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Fort Lauderdale, Florida, United States
Onsite
Location:
Fort Lauderdale, FloridaAt Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience.
Summary:
The Reimbursement Manager completes tasks as assigned to assist Directors and the Vice President of Reimbursement & Revenue Integrity with: Medicare and Champus cost reporting and audits, interim rate and settlement calculations, Medicaid waiver reports, maintenance of net revenue preparation and analysis, and various other projects.Responsibilities:
Review and approval of outside consultant invoices for Medicare Transfer reimbursement improvements.Maintains roll forward schedule of third-party settlement balances and their application as part of the monthly close process and annual financial audit.Prepare monthly close and annual financial statement documents related to net revenue and supports annual accounting audit of same. Function as primary backup to the Directors in the monthly close process.Compile and analyze Medicaid DSH and Low Income Pool (LIP) supporting schedules and final reports. Draft related audit responses. Develop strategic plans for future payment enhancements.Participate in the preparation, input, and analysis of the annual Medicare, Medicaid and Champus cost reports. Provide analytical support for the timely and accurate preparation of the cost reports, including information for the preparation of the cost reports, audit schedules, and account reconciliations. Monitor and maintain various cost report statistics such as time studies, meal count and square footage. Coordinate outside audit responses and efforts of outside consultants responsible for Medicare Disproportionate Share Hospital (DSH) payments, Medicare Bad Debt, Medicare Appeals, and review of Medicare Indirect Medical Education (IME) and Graduate Medical Education (GME) payments. Develop responses to Medicare reviews including Wage Index and Occupational Mix Survey.Stay current with the Medicare/Medicaid and other third party payor regulations and determining the impact to the System. Monitor and research state and federal requirements to ensure adequate understanding of compliance issues and opportunities and to ensure timely communication to all affected parties.Competencies:
ACCOUNTABILITY, ACCOUNTING - COST REPORTS, ACCURACY, CUSTOMER SERVICE, FINANCIAL ANALYSIS, HEALTHCARE REGULATORY ENVIRONMENT, REGULATORY COMPLIANCE, RESPONDING TO CHANGE, STANDARDS OF BEHAVIOR, WORKLOAD MANAGEMENTEducation and Certification Requirements:
Bachelors (Required)Additional Job Information:
Complexity of Work: This role requires critical thinking skills, effective communication, decisive judgment, and the ability to build and foster positive relationships. The incumbent must be able to lead others and take appropriate action when required. Essential to have thorough knowledge of Medicare, Medicaid and Champus rules and regulations and Third party audit techniques. Proficient in Microsoft Office products and Cost Reporting Software. Required Work Experience: Five (5) years of progressively responsible experience in hospital reimbursement operations, audit or consulting including projects specifically related to Medicare and Medicaid reimbursement.Working Conditions and Physical Requirements:
Shift:
Primarily for office workers - not eligible for shift differentialDisclaimer: This job description is not intended, nor should it be construed to be an exhaustive list of all responsibilities, skills, efforts or working conditions associated with the job. It is intended to indicate the general nature and level of work performed by employees within this classification.
Wages shown on independent job boards reflect market averages, not specific to any employer. We encourage candidates to talk to their Memorial Healthcare System recruiter to discuss actual pay rates, during the hiring process.
Memorial Healthcare System is proud to be an equal opportunity employer committed to workplace diversity.
Memorial Healthcare System recruits, hires and promotes qualified candidates for employment opportunities without regard to race, color, age, religion, gender, sexual orientation, national origin, veteran status, disability, genetic information, or any factor prohibited by law.
We are proud to offer Veteran’s Preference to former military, reservists and military spouses (including widows and widowers). You must indicate your status on your application to take advantage of this program.
Employment is subject to post offer, pre-placement assessment, including drug testing.
If you need reasonable accommodation during the application process, please call 954-276-8340 (M-F, 8am-5pm) or email TalentAcquisitionCenter@mhs.net
