Director of Budgets and Reimbursement
3 weeks ago
Essential Functions of the Job:
- Preparation and Supervision of Medicare Cost Report: Responsible for overseeing the preparation and submission of Medicare cost reports, ensuring accuracy and compliance with regulations.
- Federal Reimbursement Programs Management: Implement and maintain changes to Federal Reimbursement programs, ensuring the hospital optimizes reimbursement opportunities.
- Maximize Reimbursement from Third Party Payers: Research and review current and proposed Medicare and Medicaid regulations to maximize reimbursement from third-party payers.
- Charge Master Maintenance: Ensure the Hospital charge master is updated with all CPT-4 coding changes to accurately reflect services provided.
- Competitive Charge Levels: Ensure charge levels are competitive within the local market to maximize revenue.
- Budget Variance Analysis: Prepare and/or supervise the calculation of monthly budget to actual variances for revenue and expenses, providing explanations to senior management.
- Budget Preparation and Supervision: Oversee the completion of the Hospital’s annual Operating and Capital budgets, ensuring accuracy and alignment with organizational goals.
- Data Summarization and Presentation: Summarize data for senior management review and present budget recommendations clearly and concisely.
- Monthly Budget Reporting: Ensure timely and accurate distribution of monthly budget reports to Department Managers, including Budget Comparison, Detailed Expense, FTE, and Revenue by Charge Code.
- Patient Statistical Information Management: Oversee the preparation and distribution of accurate and timely patient statistical information.
- Workflow Optimization: Utilize existing information system capabilities to maximize workflow efficiency.
- Financial Statement Assistance: Assist in compiling and completing monthly and annual audited financial statements.
- Journal Entries and Month-End Close: Assist in monthly journal entries and the financial month-end close process.
- Financial Projections and Analysis: Assist with financial projections and pro-forma analysis to support senior management decisions.
- Financial Analysis: Perform return on investments analysis and other financial analysis to support senior management decisions.
- Profit & Loss Statement Preparation: Prepare Statements of Profit & Loss at the payer and departmental levels, distributing results to all levels of management and making recommendations for adjustments.
- Cost Benchmarking: Develop hospital-wide and department-specific cost benchmarking, collaborating with third-party vendors to summarize data and establish goals.
- Communication Skills: Demonstrate effective oral and written communication skills in interacting with stakeholders.
- Other Duties: Perform any other duties as assigned by senior management.
Education: Bachelor’s Degree in Finance or Accounting.
Experience: Minimum of 6+ years of budgeting and reimbursement experience in a Hospital environment. Thorough knowledge and working experience with microcomputer and spreadsheets software.
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