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Manager Care Management
4 months ago
Who we are:
At Lifepoint Health, we provide quality healthcare to rural communities. As a valued member of our team, you will be an integral part of a group working together to elevate Lifepoint's healthcare delivery network. Our network includes 60+ community hospitals, 60+ rehabilitation/behavioral health hospitals, and 250 additional sites of care across the United States. As an organization, we are dedicated to serving communities nationwide by providing exceptional care. p>
What you’ll do:
As a Reimbursement Manager , you will manage and file Medicare and Medicaid cost reports and other regulatory reports, working with Medicare Audit Contractors (MACs) and Medicaid State Agencies during the audit of these cost reports, calculates reimbursement-related settlements and accruals as part of month-end close, and forecast Medicaid supplemental payment income, etc.
· 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 for several acute care hospitals.
· Complete monthly Governmental Exhibits for the calculation of Medicare and Medicaid reimbursement-related settlements as a part of month-end close for several acute-care hospitals.
· 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) surveys
· Work with the Governmental Relations department in monitoring Medicaid legislative changes for assigned states.
· Validate interim Medicare and Medicaid payment rates to ensure hospitals are getting paid correctly and proper payment factors are being used in accounts receivable allowance and settlements calculations.
What you’ll need:
Education: Bachelor's Degree in Accounting.
Experience: Minimum of 3 years related experience in hospital reimbursements.
Certifications: Certified Professional Accountant (CPA) preferred
Why choose us:
As a team member of the Health Support Center, our goal is to support those that are in our facilities who are interfacing and providing care to our patients and community members. Our mission statement is at the heart of who we are and what we do: “Making Communities Healthier.” In this shared mission, we believe that our collective efforts will shape a healthier future for the communities we serve.
Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran
