Reimbursement Manager | PAM Health Corporate

PAM Health Corporate Office•Enola, PA

11d•Onsite

About The Position

The Corporate Manager of Reimbursement reports to the VP of Reimbursement. The role will be responsible for the preparation and timely submission of all regulatory reports as assigned. The position will also be responsible for monitoring and reporting compliance with various Medicare regulations.

Requirements

Bachelor ‘s degree in Accounting, Business or Healthcare Management.
At least 4 years’ experience in a position requiring cost report preparation and reimbursement analysis.
Strong analytical skills required, including knowledge of patient management information systems, proficient skills in Excel.
Excellent communication skills.

Nice To Haves

CPA or MBA preferred.

Responsibilities

Responsible for the preparation and completion of annual Medicare cost reports and state special reports.
Provides internal support for review of audits of the annual cost reports.
Performs reimbursement analysis associated with regulatory compliance (i.e., LTCH ALOS, HCO Review).
Responsible for the preparation and submission of the data for the annual Medicare 60% compliance for rehabilitation facilities.
Accumulates data associated with DSH/LIP for all rehabilitation hospitals.
Reviews patient accounts for compliance with CMS Medicare Bad Debt write-off regulations.
Maintains current knowledge of Medicare and Medicaid regulations.
Inclusiveness: Promotes cooperation, fairness and equity; shows respect for people and their differences; works to understand perspectives of others; demonstrates empathy; brings out the best in others and in his/her team
Managing Staff: Coaches, evaluates, develops, and inspires staff; sets expectations; recognizes achievements
Stewardship and Resource Management: Demonstrates accountability and sound judgment in managing company resources; appropriate understanding of confidentiality and company values; adheres to and supports company policies, procedures and safety guidelines
Problem-Solving: Identifies problems and involves others in seeking solutions; conducts appropriate analysis and searches for best solutions; effectively and efficiently implements appropriate responses to correct problems; responds promptly and effectively to new challenges
Decision-Making: Makes clear, consistent decisions; acts with integrity in all decisions; distinguishes relevant from irrelevant information; makes timely, appropriate decisions.
Strategic Planning and Organizing: Understands company vision and aligns priorities accordingly; measures outcomes; uses feedback to redirect as required; evaluates alternatives; appropriately organizes complex issues to desirable resolution
Communication: Connects with peers, subordinate employees and all customers; actively listens; clearly and effectively shares information; demonstrates effective oral and written communication skills; negotiates effectively.
Quality Improvement: Strives for efficient, effective, high-quality performance in self and in the department; delivers timely and accurate results; resilient when responding to matters that are challenging; takes initiative to make improvements
Leadership: Motivates others; accepts responsibility; maintains high morale in department; develops trust and credibility; expects honest and ethical behavior of self and staff
Teamwork: Encourages cooperation and collaboration; builds effective teams; works in partnership with others; is flexible; responsive to the needs of others
Development: Maintains up-to-date skills through involvement with professional organizations and/or continuing education
Maintains the highest level of customer service via courtesy, compassion and positive communication.
Promotes the mission and vision of PAM Health within the work environment and the community.
Respects dignity and confidentiality by adherence to all applicable policies and procedures.
Works in a manner that promotes safety; wears clothing appropriate to the performance of the job.
Participates in OSHA required training.
Follows universal precautions as appropriate for position; complies with Employee Health requirements for continued employment.
Reports unsafe practices to management.
Knows own role in case of an emergency.