Program Manager - Reimbursement - Acute
About The Position
Join a dynamic organization driven by our passion for healthcare. UHS is seeking talented individuals who are eager to contribute their expertise and pursue rewarding careers. As a leader in acute care and behavioral health, UHS provides high-quality care to over 3 million patients annually, across our national network of facilities. The UHS Corporate Reimbursement Department is hiring a Program Manager - Reimbursement - Acute that will complete the Medicare and Medicaid fee-for-service reimbursement functions (including cost report preparation assistance) for multiple assigned hospitals or other UHS entities with complex reimbursement environments and that have a significant level of UHS financial statement impact.
Requirements
- Bachelor's degree with a proficient knowledge of cost reporting applications and concepts for short term acute care hospitals.
- Well versed on Medicare prospective payment systems including Inpatient Acute DRGs, Outpatient APCs, Rehabilitation CMGs and Psychiatric IPF-PPS plus in-depth knowledge of GME/IME payment concepts
- Understanding of Medicare statutes, regulations and administrative rules and their related legislative and regulatory processes
- Understands Medicaid supplemental payment concepts included related provider taxes and IGT's
- Intermediate-to-Advanced level knowledge of Microsoft Excel
- Familiarity with Mckesson G/L and Siemens Invision
- Proficiency in HFS cost report software (or its equivalent)
- Strong analytical, communication, and interpersonal skills
Responsibilities
- Support completing Medicare and Medicaid cost report submissions for assigned hospitals or other UHS entities and related desk review and audit activity (including wage index reviews or other Medicare/Medicaid reimbursement activity) for multiple facilities with complex reimbursement environments and that have a high level of financial statement impact
- Provide independent on-going hospital reimbursement consulting services (e.g. compliance, billing, financial pro forma analysis) to UHS corporate business office, regional finance and to hospital executive staff and other UHS entities. Independently handles reimbursement projects and assignments
- Provide applicable Medicare and Medicaid contractual models, related reimbursement factors and other necessary data. Review these models for compliance and accuracy
- Support Medicare graduate medical education (resident) program and related GME/IME reimbursement activity
- Completes monthly cost report journal entries (for rate reviews, tentatives and NPRs). Also maintain the exposure log monthly
- Participate in the oversight, development and maintenance of Medicaid supplemental payment (SDP and UPL) and state Medicaid DSH programs for assigned facilities
Benefits
- challenging and rewarding work environment as well as growth and development opportunities within UHS and its subsidiaries, including competitive compensation, excellent Medical, Dental, Vision and Prescription Drug Plan, and 401k with company match.
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What This Job Offers
Job Type
Full-time
Career Level
Manager
Industry
Hospitals
Number of Employees
5,001-10,000 employees
