Director Corporate Reimbursement
AdventHealth, Altamonte Springs, Florida, United States, 32717
Our promise to you:
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that
together
we are even better.
All the benefits and perks you need for you and your family:
Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
Paid Time Off from Day One
403-B Retirement Plan
4 Weeks 100% Paid Parental Leave
Career Development
Whole Person Well-being Resources
Mental Health Resources and Support
Pet Benefits
Schedule:
Full time
Shift:
Day (United States of America)
Address:
900 HOPE WAY
City:
ALTAMONTE SPRINGS
State:
Florida
Postal Code:
32714
Job Description:
Responsible for directing the Reimbursement Department's financial analysis and reimbursement activities. This position includes preparation and filing of annual Medicare, Medicaid, and Champus/Tricare cost reports. Additionally, this role involves preparation of reopening and appeal papers, audit preparation, and other cost report settlement activities and related analysis for third-party financial statement reporting. In addition, this position collaborates with management on reimbursement regulations and the regulatory, operational, and financial impacts of proposed operational decisions. Serves as a subject matter resource for Medicare and Medicaid reimbursement matters.
Monitors changes affecting hospital reimbursement of Medicare bad debt, graduate medical education, disproportionate share hospital adjustment, and uncompensated care payments.
Prepares and files annual Medicare, Medicaid, and Champus/Tricare cost reports.
Prepares reopening and appeal papers, audit preparation, and other cost report settlement activities.
Conducts financial analysis and modeling to determine financial and reimbursement implications of business transactions and regulatory changes.
Communicates technical positions and arguments effectively to Medicare, Medicaid, and other State or Federal agencies’ auditors.
Supports positions taken on the hospital cost report or other required reporting. Reviews Medicare and Medicaid Uniform Contractual Worksheet-Third Party Settlement (UCW-TPS) templates of each hospital.
Education:
• Bachelor's [Required]
• Master's [Preferred]
Work Experience:
• 10+ relevant experience in healthcare reimbursement including medicare, medicaid reimbursement and regulatory cost reporting [Required]
• 5+ proven leadership skills in management role [Required]
• Strong background in accounting and financial analysis [Required]
Licenses and Certifications:
• Certified Public Accountant (CPA) [Preferred]
Physical Requirements:
(Please click the link below to view work requirements)
Physical Requirements - https://tinyurl.com/23km2677
Pay Range:
$146,405.57 - $272,307.13
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
Category:
Accounting & Finance
Organization:
AdventHealth Corporate
Schedule:
Full time
Shift:
Day
Req ID:
150877454
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that
together
we are even better.
All the benefits and perks you need for you and your family:
Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
Paid Time Off from Day One
403-B Retirement Plan
4 Weeks 100% Paid Parental Leave
Career Development
Whole Person Well-being Resources
Mental Health Resources and Support
Pet Benefits
Schedule:
Full time
Shift:
Day (United States of America)
Address:
900 HOPE WAY
City:
ALTAMONTE SPRINGS
State:
Florida
Postal Code:
32714
Job Description:
Responsible for directing the Reimbursement Department's financial analysis and reimbursement activities. This position includes preparation and filing of annual Medicare, Medicaid, and Champus/Tricare cost reports. Additionally, this role involves preparation of reopening and appeal papers, audit preparation, and other cost report settlement activities and related analysis for third-party financial statement reporting. In addition, this position collaborates with management on reimbursement regulations and the regulatory, operational, and financial impacts of proposed operational decisions. Serves as a subject matter resource for Medicare and Medicaid reimbursement matters.
Monitors changes affecting hospital reimbursement of Medicare bad debt, graduate medical education, disproportionate share hospital adjustment, and uncompensated care payments.
Prepares and files annual Medicare, Medicaid, and Champus/Tricare cost reports.
Prepares reopening and appeal papers, audit preparation, and other cost report settlement activities.
Conducts financial analysis and modeling to determine financial and reimbursement implications of business transactions and regulatory changes.
Communicates technical positions and arguments effectively to Medicare, Medicaid, and other State or Federal agencies’ auditors.
Supports positions taken on the hospital cost report or other required reporting. Reviews Medicare and Medicaid Uniform Contractual Worksheet-Third Party Settlement (UCW-TPS) templates of each hospital.
Education:
• Bachelor's [Required]
• Master's [Preferred]
Work Experience:
• 10+ relevant experience in healthcare reimbursement including medicare, medicaid reimbursement and regulatory cost reporting [Required]
• 5+ proven leadership skills in management role [Required]
• Strong background in accounting and financial analysis [Required]
Licenses and Certifications:
• Certified Public Accountant (CPA) [Preferred]
Physical Requirements:
(Please click the link below to view work requirements)
Physical Requirements - https://tinyurl.com/23km2677
Pay Range:
$146,405.57 - $272,307.13
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
Category:
Accounting & Finance
Organization:
AdventHealth Corporate
Schedule:
Full time
Shift:
Day
Req ID:
150877454