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Job: Reimbursement Manager

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Posted: 12/07/2017

Job Reference #: 422728400A4

Job Type: Management - Mid-Level (Manager, Director) Management - ALL CATEGORIES

Jobing Description

Centura Health connects individuals, families and neighborhoods across Colorado and western Kansas with more than 21,000 of the most talented hearts and minds in medicine.


 


Through Centura Health’s 17 hospitals, two senior living communities, health neighborhoods, physician clinics, Flight for Life® Colorado, home care and hospice services, we offer a diverse range of work settings in a Colorado or Kansas community you will love to call home.


Enjoy amazing people, competitive pay, some of the best benefits in the industry and plenty of opportunity for professional growth and development.


 


If you’re ready to discover the difference of working for a fully-integrated health system with a non-profit, faith-based mission to care, we look forward to receiving your application.


Job Description/Job Posting ID: 110890


Recruiter Contact: Darci Clark, Darciclark@centura.org


Schedule: Full Time


Shift: Days


Position Summary


Reimbursement consultant to the hospitals. Manage the cost report process from work paper set preparation to cost report filing including engaging all hospital personnel or consultants to ensure meeting necessary deadlines. Will also file assigned hospital cost reports. Manage all aspects of Medicare audit support and adjustment review including filing Medicare appeals. Manage Medicare and Medicaid reimbursement projects with hospital and corporate senior management, including regulatory research and financial analysis. Responsible for the hospital’s current year Medicare/Medicaid cost report estimate model and prior year cost report balances. Reports to Reimbursement Director.


Minimum Education Requirements


Bachelors in Accounting or Finance MBA Desired


Minimum Experience Requirements


Seven years of healthcare reimbursement/finance experience Strong Excel skills


License/Certifications


CPA Desired


Position Duties (essential functions denoted with an *)


COST REPORTING:


Manage the cost report process including meeting with hospital financial staff prior to the end of the Medicare FYE, overseeing workpaper set completion, cost report preparation and filing including coordination with consultants.*


Manage the Medicare and Medicaid audit process including ensuring supportable documentation is provided to auditors.*


File cost report appeals and complete position papers for the PRRB.*


Deadline driven processes, so must be able to complete timely and accurately.*


REGULATORY:


Strong ability to read and interpret government regulations.*


Consult and advise CFOs, hospital and corporate senior management requests for information and financial impacts to the Medicare and Medicaid programs.*


Write regulatory communication summaries to hospital and corporate finance senior management.*


Manage 855A application filing process through Medicare/Medicaid and CMS review process.*


FINANCIAL REPORTING:


Understand the Medicare and Medicaid cost report estimate model including the factors/data input in the model and their impact.*


Complete quarterly reviews and communicate financial impact of contractual model and supporting documentation.*


Thoroughly understand the hospital’s current and prior year Medicare and Medicaid balance sheet accounts.*


Evaluate P&L impact analysis of cost report settlements and communicate to hospital and corporate finance.*


LEADERSHIP:


Lead training and education sessions for Reimbursement Dept Staff.*


Reimbursement knowledge resource for Reimbursement Dept Staff.*


Work with Reimbursement Director to update policies and procedures.*


Review work projects completed by Reimbursement Analysts.*


Physical Requirements


Sedentary Work - prolonged periods of sitting and exert/lift up to 10 lbs. force


 


Important notification to applicants as of Nov. 20, 2014: Effective Jan. 1, 2015, Centura Health will no longer hire tobacco users in Colorado and Kansas. The change to our policy does not apply to associates hired on or before Dec. 31, 2014. Centura Health is an Equal Opportunity Employer, M/F/D/V. 

 

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!

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