This site uses cookies. To find out more, see our Cookies Policy

Manager, Reimbursement in Brentwood, TN at Health Support Center

Date Posted: 1/10/2019

Job Snapshot

Job Description

Health Support Center

LifePoint Health was founded on the idea that everyone deserves quality healthcare close to home and that strong healthcare creates strong communities. Our Mission is Making Communities Healthier.

LifePoint Health has an exciting opportunity for an experienced Reimbursement Manager to join our team at the Health Support Center (HSC) located in Brentwood, TN.

LifePoint offers a unique culture that allows our employees to make a positive impact in a supportive environment. LifePoint Health offers opportunities for learning and development in our World Class Learning Center, which is 10,000 square feet of dedicated space in our Health Support Center. We also offer a focus on Wellness through our Vitality Program and free onsite fitness center. LifePoint has a competitive benefits package which includes medical, dental, vision, PTO, and tuition reimbursement. Enjoy free covered parking and a walkable campus with access to restaurants and shops.

 

POSITION SUMMARY:

The Reimbursement Manager manages and files Medicare and Medicaid cost reports and other regulatory reporting requirements, working with Centers for Medicare and Medicaid Services (CMS) and Medicaid States Agencies during the audit of these cost reports, and for forecasting Medicaid supplemental payment income, etc. 

ESSENTIAL FUNCTIONS

  • Collaborate with hospitals to ensure Medicare and Medicaid contractual accruals and settlement estimates are accurate.
  • Review monthly Governmental exhibits as a part of month end close and complete/file annual Medicare and Medicaid Cost Reports. 
  • Monitor state legislative activity to ensure LifePoint is aware of upcoming Medicaid payment changes or opportunities to influence policy. 
  • File Medicaid Disproportionate Share Hospital (DSH) audits, month end close related to governmental payers, and other miscellaneous activities for their assigned hospitals. 
  • Mitigate risk of loss of income and seize opportunities to provide value throughout the reimbursement process related to Medicare and Medicaid programs to include, but not limited to, the planning, filing, and auditing of Medicare and Medicaid cost reports. 
  • Review exhibit models and assist in the calculation of net revenue, represent the hospital during audit, review the assigned hospitals month end exhibits, and complete a detailed review once a quarter.
  • Work with Governmental Relations in monitoring Medicaid legislative changes for assigned States.
  • Review monthly and quarterly Government reimbursement exhibits to ensure cash and accrued reimbursement rates are properly set.
  • Adjust accruals and reimbursement factors as needed, in conjunction with Federal and State guidance, as well as with internal costing data.
  • Process month end close to include calculating, reviewing, and preparing entries related to state supplemental payment programs.
  • Regular and reliable attendance.

Job Requirements

KNOWLEDGE, SKILLS & ABILITIES:

The requirements listed below are representative of the knowledge, skills and/or abilities required.

Education: Bachelor's Degree in Accounting.

Experience: Minimum of 5 years related experience in hospital reimbursements.

Certifications: Certified Professional Accountant (CPA) preferred

Travel: Minimum overnight travel (up to 10%) by land and/or air.


LifePoint Health is an Equal Opportunity Employer

EOE Minorities/Females/Protected Veterans/Disabled

LifePoint Health and all of our facilities are committed to providing Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans’ status, or any other basis protected by applicable federal, state, or local law.

LifePoint Health is committed to being a place where employees want to work and takes seriously our responsibility to comply with all regulatory and legal guidelines throughout the recruitment and hiring process. The recruiting process with LifePoint Health will always include emails to job candidates from an address ending in “@lpnt.net”, as well as at least one phone interview and/or in-person interview prior to hiring. 



Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran

CHECK OUT OUR SIMILAR JOBS

  1. Administrative Jobs
  2. Bookkeeper Jobs