Manager, Reimbursement

About the job

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:

Coordinates audits for cost reports and communicates technical positions to auditors. Prepares and submits accurate and timely cost reports as required by Medicare, Medicaid, and other State or Federal agencies. Reviews hospital interim reimbursement rates and special payments. Maintains documentation for the Medicare and Medicaid Uniform Contractual Worksheet-Third Party Settlement templates. Stays updated on laws and regulations affecting hospital reimbursement. Performs financial analysis and modeling to determine the financial implications of proposed transactions and regulatory changes. Serves as a subject matter resource for Medicare and Medicaid reimbursement matters. Collaborates with management to analyze reimbursement regulations and assess the regulatory, operational, and financial impacts of proposed decisions. Ensures efficient and accurate completion of all reimbursement activities.Knowledge, Skills, and Abilities:

• In depth knowledge of Medicare and state Medicaid program reimbursement laws and regulations [Required]
• Ability to research and interpret Medicare and Medicaid laws and regulations [Required]
• Proficient in use of regulatory cost reporting software [Required]
• Possess an understanding of financial accounting and auditing principles and their application to healthcare [Required]
• Strong computer software skills including Microsoft Office applications [Required]
• Ability to learn new technology applications used by Adventist Health System [Required]
• Strong analytical reasoning, critical thinking, judgment and problem solving skills in order to independently assess, interpret and address complex issues in a continually changing environment [Required]
• Excellent interpersonal skills [Required]
• Well organized and detail-oriented [Required]
• Ability to complete assigned tasks with very limited supervision [Required]
• Proficient using Health Financial Systems (HFS) cost reporting software [Preferred]

Education:

• Bachelor's [Required]

Field of Study:

• in Accounting or Finance

Work Experience:

• 6+ relevant experience in healthcare reimbursement including Medicare, Medicaid reimbursement and regulatory cost reporting [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:

$97,219.20 - $180,835.20 Background Screening Requirement (Florida Law)

Certain positions are subject to Florida Level 2 background screening, including fingerprinting, as required by state law.

Applicants may review general information about Florida’s background screening requirements at the Florida Care Provider Background Screening Clearinghouse: https://info.flclearinghouse.com/

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.