Reimbursement Manager

Conway Medical Center • Conway, SC

261d

About The Position

The Reimbursement Manager (RM) works collaboratively across Conway Medical Center (CMC) and its affiliates to compliantly maximize third party reimbursement pursuant to Federal and State laws and regulations. Leads the preparation process for any required cost reports, processes third party rate appeals, tracks and reports on third party receivables and payables, and advises CMC leadership on reimbursement strategy and the impact of emerging reimbursement regulations.

Requirements

• Bachelor's degree in business, accounting, finance, or health care administration required.
• Master's Degree in closely related field preferred.
• 4-6 years' experience in healthcare environment with regulatory and cost reporting experience.
• Experience with IME, GME, DSH and Wage Index required.

Responsibilities

• Actively participate within the Finance team including financial planning, financial reporting/accounting and revenue cycle to ensure that CMC's needs are met.
• Responsible for the oversight of reimbursement associated with Medicare, Medicaid, Tricare and any other governmental cost reports and regulatory support at Conway Medical Center.
• Responsible for continuing development and integration of the hospital's cost reporting systems, utilizing generally accepted accounting principles (GAAP) to perform requirements associated with the annual independent financial statement audit preparation.
• Analyze and interpret federal and state regulations on a continuing basis.
• Oversight includes, but is not limited to, graduate medical education reimbursement, wage index reporting, uncompensated care reporting, bad debt reimbursement reporting, DSH reporting, 340 B funding and other matters across all entities in the CMC system.
• Analyze & evaluate data from various systems and interact & collaborate with various hospital leaders and employees.
• Conduct accounting and transactional research and analysis, assist with annual external audits, compile deliverables for high-priority external data requests, support various month-end close analyses, and take a lead role in the annual financial planning process.
• Assure the integrity of financial and statistical data, via review of general ledger entries, reports, reconciliations, or other analysis.
• Provide leadership in a team environment to support complex, ambiguous, high-impact, cross-divisional initiatives and projects.
• Actively communicate and present information to audiences of all levels of CMC.
• Use reporting tools to develop effective management reporting information with significant impact and support to senior leadership and department directors.
• Recognized as a subject matter expert who can identify problems, devise solutions, and implement changes in finance, accounting, strategic and compliance initiatives.
• Design, implement, and support programs and tools for financial reporting for complex activities.
• Proactively identify opportunities and present ideas for increasing financial margins, while minimizing the financial and legal risks to CMC.
• Spearhead change and actively support decision-making at the executive level.
• Lead and facilitate cross-departmental workgroups and complex projects.
• Work effectively and collaboratively with nursing colleagues, physicians, department heads, and members of leadership; strong interpersonal skills and highly professional disposition.
• Display financial expertise and excellent general business proficiency; committed to ensuring that CMC remains strong financially.
• Strategic thinker with strong conceptual skills; understands 'big picture' CMC strategies and objectives; can continuously identify ways to improve effectiveness and efficiency of CMC financial processes.
• Manage multiple high-priority assignments and work according to deadlines.
• Identify high-impact financial issues and propose effective solutions.
• Knowledge of GAAP accounting standards and application to healthcare operations.
• Display expert investigational skills, show attention to detail, ensure accuracy, and demonstrate ability to manage and prioritize multiple tasks.
• Show an advanced knowledge of large accounting and/or grant management systems.
• Serve as a leader in a team environment and develop constructive working relationships with colleagues.
• Display effective communication skills, with ability to effectively present complex financial information, adjusting according to the intended audience.
• Proven ability to operate with a high level of productivity, whether working onsite or remotely.
• Effectively utilize strong organizational skills and provide exemplary customer service.
• Proficient use of Microsoft Office, with strong Excel and/or Access.
• Regularly exercise independent judgement.
• Complete other duties as assigned by department leadership.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Hospitals
• Education Level: Bachelor's degree