Manager - Reimbursement

  • MaineHealth
  • Portland, ME, USA
  • Jan 05, 2021

Job Description

Summary

Position Summary
  • The manager is primarily responsible for the coordination of data collection and accurate submission of the System’s member’s Medicare and Medicaid cost reports which includes acting as liaison to all external auditors and consultants regarding reimbursement matters for assigned members; improving processes and relationships whenever possible. The position will actively facilitate cost reporting best practice reviews and team member education.
  • The position will be responsible for the preparation and/or supervising the completion of monthly contractual adjustment and third party receivable journal entries to division financial statements as well as the analysis and interpretation of variances between performance and budget. The position will perform or coordinate the performance of reimbursement analyses as assigned by the director. The manager will complete or supervise the completion of timely facility enrollment changes and revalidations with third party payers. The manager will have the support and obligation to supervise and train reimbursement department staff.
Required Minimum Knowledge, Skills, and Abilities (KSAs)
  • Education: BS required; CPA, MBA, HFMA preferred or equivalent specific experience in hospital reimbursement.
  • License/Certifications: N/A
  • Experience: Three to Five years’ experience in hospital reimbursement required to include preparation or supervision of the preparation of hospital Medicare cost reports as well as estimating contractual allowances and third party payables/receivables.
  • Previous leadership experience preferred.
  • Interpersonal skills necessary to communicate effectively with both internal and external customers.
  • Ability to problem solve and work cooperatively with other hospital departments, physicians, the System's reimbursement team and management.