Director of Reimbursement

UAB St. Vincent's • Birmingham, AL

3d • Hybrid

About The Position

Leads reimbursement services function of the health system. To monitor revenue and cash flow integrity through a structured process that contributes to the capture, management, collection and reporting of patient service revenue across the organization. To provide support and calculation for valuation of accounts receivable including actual, budgeted, and projected amounts. Provides support to Net Revenue Management Leadership for their region in evaluating and performing accounts receivable valuation and third party reimbursement for their region.

Requirements

• Accountant licensure required relevant to state in which work is performed preferred.
• Bachelor's degree in a relevant field and a minimum of six (6) years of related experience required.
• Four (4) years of leadership experience preferred.

Nice To Haves

• Master's degree in a related field preferred.

Responsibilities

• Leads, manages and directs key initiatives, programs, departments or priorities within the Net Revenue Management Center of Excellence to deliver on defined goals.
• Accounts for and contribute to operational planning, coordination and decision-making.
• Standardizes models and methodologies related to third party settlements to provide consistency in reporting.
• Develops, implements and maintains policies, processes, and systems to maximize third party reimbursement, improve performance and ensure compliance.
• Prepares Medicare and Medicaid hospital cost reports and provides support upon audit.
• Oversees cash posting related to Medicare & State plan payments.
• Performs the calculations of accounts receivable valuation and also evaluates monthly settlements of third-party reimbursement in addition to filing annual Medicare and Medicaid cost reports.
• Provides input on goals with focus upon departmental, project or programmatic level.
• Provides Medicare Resident reporting.
• Prepares and/or reviews Retro models.
• Develops work plans to successfully achieve objectives and goals.
• Works collaboratively with other departments related to net revenue management activities.
• Supervises people, programs or projects and is directly involved in day-to-day operations.
• Adheres to standard application of Revenue Cycle Analytics valuation, manages the application of decisions regarding any valuation adjustments.
• Performs other duties as assigned.

Benefits

• generous paid time off
• paid parental leave
• Associate Assistance Program
• Tuition Reimbursement Program

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Number of Employees: 5,001-10,000 employees