Reimbursement Director
1 month ago
The Sr. Reimbursement Specialist directs the development and implementation of reimbursement strategies to ensure compliance with Federal and State regulations. This role requires a strong understanding of Medicare and Medicaid reimbursement policies and procedures.
Key Responsibilities- Develop and implement reimbursement strategies to ensure compliance with Federal and State regulations.
- Direct the preparation of reimbursement studies and reports as needed by senior management.
- Research and analyze regulations related to new programs, services, and ventures.
- Develop and maintain contractual allowances for budget projections and financial statements.
- Evaluate interim payments from third-party payors for accuracy and adequate cash flow.
- Coordinate with Information Systems to produce reports for cost reporting and cost analysis purposes.
- Develop and conduct reimbursement seminars for staff of IHS operating units.
- Manage and direct the preparation and/or review of preliminary and filed Medicare/Medicaid cost reports.
- Review Medicare/Medicaid settlements for accuracy and impact on reimbursement for all IHS entities.
- Coordinate support and documentation needed by independent and Medicare/Medicaid auditors.
- Bachelor's Degree in Business Administration or Accounting.
- Four years of reimbursement experience in a healthcare setting with comprehensive knowledge of Medicare/Medicaid reimbursement.
This position is eligible for remote work for candidates residing in the following states - AL, AZ, DC, DE, FL, GA, KY, ME, MD, MO, NC, OH, PA, SC, TN, TX, UT, VA, WV.
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