Manager, Reimbursement

Lifepoint Health • Brentwood, TN

5d • Onsite

About The Position

The Manager, Reimbursement manages and files Medicare and Medicaid cost reports and other regulatory reporting requirements, working with Centers for Medicare and Medicaid Services (CMS) and Medicaid States Agencies during the audit of these cost reports, and for forecasting Medicaid supplemental payment income, etc.

Requirements

• Bachelor’s degree in Accounting.
• Minimum of 5 years related experience in hospital reimbursements.
• Minimum overnight travel (up to 10%) by land and/or air.
• Must be authorized to work in the United States without employer sponsorship.

Nice To Haves

• Certified Professional Accountant (CPA) preferred

Responsibilities

• Collaborate with hospitals to ensure Medicare and Medicaid contractual accruals and settlement estimates are accurate.
• Monitor state legislative activity to ensure Lifepoint is aware of upcoming Medicaid payment changes or opportunities to influence policy.
• File Medicaid Disproportionate Share Hospital (DSH) audits, month end close related to governmental payers, and other miscellaneous activities for their assigned hospitals.
• Mitigate risk of loss of income and seize opportunities to provide value throughout the reimbursement process related to Medicare and Medicaid programs to include, but not limited to, the planning, filing, and auditing of Medicare and Medicaid cost reports.
• Review monthly Governmental exhibits as a part of month end close and complete/file annual Medicare and Medicaid Cost Reports.
• Review exhibit models and assist in the calculation of net revenue.
• Represent the hospital during audit.
• Review the assigned hospitals month end exhibits, and complete a detailed review once a quarter.
• Work with Governmental Relations in monitoring Medicaid legislative changes for assigned States.
• Review monthly and quarterly Government reimbursement exhibits to ensure cash and accrued reimbursement rates are properly set.
• Adjust accruals and reimbursement factors as needed, in conjunction with Federal and State guidance, as well as with internal costing data.
• Process month end close to include calculating, reviewing, and preparing entries related to state supplemental payment programs.
• Perform other duties as assigned.

Benefits

• Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
• Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.
• Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.
• Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).
• Ongoing learning and career advancement opportunities.

What This Job Offers

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