You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.
Job Summary
Our client is seeking a skilled Director of Reimbursement to serve as a key resource for providing Medicare and Medicaid reimbursement support and implementing government payment strategies. This role involves planning, preparing, and reviewing annual Medicare/Medicaid cost report filings and managing various related projects. The Director will ensure revenue and receivables reporting compliance with GAAP and will closely interact with finance department personnel at system facilities.
Key Responsibilities
- Prepares Medicare and Medicaid cost reports and supporting forms/schedules as required.
- Responsible for the completion and review of the annual New Jersey Acute Care Hospital (SHARE) cost reports.
- Monitor and validate State and federal issued reimbursement rates.
- Investigates and responds to audit reviews/questions/adjustments.
- Regularly monitor and evaluate changes in reimbursement regulations and policies.
- Manage the data collection and reporting process for cost reports.
- Supervises Financial Analyst(s) in completion of assigned projects.
- Assists in orientation, training, and development of new Financial Analysts.
Qualifications
- BS/BA in Accounting, Finance, or Health Administration required.
- Minimum of 10 years of experience interpreting Medicare and Medicaid payment regulations.
- Expert knowledge of Medicare and Medicaid regulation and payment rules is essential.
- Proficiency in Microsoft Office applications
Skills
- Advanced knowledge of government payment regulation and third-party revenue accounting practices.
- Excellent communication and staff management skills.
Benefits
- Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
- Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
- 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
- Short Term Disability Insurance.
- Term Life Insurance Plan.
*We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).
This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.
Medix Overview:
With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we’re dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.
