Medicare Reimbursement Manager
Overview A leading healthcare organization is seeking a Medicare Reimbursement Manager to oversee reimbursement processes related to Medicare, Medicaid, Tricare, and other government cost reports for multiple facilities.
Why Join? - PTO front-loaded for eligible hires.
- Free health insurance options for full-time single coverage.
- Up to 5% employer matching contribution for retirement.
- Career development supported by hands-on training and mentorship.
- Competitive Compensation: Offering $100K-$140K for the right person.
Key Responsibilities - Manage and review Medicare, Medicaid, and Tricare cost reports, ensuring accuracy and compliance.
- Complete monthly Medicare 3rd Party Settlement calculations.
- Develop and calculate annual revenue deductions and uncompensated care budgets.
- Oversee the collection and audit of cost report information across multiple facilities.
- Provide expertise on state and federal regulatory changes, analyzing impacts on financial operations.
- Act as a financial liaison on reimbursement matters, compliance, and charge master oversight.
- Collaborate with Finance, Decision Support, and Revenue Cycle teams to address reimbursement concerns.
Qualifications - Bachelor's degree in Accounting, Business, Finance, or a related field.
- 4-6 years of experience in healthcare with regulatory and cost reporting exposure required.
- Experience across reimbursement settings such as PPS, SCH, CAH, RHC, and SNF.
- Knowledge of IME, GME, Transplant, DSH, and Wage Index is a plus.