcoming Medicaid payment changes or opportunities to influence policy.
  • File Medicaid Disproportionate Share Hospital (DSH) surveys.
  • Work with the Governmental Relations department to monitor Medicaid legislative changes for assigned states.
  • Validate interim Medicare and Medicaid payment rates to ensure correct hospital payments and proper payment factors in accounts receivable allowance and settlements calculations.
  • Process month-end close, including calculating, reviewing, and preparing entries related to state supplemental payment programs.
  • Maintain regular and reliable attendance.
  • Perform other duties as assigned.

What You'll Need

  • Education: Bachelor's Degree in Accounting.
  • Experience: Minimum of 3 years of related experience in hospital reimbursements.
  • Certifications: Certified Professional Accountant (CPA) preferred.

Why Choose Us

As a team member of our Health Support Center, you will support those in our facilities who interface with and provide care to our patients and community members. We focus on attracting, retaining, and empowering a diverse and dedicated workforce. Our mission, "Making Communities Healthier," is at the core of everything we do. Together, we believe our collective efforts will shape a healthier future for the communities we serve.

Benefits

We offer a comprehensive compensation package, including a competitive salary and benefits. Some of our benefits include:

  • 401k
  • Flexible PTO
  • Generous Employee Illness Benefit (EIB)
  • Medical, dental, and vision insurance
  • Tuition reimbursement
  • Employee Assistance Program

We believe that happy, healthy people are passionately engaged with life and work, and we have designed our benefits package to enhance your wellbeing.

Join us in making a difference and find fulfillment in your career!

Employment Type: Full-Time
  • Seniority level

    Mid-Senior level
  • Employment type

    Full-time
  • Job function

    Finance and Sales
  • Industries

    Human Resources Services

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