Manager, Reimbursement and Cost Reporting

Hackensack Meridian Health•Iselin, NJ

About The Position

The Manager, Reimbursement and Cost Reporting supports the Hackensack Meridian Health network through cost report preparation, reimbursement compliance and research, reimbursement studies, and related financial analysis. The role oversees completion of cost reports for a dedicated region and coordinates network-wide reimbursement analysis, strategic modeling, appeals, regulatory research, third-party audits, and big data analytics. It also supports monthly Medicare reconciliation and monthly third-party review, and supervises and trains staff, particularly during peak reporting periods.

Requirements

Bachelor’s degree in Accounting or Finance.
Four or more years of progressive reimbursement-related experience in a large health network and/or academic medical center.
Advanced proficiency with technology, including Microsoft Office (Excel, Outlook, etc.), Axiom, and PeopleSoft Financials System.
Strong interpersonal, teamwork, and organizational skills.
Demonstrated progressive professional growth and responsibility.
Strong analytical and problem-solving skills.
Excellent written and verbal communication skills.

Nice To Haves

CPA and/or MBA.

Responsibilities

Coordinate and oversee accurate, timely completion of Medicare and NJ Acute Care Hospital cost reports, while assisting the team.
Direct preparation of the GME IRS filing.
Develop governmental third-party appeal strategies and initiatives, and track the success of reopenings and appeals.
Coordinate, analyze, and communicate assigned reimbursement topics across the network, such as appeal and reopening management, Charity Care and GME subsidies, third-party roll-forward analyses, DSRIP programs, and wage-index modeling.
Educate stakeholders about DSRIP programs, monitor their success, identify improvement opportunities, and coordinate Medicaid DSH Survey assembly.
Maintain organized supporting work-paper documentation for manager and director reviews, including printed historical records for cost reports and DSH Surveys.
Facilitate the cost-report process by creating worksheets, identifying data sources, gathering departmental information, and developing processes, worksheets, or information requirements as needed.
Communicate data requirements to departments to support timely and accurate data collection.
Coordinate Medicare and Medicaid audits with the CMS Intermediary and audits of NJACH cost reports; serve as liaison between the hospital and in-charge auditor; review proposed audit adjustments and discuss questions or concerns with auditors and managers.
Coordinate the department’s role in off-site reviews and moves, completing required CMS 855 forms and state financial information for federal and state agencies on time.
Research reimbursement compliance issues and strategies using MediRegs, publications, manuals, and other relevant sources; study emerging regulations and conduct relevant research.
Support staff supervision, coordination, and education, particularly during peak reporting periods.
Ensure appropriate reports are downloaded and information on outliers and third-party reports is obtained; research variances until resolved.
Complete the Wage Index, Occupational Mix Survey, and other reimbursement-related financial analyses as requested.
Maintain high-integrity work papers in a paperless business intelligence work environment.
Assist Budget Teams with analyses and tasks when requested.
Perform other duties and projects as assigned.
Adhere to HMH managerial competencies and standards of behavior.