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Principal Consultant-Reimbursement/Full Time/Hybrid
4 months ago
Principal Consultant-Reimbursement/Full Time/Hybrid
Reporting to the Director of Reimbursement, this position is responsible for directing certain reimbursement functions related to the hospitals of Henry Ford Health System.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
1. Coordinate the preparation and analysis of medical education data for cost reports, monthly revenue calculations, and net revenue budgets.
2. Manage duties of remote Sr. Analyst working on medical education.
3. Planning and coordinating of third party audits and appeals.
4. Maintain expertise in reimbursement regulations & strategies through appropriate education and provide education and consultation to other reimbursement staff members.
5. Provide System leadership and education in area(s) of expertise.
6. Completes other special reimbursement projects as needed.
7. Review current and proposed regulations, calculate reimbursement impacts, and draft comments on the proposed regulations.
8. Standardize hospital workpapers, reports, documentation, and procedures.
9. Formalize and maintain policies and procedures for Reimbursement functions
EDUCATION/EXPERIENCE REQUIRED:
Bachelor's Degree in Accounting, Finance, or other related field required.
Master's degree preferred.
Ten (10+) years of progressively more responsible experience in healthcare reimbursement is required.
Thorough knowledge of and experience with Medicare Cost Report appeal and reopening process, including deadlines, various PRRB forms, and MAC requirements.
Ability to manage multiple ongoing appeals and reopenings.
Extensive Medicare Cost Report reimbursement regulation knowledge, especially medical education, organ acquisition, DSH and Medicare bad debts.
Demonstrated ability to train staff on various reimbursement regulation changes.
Working knowledge of generally accepted accounting principles and a thorough understanding of third party reimbursement mechanisms.
Ability to communicate in clear concise terms both written and orally.
Excellent computer skills including expertise in Excel and Access.
Well-developed conceptual and analytical skills.
High level of interpersonal, management and organizational skills.
Additional Information
Organization: Corporate Services
Department: Cost Reimbursement
Shift: Day Job
Union Code: Not Applicable
This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described above.
Overview
Partnering with nearly 2 million people on their health journey, Henry Ford Health provides a full continuum of services at 250 care locations throughout southeast and south central Michigan. With 33,000 valued team members, Henry Ford is also among Michigan’s largest and most diverse employers. Our superior care and discoveries are powered by nearly 6,000 physicians, researchers and advanced practice providers. Learn more at henryford.com .
Whether it's offering a new medical option, helping you make healthier lifestyle choices or
making the employee enrollment selection experience easier, it's all about choice. Henry
Ford Health has a new approach for its employee benefits program - My Choice
Rewards. My Choice Rewards is a program as diverse as the people it serves. There are
dozens of options for all of our employees including compensation, benefits, work/life balance
and learning - options that enhance your career and add value to your personal life. As an
employee you are provided access to Retirement Programs, an Employee Assistance Program
(Henry Ford Enhanced), Tuition Reimbursement, Paid Time Off, Employee Health and Wellness, and a whole host of other benefits and services. Employee's classified as contingent status are not eligible for benefits.
Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health is
committed to the hiring, advancement and fair treatment of all individuals without regard to
race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height,
weight, marital status, family status, gender identity, sexual orientation, and genetic information,
or any other protected status in accordance with applicable federal and state laws.
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