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Reimbursement Manager

3 months ago

Media, Pennsylvania, United States Opusing LLC Full time

Title: Corporate Manager of Net Revenue / Reimbursement

Location: Grand Blanc, MI (Hybrid/Remote) Options available but should be local

Duration: full Time Permanent

Salary Range: 100K annual Base to $130 K Annual Base depending on experience

Additional details:

Assists in coordination of the hospital's reimbursement functions and implements and manages a strategic financial planning process.

Additionally, assists and aids in the preparation of the hospital's budget and reimbursement model. Responsible for managing daily functions of the reimbursement staff.

***THIS IS NOT A REVENUE CYCLE POSITION.***

Job responsibilities include, but are not limited to, the following:

  1. Assists in preparing and analyzing third party cost reports and other required third-party reporting.
  2. Consolidates and analyzes monthly contractual allowances for system office.
  3. Provides projections and analytical support for fiscal year budget preparation.
  4. Researches and keeps abreast of third party regulations and changes, providing analytical support through financial impact summarization.
  5. Assists with third party, quarterly and year end audits and settlement reconciliations.
  6. Provides reimbursement analysis support for new product line development, and for current product line analysis on an ongoing basis.
  7. Assists in the maintenance of the reimbursement model software
  8. Assists in the creation and preparation of monthly dashboard report for the net revenue analysis.
  9. Analyzes operation of system; prepares recommendation and documentation to create and update fiscal services and other related policies and procedures with respect to operating system.
  10. Manages department and budgets within specified parameters. Consistently contributes to sound financial practices.
  11. Would have at least 1 direct report.

REQUIREMENTS

  • Bachelor's Degree in Accounting, Finance or a related area. - Required
  • Master's Degree in Accounting, Finance, or a related area. - Preferred
  • Five years of related experience in healthcare finance. - Required
  • Crowe RCA experience - Preferred
  • MBA or CPA - Preferred
  • Progressive management experience. - Preferred
  • HFMA involvement. - Preferred

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