Current jobs related to Reimbursement Director - Gainesville - Northeast Georgia Health System Inc
-
Reimbursement Director
3 days ago
Gainesville, Georgia, United States Northeast Georgia Health System Full timeJob SummaryUnder the general direction of the Executive Director, Corporate Controller, the Reimbursement Director is responsible for the coordination of all CMS reporting requirements, including oversight of the GME reporting functions. This role also involves the administration of the charge description master and revenue forecasting for both budget and...
-
Reimbursement Director
2 weeks ago
Gainesville, Florida, United States Northeast Georgia Health System Full timeJob SummaryUnder the general direction of the Executive Director, Corporate Controller, the Reimbursement Director is responsible for coordinating all CMS reporting requirements, including oversight of GME reporting functions. Additionally, this role involves the administration of the charge description master and revenue forecasting for both budget and...
-
Reimbursement Director
2 weeks ago
Gainesville, Georgia, United States Northeast Georgia Health System, Inc Full timeAbout the RoleWe are seeking a highly skilled and experienced Reimbursement Director to join our team at Northeast Georgia Health System, Inc. As a key member of our finance department, you will be responsible for overseeing the coordination of all CMS reporting requirements, including the administration of the Charge Description Master and revenue...
-
Reimbursement Director
1 week ago
Gainesville, Florida, United States Northeast Georgia Health System Full timeJob SummaryUnder the general direction of the Executive Director, Corporate Controller, this role is responsible for coordinating all CMS reporting requirements, including oversight of GME reporting functions. Additionally, the incumbent will administer the charge description master and revenue forecasting for both budget and month-end close. The ideal...
-
Reimbursement Director
1 month ago
Gainesville, United States Northeast Georgia Health System Full timeJob Summary Under the general direction of the Executive Director, Corporate Controller, responsible for the coordination of all CMS reporting requirements including oversite of the GME reporting functions. In addition, responsible for the administration of the charge description master and revenue forecasting for both budget and month-end close. Will...
-
Reimbursement Director
4 weeks ago
Gainesville, United States Northeast Georgia Health System, Inc Full timeJob Category:Accounting & Finance, Executive LeadershipWork Shift/Schedule:8 Hr Evening - MorningNortheast Georgia Health System is rooted in a foundation of improving the health of our communities. About the Role:Job SummaryUnder the general direction of the Executive Director, Corporate Controller, responsible for the coordination of all CMS reporting...
-
Reimbursement Director
4 weeks ago
Gainesville, United States Northeast Georgia Health System, Inc Full timeJob Category:Accounting & Finance, Executive Leadership Work Shift/Schedule:8 Hr Evening - MorningNortheast Georgia Health System is rooted in a foundation of improving the health of our communities. About the Role:Job SummaryUnder the general direction of the Executive Director, Corporate Controller, responsible for the coordination of all CMS reporting...
-
Reimbursement and Revenue Management Director
4 weeks ago
Gainesville, Florida, United States Northeast Georgia Health System Full timeAbout This Role As a Reimbursement and Revenue Management Director, you will play a pivotal role in ensuring the financial health of our organization. You'll lead a team dedicated to optimizing revenue streams, managing complex reimbursement processes, and staying ahead of evolving regulatory landscapes. Key Responsibilities Charge Description Master (CDM)...
-
Reimbursement Director
4 days ago
Gainesville, United States Northeast Georgia Health System Full timeJob SummaryUnder the general direction of the Executive Director, Corporate Controller, responsible for the coordination of all CMS reporting requirements including oversite of the GME reporting functions. In addition, responsible for the administration of the charge description master and revenue forecasting for both budget and month-end close. Will serve...
-
Reimbursement Director
5 days ago
Gainesville, United States Northeast Georgia Health System Full timeJob SummaryUnder the general direction of the Executive Director, Corporate Controller, responsible for the coordination of all CMS reporting requirements including oversite of the GME reporting functions. In addition, responsible for the administration of the charge description master and revenue forecasting for both budget and month-end close. Will serve...
-
Director of Revenue Cycle Management
3 weeks ago
Gainesville, Georgia, United States Northeast Georgia Health System, Inc Full timeAbout the RoleAs a key member of the Northeast Georgia Health System, Inc. team, the Reimbursement Director will play a critical role in ensuring the financial integrity of our organization. This position will be responsible for overseeing all aspects of revenue cycle management, including charge description master functions, reimbursement analysis, and...
-
Care Management Director
7 days ago
Gainesville, Florida, United States HCA Florida North Florida Hospital Full timeDirector Respiratory Therapy Job DescriptionWe are seeking a highly skilled and experienced Director Respiratory Therapy to join our team at HCA Florida North Florida Hospital. As a key member of our healthcare team, you will be responsible for overseeing the respiratory therapy department and ensuring the delivery of high-quality patient care.Key...
-
Care Management Director
6 days ago
Gainesville, Florida, United States HCA Florida North Florida Hospital Full timeDirector Respiratory Therapy Job DescriptionWe are seeking a highly skilled and experienced Director Respiratory Therapy to join our team at HCA Florida North Florida Hospital. As a key member of our healthcare team, you will be responsible for overseeing the respiratory therapy department and ensuring the delivery of high-quality patient care.Key...
-
Executive Director, LNFA
3 days ago
Gainesville, Texas, United States Cantex Continuing Care Network Full timeJob SummaryThe Executive Director, LNFA position is a critical role within the Cantex Continuing Care Network, responsible for directing the overall operation of the facility in accordance with applicable local, state, and federal regulations.Key ResponsibilitiesEnsure facility compliance with federal, state, and local regulations.Develop and implement...
-
Revenue Integrity Director
3 weeks ago
Gainesville, Georgia, United States Northeast Georgia Health System, Inc Full timeJob SummaryThis position reports to the Executive Director of Hospital Revenue Cycle Operations and is responsible for developing, implementing, coordinating, and managing the Revenue Integrity department. Ensures the overall consistency and integration of integrity activities throughout the organization.Key ResponsibilitiesDevelops, coordinates, implements,...
-
Activity Director
1 week ago
Gainesville, Florida, United States Cantex Continuing Care Network Full timeJob Summary:The Activity Director position at Cantex Continuing Care Network is responsible for creating engaging social and recreational programs for patients/residents. This role requires coordination, development, and maintenance of quality programs that provide mental and physical stimulation.Key Responsibilities:Assess patient/resident interests,...
-
Activity Director
1 week ago
Gainesville, Texas, United States Cantex Continuing Care Network Full timeJob Summary:The Lifestyle Director position at Cantex Continuing Care Network is a dynamic role that focuses on providing engaging social and recreational programs for patients/residents. This position requires a strong ability to assess individual needs and interests, develop and implement quality programs, and collaborate with staff, family, and community...
-
Nutrition Services Director
2 weeks ago
Gainesville, Texas, United States Cantex Continuing Care Network Full timeJob SummaryThe Nutrition Services Director position is a key role in the Dining Services department at Cantex Continuing Care Network. This position is responsible for planning, developing, and directing the activities of the department to provide high-quality food service to patients in a cost-effective manner.Key ResponsibilitiesEstablish and maintain...
-
Director of Global Data Insights
3 weeks ago
Gainesville, Florida, United States Philips Full timeJob TitleDirector of Global Data InsightsJob SummaryThe Director of Global Data Insights will oversee the strategic use of data to drive business success and patient safety worldwide. This role will lead a team of data analysts to leverage data insights and drive business outcomes.Key ResponsibilitiesLead and Inspire a TeamLead a team of data analysts to...
-
Activity Director
2 weeks ago
Gainesville, Texas, United States Cantex Continuing Care Network Full timeJob SummaryCantex Continuing Care Network is seeking a skilled Activity Director to join our team at the Renaissance Care Center in Gainesville, TX. As a key member of our staff, you will be responsible for developing and implementing engaging social and recreational programs for our patients/residents.Key ResponsibilitiesAssess patient/resident interests,...
Reimbursement Director
3 months ago
Job Category:
Accounting & Finance, Executive LeadershipWork Shift/Schedule:
8 Hr Evening - MorningNortheast Georgia Health System is rooted in a foundation of improving the health of our communities.
About the Role:Job Summary
Under the general direction of the Executive Director, Corporate Controller, responsible for the coordination of all CMS reporting requirements including oversite of the GME reporting functions. In addition, responsible for the administration of the charge description master and revenue forecasting for both budget and month-end close. Will serve as the organization expert on CMS regulatory changes and will make recommendations to senior management related to proposed changes. Takes the lead for the organization's Accounts Receivable review and analysis
Minimum Job Qualifications-
Licensure or other certifications:
Educational Requirements: Bachelors Degree in Business Administration, Finance, Accounting or other related area
Minimum Experience: Minimum five (5) to seven (7) years relevant work experience in healthcare financial management including revenue modeling and CMS cost reporting activities
Other:
-
Preferred Licensure or other certifications:
Preferred Educational Requirements: Masters degree or CPA
Preferred Experience: Operational experience as a Director in a health system
Other:
-
Ability to research complex coding, reimbursement and regulatory requirements
Knowledge of clinical settings such as Laboratory, Radiology, Physical or Occupational Therapy, Respiratory Therapy, Cardiology, or Oncology
Must have a good understanding of the CDM and its relationship to related areas such as the General Ledger, Cost Accounting, Inventory, Productivity, Cost Reporting and Budget
Extensive knowledge of CPT/HCPCS, UB-92 Revenue Coding, modifiers, billing regulations, DRGs and APCs
Understanding of Graduate Medical Education and health care financing issues
Possess effective time management skills to permit handling of a large workload
Ability to multi-task and work under aggressive deadlines
Ability to understand and analyze payor contracts/regulations and model net revenue impacts based on reimbursement and coding guidelines
-
Oversight of Charge Description Master functions and reimbursement analysis.
Supervision and coordination of Charge-master management functions in researching coding and billing guidelines, researching insurance contracts, and updating hospital Charge-master.
Works with the revenue producing departments to ensure the ongoing coordinated consistency of the Charge-master, including accurate descriptions, coding, additions, deletions, pricing, charging methodology and any other changes.
Collaborate with managerial and supervisory staff to ensure regulatory billing with correct coding on accounts.
Maintain a working knowledge of revenue cycle process to aid in the implementation of regulatory standards that assist the health system in cash collection while accurately complying with billing guidelines.
Monitor compliance with corporate, federal, and state guidelines.
Oversees all cost reporting to CMS for funding for GME programs in cooperation with the Finance Department.
Work with Finance to perform applicable analyses to understand net revenue effect of proposed Charge-master changes.
Performs analysis, identifies trends, validation of compliance as related to fiscal activities generating additional revenue, reducing bad debt expense and charity write-offs and overall expense reduction.
Remain current with updated coding and billing regulations.
Prepares, monitors, and files Medicare and Medicaid Cost Reports assuring maximization of reimbursement from third-party payors.
Responds to surveys affecting Medicare and Medicaid rate revisions, interim payments, and hospital-based physician arrangements.
Monitors changes and proposed changes to Medicare and Medicaid regulations and determines the financial effect of these changes on the organization.
Coordinates financial audits conducted by CMS, DCH, and other governmental intermediaries on prior years cost reports and surveys.
Provides management for Indigent Care Trust Fund processes and reporting.
-
Weight Lifted: Up to 20lbs, Occasionally 0-30%
Weight Carried: Up to 20lbs, Occasionally 0-30%
Vision: Moderate, Constantly 66-100%
Kneeling/Stooping/Bending: Occasionally 0-30%
Standing/Walking: Occasionally 0-30%
Pushing/Pulling: Occasionally 0-30%
Intensity of Work: Constantly 66-100%
Job Requires: Reading, Writing, Reasoning, Talking, Keyboarding, Driving
Working at NGHS means being part of something special: a team invested in you as a person, an employee, and in helping you reach your goals.
NGHS: Opportunities start here.
Northeast Georgia Health System is an Equal Opportunity Employer and will not tolerate discrimination in employment on the basis of race, color, age, sex, sexual orientation, gender identity or expression, religion, disability, ethnicity, national origin, marital status, protected veteran status, genetic information, or any other legally protected classification or status.
