Manager-Reimbursement

Baptist • Memphis, TN

8d

About The Position

The Manager-Reimbursement manages Medicare and Medicaid reimbursement functions for assigned hospitals and provides guidance to BMHCC on assigned system responsibilities. Under the direct supervision of the System Director of Reimbursement, the incumbent works one shift, eight hours per day, five days per week, and is subject to overtime and call-back as required by BMHCC.

Requirements

• Minimum of a bachelor's degree in Accounting or an equivalent qualification, as appropriate.
• At least 5 years of experience as a Medicare auditor or as a Reimbursement Specialist/Manager in a multi-hospital environment.

Nice To Haves

• Previous experience as a hospital controller.
• CPA, MBA, or a professional certification.

Responsibilities

• Oversee preparation of Medicare and Medicaid cost reports for assigned hospitals using departmental staff and consultants.
• Review cost reports before filing to ensure accuracy and compliance with applicable Medicare and Medicaid rules and regulations.
• Respond to Medicare and Medicaid audit requests and develop documentation to challenge audit findings as necessary.
• Develop appeals and reopening requests for previously settled Medicare and Medicaid cost reports, working with hospital staff, outside consultants, and attorneys as necessary.
• Prepare documentation to support appeals and reopening requests and adhere to Medicare and Medicaid filing deadlines.
• Serve as a system resource for issues affecting all hospitals as assigned by the System Director of Reimbursement.
• Communicate updates and critical information to internal and external customers and provide training as needed.
• Remain current on Medicare and Medicaid rules and regulations.

What This Job Offers

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