Reimbursement Manager

South Shore Health•Weymouth, MA

23h•$80,583 - $183,096•Onsite

About The Position

Responsible to direct, review and evaluate the work of the Reimbursement, and Managed Care Contracting and to assist the Senior Vice President/CFO and other Administrators/Department Managers in matters related to, reimbursement, and Managed Care Contracting.

Requirements

BS in either Accounting, Finance or Business Administration preferred.
A minimum of eight to twelve (8–12) years of accounting experience in the healthcare field is preferred, at least four (4) years of which must be directly in the field of third-party reimbursement.

Responsibilities

Oversees preparation of annual cost reports
Prepares monthly report with changes in net revenue analysis and prepares third-party liability estimates
Maintains estimates that are accurate recommending reserve levels.
Flags variances of both positive and negative impact on operations to Senior Management on a timely basis.
Reviews monthly reports and ensures reports are accurate, timely and easily understood.
Coordinates appeals and represents Hospital at regulatory board when required.
Oversees Managed Care Contracting for on–SSHPO contacts for managed care and commercial contracting.
Provides payment estimates and other relevant estimates to support business planning and pro-forma development.
Responsible for department’s operational excellence; assures department delivers quality services in accordance with applicable policies, procedures and professional standards.
Manages all activities so that quality services are provided in an efficient and effective manner, as observed by Executive Director of Finance.
Attains all agreed to goals and objectives within specified time frames, as part of the organization’s overall mission.
Manages human resources to assure quality services and promote positive employee relations.
Responsible for the fiscal management of department; assures proper utilization of organization’s financial resources
Prepares presentations to Senior Management.
Participates in continued learning and possess a willingness and ability to learn and utilize new technology and procedures that continue to develop in their role and throughout the organization.
Embraces technological advances that allow us to communicate information effectively and efficiently based on role.