The University of Texas Medical Branch · 5 months ago
Associate Director of Finance - Government Reimbursement
United States-Texas-Galveston
Full-time
Onsite
Senior Level, Lead/Staff
8+ years expThe University of Texas Medical Branch is seeking an Associate Director of Finance specializing in Government Reimbursement to ensure compliance with Medicare and Medicaid regulations. The role involves overseeing reimbursement calculations, managing audits, and directing departmental staff in related activities.
Responsibilities
Responsible for technical aspects, calculations and analyses of multiple areas of Medicare and Medicaid reimbursement components including, but not limited to, cost report preparation, audits, re-openings, appeals, IME, DGME, DSH, UC, Organ Acquisition, Bad Debt, Wage Index, Physician Time Studies, Paramedical Education Time studies and Provider Enrollment, and directs departmental employees in these areas
Ensures accuracy of Medicare, Medicaid and TDCJ cost report tentative and final settlements, communicates problems to Medicare and Medicaid contractors and directs departmental employees in handling related issues
Directs preparation and ensures accuracy of monthly Medicare, Medicaid and TDCJ settlement account estimates and directs preparation of related third-party audit support
Manages external audits, resolves audit issues and responds to inquiries from external auditors, such as Medicare, Medicaid, State and OIG auditors
Responsible for state/Medicaid supplemental payment applications and audits and for directing staff in preparation of these reports
Supports Director, Finance-Government Reimbursement in preparing annual Medicare, Medicaid and TDCJ net revenue budget rates
Represents the Government Reimbursement department on various committees and task force groups
Maintains current knowledge of Medicare reimbursement and cost reporting regulations, keeping abreast of recent changes that may affect the department’s policies and procedures, and takes necessary actions to implement appropriate processes and procedures to ensure compliance with Medicare and Medicaid regulations
Supports Director, Finance-Government Reimbursement in preparing and monitoring departmental budget
Participates in recruitment, hiring, orientation, training, supervision, evaluation, disciplinary action and/or termination process, as needed, within department
Performs related duties as assigned
Qualification
Required
Bachelor's degree in accounting, business or related field plus eight (8) years of Medicare and Medicaid reimbursement experience to include four (4) years of reimbursement supervisory experience
Preferred
Master's degree in accounting, CPA or business plus eight (8) years of Medicare and Medicaid reimbursement experience to include four (4) years of reimbursement experience at manager level or above
Experience with Medicare IME, DGME, DSH and Organ Acquisition reimbursement and experience with Texas Medicaid and state supplemental payment methods
Company
The University of Texas Medical Branch
The University of Texas Medical Branch is a component of the University of Texas System located in Galveston, Texas
10001+ employees
Funding
Current Stage
Late StageTotal Funding
$35MKey Investors
National Institute of Allergy and Infectious Diseases
2024-09-13Grant
2019-04-09Grant· $35M
Leadership Team
Donna Sollenberger
EVP and CEO, Health System
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