Director Reimbursement

Lehigh Valley Health Network • REMOTE IN PENNSYLVANIA, PA

1d • Remote

About The Position

Serves as a key resource and provides government reimbursement support; develops/implements related payment strategies across the network. Oversees the preparation and review of the annual Medicare/Medicaid cost reports filings. Provides guidance related to participation in state-level supplemental payment programs and assists with regulatory research.

Requirements

• Bachelor’s Degree Accounting, Finance, or Health Administration.
• 10 years Interpreting Medicare and Medicaid payment regulations and optimizing revenue.
• Demonstrates ability to use the computer system and all applicable software programs.
• Demonstrates proficiency in Microsoft Office applications.
• Knowledge of Medicare and Medicaid regulation and payment rules.

Responsibilities

• Provides expertise in DSH, IME, DME, wage index, geographic reclass, value-based purchasing, and other government payment systems.
• Resolves any cost report audit issues and ensures compliance with Medicare and Medicaid reporting requirements.
• Provides constructive feedback to staff and identifies learning opportunities and job assignments that expand staff experience.
• Ensures accurate and timely preparation of the Medicare and Medicaid cost reports and other government data submissions.
• Participates in annual operating budget preparation.

What This Job Offers

• Job Type: Full-time
• Career Level: Director