UTMB Faculty Group Practice · 4 months ago
Associate Director of Finance - Government Reimbursement
Galveston, Texas, United States
Full-time
Onsite
Senior Level, Lead/Staff
8+ years expUTMB Faculty Group Practice is part of UTMB Health, and they are seeking an Associate Director of Finance specializing in Government Reimbursement. The role involves ensuring compliance with Medicare and Medicaid regulations, managing reimbursement calculations, and directing departmental staff in related areas.
Hospital & Health Care
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
UTMB Faculty Group Practice
The University of Texas Medical Branch (UTMB) Faculty Group Practice (FGP) is comprised of over 950 faculty physicians and advanced practice providers who drive UTMB’s mission of improving health by delivering innovative education and training, pursuing cutting-edge research, and providing the highest quality patient care.
501-1000 employees
Funding
Current Stage
Late StageCompany data provided by crunchbase