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Director of Reimbursement | Health System in Northern Central MA

18 Mar 2018 2:52 PM | Anonymous

Position Description: The Confidential Search Company is an executive recruitment firm with over twenty-five years of experience placing healthcare financial and administrative executives, director, managers and specialists.

We have been engaged to conduct an executive search for a Director of Reimbursement for our client, a health system comprised of a Physician Group, an Acute Care Hospital and a Critical Access Hospital in central Massachusetts.


Starting salary is up to $135k+ bonus potential, depending on background and experience.

The Director of Reimbursement will:

  • Be responsible for all third party filings (including but not limited to the Medicare 2552, CHIA-403, and UCC reports).
  • Oversee the system chargemaster and pricing initiatives.
  • Negotiate, as part of a team, with third party payors.
  • Coordinates the third party portion of the annual financial audit.
  • Be responsible for reserve and third –party settlement calculations.
  • Prepare the budget gross to net revenue projections and impacts associated with regulatory and commercial payment impacts.
  • Be responsible for the month end close process related to AR and contractual analysis.
  • Provide strategic direction for provider based initiatives and serve as the lead on implementation projects.
  • Provide strategic direction for the development of a rural health model including Rural Health Clinics and Community Mental Health Centers.
  • Provide general revenue cycle support and process improvement to all departments and stakeholders.
  • Supervise 3 direct reports and 2 consulting engagements associated with DSH and Contract Management.
  • Communicate with various other internal/external customers as necessary, regarding reimbursement issues.
  • Perform net revenue forecasting and budget projections.
  • Perform third party analytical work in support of financial decision making.
  • Reviews Hospital systems and make suggestions for improvement as it related to the Revenue Cycle and Reimbursement.

Qualifications:

  • BS or BA with major in Accounting or related field is required
  • 5 to 7 years in Hospital Accounting
  • 4 to 6 years experience in third party reimbursement is required
  • Excellent communications skills – must have a high level of telephone and face-to-face verbal and listening skills in order to communicate effectively with co-workers, supervisors, managers, and outside agencies
  • Effective manager
  • Excellent analytical skills and technical knowledge

All inquiries will be treated confidentially.

Please send your resume and salary history to:

Matthew O’Brien
The Confidential Search Company
ConfSearch@aol.com
860-742-1555

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