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.
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.
Committed to being the trusted source for quality care – and careers.
At MaineHealth, exceptional people using the latest in advanced innovations help ensure that our northern New England communities are the healthiest they can be. From a full array of telehealth programs to the most sophisticated electronic medical records system, our clinical technology is second to none. But it’s our people who bring these medical advancements to life as they change the lives of the people in the communities we’re proud to serve.
As a non-profit family of high-quality healthcare providers, we’re working together to create strong, vibrant and healthy partnerships. We are an integrated healthcare delivery system made up of the state’s only academic medical center (and largest hospital), a large bio-medical research center, community hospitals, home care agencies, physician practices, an outpatient lab, and diagnostic and surgery centers. In addition to our clinical opportunities, MaineHealth also offers a variety of fulfilling careers in finance, human resources, information services, marketing, support services, and more!
The MaineHealth family of hospitals and healthcare organizations offers outstanding opportunities to work and live in one of the most spectacular areas of our nation. Our ongoing growth and focus on compassionate care mean a choice of challenging and rewarding career opportunities throughout our system – from mid-sized cities and small towns in the mountains to beautiful coastal communities.
The MaineHealth integrated health system includes: