Reimbursement Director

CoxHealth•Springfield, MO

3d•Onsite

About The Position

CoxHealth is a leading healthcare system serving 25 counties across southwest Missouri and northern Arkansas. The organization includes six hospitals, 5 ERs, and over 80 clinics. CoxHealth has earned numerous honors for workplace excellence, including being named one of Modern Healthcare’s Best Places to work five times, and recognized by Newsweek and Plant-A Insights Group for Greatest Workplaces in Healthcare, Greatest Workplaces for Women, and Greatest Workplaces for Diversity. Forbes has acknowledged CoxHealth as one of the Best Employers for New Grads, and Healthcare Innovation has recognized it as a Top Company to Work for in Healthcare. The Reimbursement Director reports directly to the VP of Finance and Revenue Cycle of CoxHealth. This role involves preparing internal documentation for Medicare and Medicaid cost reports, performing detailed reviews and analysis of 3rd party payer reimbursement, and developing impact analyses of 3rd party payer changes. The position also includes analyzing the pricing structure and making recommendations for tactical pricing adjustments, evaluating and implementing a payer contract modeling system, preparing monthly financial statement estimates for valuing the net realizable value of accounts receivable, and performing special reimbursement projects as needed. Additionally, the Reimbursement Director will oversee and develop staff.

Requirements

Bachelor’s Degree in Accounting or a related field
At least 5 years’ accounting or leadership experience
Must be able to work effectively with staff, public and external agencies.
Must have the ability to take initiative and to exercise good judgment and decision-making
Problem solving
Critical thinking, conflict management, negotiation and Personnel development
Certified Public Accountant or a related certification

Nice To Haves

Master’s Degree in Business or Healthcare Administration

Responsibilities

Prepares internal documentation for preparation of Medicare and Medicaid cost reports.
Performs detailed reviews and analysis of 3rd party payer reimbursement.
Develops impact analysis of 3rd party payer changes.
Analyzes the pricing structure and makes recommendations for tactical pricing adjustments.
Evaluates and implements a payer contract modeling system.
Prepares monthly financial statement estimates for valuing the net realizable value of accounts receivable.
Performs special reimbursement projects as needed.
Oversee and develop staff supervised by the reimbursement director.