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Reimbursement Manager | The Confidential Search Company

10 Sep 2018 11:40 AM | Anonymous

Position Description: The Confidential Search Company is an executive recruiting firm with over twenty-five years of experience placing healthcare financial and administrative Executives, VPs. Directors, Managers and specialists.

We are conducting an executive search for a Reimbursement Manager for our client, the flag ship academic medical center of a multi-hospital health network with several community and critical access hospitals serving Vermont and northern New York. This position is based in Burlington, VT located on the shores of Lake Champlain between the Adirondack and Green Mountains.

Salary range: $81,611 to $129,896.

Excellent benefit package.

Relocation assistance is available.

This position has the potential to grow into a larger network role over time.

The Reimbursement Manager will be responsible for all aspects of third party government payer reimbursement functions, including Medicare Cost Report filings/audits/appeals and keeping current on all Federal and State government regulatory payment changes for the Academic, Community, and Critical Access Hospitals within the Health Network. They will also complete the Health Network Medicare Home Office cost report.

The Reimbursement Manager will manage all projects and staff associated with the Reimbursement function at the medical center or any of the other hospitals within the Health Network. They have direct oversight for Reimbursement Analysts and have the authority to act independently to make decisions and judgments regarding reimbursement matters under his scope of authority.

The Reimbursement Manager will manage all aspects of cost report filings/audits, as well as appeal processes with the Medicare Fiscal Intermediary/MAC. They will manage the daily operation of the Reimbursement area.

  • Provide support and guidance to Reimbursement Analysts in the detailed preparation of annual Medicare cost reports and the annual health system Home Office Medicare cost report
  • Provide support and guidance in the preparation of the Occupational Mix report every three years as required by CMS
  • Performs a detailed review of the Medicare cost report prior to presentation to Senior Management for certification and signature
  • Identify issues and or errors that may require filing amended cost reports
  • Provide support and guidance in the detailed preparation of the annual Vermont State Disproportionate Share filing
  • Provides support and guidance in the administration and compilation of organization-wide physician time study system
  • Maintain expert knowledge of reimbursement rules, regulations, and policies, with the ability to articulate all financial implications as well as the impact on coding/billing and other functional areas
  • Maintain and coordinate the Anticipated Final Settlements schedule 

Our ideal candidate will have 5 to 10 years of direct provider experience in an Academic Medical Center and/or in a Critical Access Center but know both systems. The Manager will provide guidance, strategy, and vision and will communicate well across the network affiliates. Medicaid experience in New York State is a definite plus. Leadership experience over direct reports in a reimbursement capacity and experience working within a healthcare system is also strongly preferred.

They are going live on the Epic Revenue Cycle modules and billing system in 11/2019. Epic experience would be a bonus.

Requirements:

  • Bachelor’s degree in finance, accounting or a related field
  • Minimum of 5 to 7 years in health care finance or reimbursement required
  • 4 years of direct practical experience with Medicare Cost Report filings and audits for a health care system and/or Academic Medical Center
  • Experience with Vermont and New York State cost filings preferred
  • Experience with cost filings for Critical Access Hospitals preferred
  • Previous supervisory experience strongly preferred
  • Excellent written and verbal communications and interpersonal skills
  • Highly polished analytical skills with the ability to provide high-level summaries and explanations based on detailed analytics
  • Ability to distill complex issues into laymen’s terms
  • Manage multiple high priority tasks at once and successfully prioritize and meet deadlines

All inquiries will be treated confidentially.

Interested candidates should send their resume to:

Matthew O’Brien
The Confidential Search Company
mailto:ConfSearch@aol.com
860-742-1555 or 800-222-2729

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