Mount Sinai Morningside · 2 weeks ago
Associate Director Reimbursement-Financial Analysis Reimbursement-Corporate 42nd Street-Full-Time-Days
New York, NY
Full-time
Onsite
Senior Level, Lead/Staff
$80K/yr - $120K/yr
3+ years expMount Sinai Morningside is one of the largest academic medical systems in the New York metro area, and they are seeking an Associate Director of Reimbursement-Financial Analysis. This role is responsible for maximizing reimbursement through the preparation and analytical review of financial reports, ensuring compliance with regulations, and training staff.
Hospital & Health Care
Responsibilities
Reviews all rate calculations received from various Third Party Payers, ensuring the accuracy of data
Prepares appeals to various Third Party Payers, stating the Institutions position on proposed changes to the reimbursement regulations
Analyzes and maintains the monthly activity for the Blue Cross Medicare and Medicaid rate accounts/suspense accounts
Analyzes the monthly activity and prepares schedules for the Bad Debt and Charity Care Pool accounts, recording and reviewing all payments and distributions made to and from the Pools
Develops charges for various inpatient and outpatient services for the two Institutions, gathering all the cost information involved with the service and ensure that the developed charge is comparable to other Health Care Institutions
Prepares cash budget for the department
Trains and assigns work of staff
Responsible for updating department with all new regulations and proposed changes to the Medicare Reimbursement System, as set forth in the Health Care Financial Administration Publication 15-1, the Federal Register, and Part 86-1 of the Health’s Rules and Regulations
Interfaces with auditors from fiscal intermediary and independent accounting firm to ensure the proper presentation of the facilities Revenues and Expenses and balance sheet items in the annual financial statements and Institutional Cost Report
Interfaces with auditors from fiscal intermediary and independent accounting firm to ensure the proper presentation of the facilities Revenues and Expenses and balance sheet items in the annual financial statements and Institutional Cost Report
Qualification
Required
Bachelor degree in Health Care Administration, Finance or Accounting. Applicable work experience may be considered in lieu of educational requirements
Approximately three to four years of progressively more responsible related work in a health care institution, fiscal intermediary, or Public Accounting Firm involved in health care auditing
Thorough knowledge of Reimbursement Regulations and principles as set forth in the Health Care Financial Administration Publication 15-1, the Federal Register, and Part 86-1 of the Commissioner of Health's Rules and Regulations
In-depth knowledge of the Institutional Cost Report, the Blue Cross Supplement and New York State Supplement, the Provider and Provider Based physician questionnaires, the prospective payment system and case payment system
Interpersonal skills necessary to direct activities of subordination personnel and to deal effectively with various Hospital departments, outside auditors and agencies and other health care providers
Company
Mount Sinai Morningside
At Mount Sinai Morningside, we offer exceptional clinical care and research within the comfort of a neighborhood hospital known for compassion and sensitivity.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Faye Reiff-Pasarew
Deputy CMO, Associate Chief of Hospital Medicine, Assistant Professor of Internal Medicine
Lucy Xenophon, MD, MPH
Chief Transformation Officer
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