Reimbursement Manager | PAM Health Corporate jobs in United States
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PAM Health · 1 day ago

Reimbursement Manager | PAM Health Corporate

PAM Health is seeking a Corporate Manager of Reimbursement who will report to the VP of Reimbursement. The role is responsible for the preparation and submission of regulatory reports, monitoring compliance with Medicare regulations, and leading a team to ensure effective reimbursement analysis and reporting.

Health CareHospitalMedicalTherapeutics

Responsibilities

Responsible for the preparation and completion of annual Medicare cost reports and state special reports
Provides internal support for review of audits of the annual cost reports
Performs reimbursement analysis associated with regulatory compliance (i.e., LTCH ALOS, HCO Review)
Responsible for the preparation and submission of the data for the annual Medicare 60% compliance for rehabilitation facilities
Accumulates data associated with DSH/LIP for all rehabilitation hospitals
Reviews patient accounts for compliance with CMS Medicare Bad Debt write-off regulations
Maintains current knowledge of Medicare and Medicaid regulations
Promotes cooperation, fairness and equity; shows respect for people and their differences; works to understand perspectives of others; demonstrates empathy; brings out the best in others and in his/her team
Coaches, evaluates, develops, and inspires staff; sets expectations; recognizes achievements
Demonstrates accountability and sound judgment in managing company resources; appropriate understanding of confidentiality and company values; adheres to and supports company policies, procedures and safety guidelines
Identifies problems and involves others in seeking solutions; conducts appropriate analysis and searches for best solutions; effectively and efficiently implements appropriate responses to correct problems; responds promptly and effectively to new challenges
Makes clear, consistent decisions; acts with integrity in all decisions; distinguishes relevant from irrelevant information; makes timely, appropriate decisions
Understands company vision and aligns priorities accordingly; measures outcomes; uses feedback to redirect as required; evaluates alternatives; appropriately organizes complex issues to desirable resolution
Connects with peers, subordinate employees and all customers; actively listens; clearly and effectively shares information; demonstrates effective oral and written communication skills; negotiates effectively
Strives for efficient, effective, high-quality performance in self and in the department; delivers timely and accurate results; resilient when responding to matters that are challenging; takes initiative to make improvements
Motivates others; accepts responsibility; maintains high morale in department; develops trust and credibility; expects honest and ethical behavior of self and staff
Encourages cooperation and collaboration; builds effective teams; works in partnership with others; is flexible; responsive to the needs of others
Maintains the highest level of customer service via courtesy, compassion and positive communication
Promotes the mission and vision of PAM Health within the work environment and the community
Respects dignity and confidentiality by adherence to all applicable policies and procedures
Works in a manner that promotes safety; wears clothing appropriate to the performance of the job
Participates in OSHA required training
Follows universal precautions as appropriate for position; complies with Employee Health requirements for continued employment
Reports unsafe practices to management
Knows own role in case of an emergency

Qualification

Cost report preparationReimbursement analysisMedicare regulations knowledgeAnalytical skillsExcel proficiencyCustomer serviceCommunication skillsLeadershipTeamworkProblem-solvingDecision-making

Required

Bachelor's degree in Accounting, Business or Healthcare Management
At least 4 years' experience in a position requiring cost report preparation and reimbursement analysis
Strong analytical skills required, including knowledge of patient management information systems, proficient skills in Excel
Excellent communication skills

Preferred

CPA or MBA preferred

Company

PAM Health

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PAM Health treats amputation, brain injury, lymphedema, and neurological disorders.

Funding

Current Stage
Late Stage

Leadership Team

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Anthony Misitano
Founder And CEO
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Brian Lidiak
Chief Executive Officer
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Company data provided by crunchbase