UHS · 3 hours ago

Reimbursement Manager

United States

Full-time

Remote

Mid, Senior Level

5+ years exp

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Hiring Manager

Dan Noll

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Responsibilities

Assist the Director of Reimbursement and Division Vice President of Reimbursement in ensuring compliance with applicable Federal and State reimbursement rules and regulations and to optimize Medicare, Medicaid, and special State and County reimbursement through strategic planning and on-going financial analysis

Prepare, review, and coordinate annual Medicare Cost Report Filing for assigned hospitals within the Behavioral Health Division and all related cost report audit activity

Provide on-going hospital reimbursement consulting services (e.g. compliance, billing, financial pro forma analysis) to UHS corporate business office, regional finance and behavioral health facility executive staff with moderate level of support by the Director of Reimbursement or Division Vice President of Reimbursement

Support Department’s activities for hospital assessment / supplemental payments programs as operated by individual states

Coordinate and complete all behavioral health division Medicaid, County or regulatory required cost reports including but not limited to: Massachusetts (RSC-403), RTC cost reports, Pennsylvania

Medicaid PHC4 filings, Georgia and Indiana Match and Title IV-E cost reports used for Federal Match funding for assigned hospitals

Prepare Disproportionate Share Payment Reports and coordinate audits of those reports by the respective payer

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Cost ReportingMedicare KnowledgeMedicaid KnowledgeMicrosoft ExcelSEQUELHealthcare AccountingFinancial AnalysisBehavioral Health ServicesViewpointMed Series

Required

Bachelor's degree in Accounting or Finance

5-8 years' experience of cost reporting applications and concepts for behavioral health facility Medicare/Medicaid/Special State & County costs reports

Advanced knowledge of Medicare Psychiatric Prospective Payment System

Some working knowledge of the Medicare acute care inpatient DRG system and Outpatient APC's

Intermediate to advanced knowledge of Medicaid and special State & County reimbursement systems related to behavioral health services

Intermediate to advanced knowledge of the following computer applications: (1) Microsoft Excel, (2) Medicare, Medicaid, and special State & County cost report software programs and (3) SEQUEL

Viewpoint and Med Series 4 systems

Working knowledge of health care accounting, finance, and business office concepts and functions