Cost Report Reimbursement Manager

Avera•Sioux Falls, SD

20h

About The Position

The Cost Report Reimbursement Manager will be responsible for the oversight of reimbursement associated with the Medicare, Medicaid, Tricare and any other governmental cost reports and regulatory support for Avera Health hospitals, clinics, home healths, hopices, and nursing homes. Oversight includes the Medicare, Medicaid and Tricare cost reports for all entities in the Avera system.

Requirements

Bachelor's Accounting, Business, Finance or related field
4-6 years experience in the healthcare environment with regulatory and cost reporting experience.
The individual must be able to work the hours specified.
To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds.

Nice To Haves

Master's Accounting, Business, Finance or related field
Certified Public Accountant (CPA) - Board of Accountancy Upon Hire
Experience in all reimbursement settings such as, Prospective Payment Hospitals (PPS), Sole Community Hospitals (SCH), Critical Access Hospital (CAH), Rural Health Clinics (RHC), Skilled Nursing Facility (SNF).
Experience with IME, GME, Transplant, DSH, and Wage Index is a plus.

Responsibilities

Accountable to the completion of the monthly Medicare 3rd Party Settlement calculation for all hospitals.
Assist in the development and calculations of the annual revenue deductions and uncompensated care budget for all Avera hospitals, clinics, and nursing.
Manage and maintain workflows for filing and review of Medicare, Medicaid and Tricare cost reports for the assigned Avera region.
Maintain oversight of the collection of the cost report information for the assigned locations and oversight of the governmental audits of all facilities.
Complete all requests for data and support documentation during the annual audit of financial statements for the 3rd party reserves for all Avera Health hospitals.
Responsible to monitor and interpret the state and federal regulatory publications and announcements, providing impact analysis for all Avera hospitals, clinics, nursing homes and other patient operating units.
Provide expertise, guidance, and advice to the rural network on reimbursement issues and cost report impacts as requested.
Assist as the financial liaison to stakeholders in all Avera regions regarding reimbursement matters/issues, general compliance, and charge master compliance relative to Medicare cost reporting.
Collaborate with Finance, Decision Support, and the Revenue Cycle by offering direction/guidance on reimbursement issues/concerns.