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 dedicated Reimbursement Manager responsible for the coordination and completion of data for Medicare/Medicaid Cost Reports and all reimbursement surveys, while also leading and empowering staff to drive improvements. This role involves managing 3rd party audits, ensuring regulatory compliance, and providing vital financial reports to operational management.
##### Key Responsibilities
- Responsible for coordination and completion of the data for the Medicare/Medicaid Cost Reports and all reimbursement surveys and empowers the staff to make recommendations for improvements.
- Coordinates all 3rd party audits with government intermediaries. Lead contact person with scheduling audit, gathering all requested information, fielding questions, and analyzing impact of audit adjustments.
- Monitors and trends the impact of Medicare and Medicaid regulations. Reviews and analyzes relevant information related to Medicare regulatory compliance issues.
- Provides monthly, quarterly, and special request reports related to patient detailed data for Operational Management through data reporting.
- Implements new systems related to financial controls and assists in matters as they relate to reimbursement operations. Serves as System Administrator in various reimbursement systems for IE: Cost report system and other CMS systems.
##### Qualifications
- Must possess knowledge and understanding of the Medicare Cost Report, regulatory reporting, and other compliance requirements.
- Ability to work independently to achieve goals and prioritize work assignments.
- Excellent organizational, analytical, problem-solving, and communication skills.
##### Experience
- Five to seven years of Reimbursement experience required.
- One to three years of supervisory experience preferred.
- Experience with Medicare Cost Reports is required.
##### Skills
- Working knowledge of Windows, Word, and Excel.
- Thorough knowledge of general ledger software packages.
- Oracle and/or EPIC experience a plus.
##### Education
- Bachelor's of Business Administration in Accounting or Finance required.
- Certification as public or managerial accountant or Master's Degree in Business Administration in related field is preferred.
##### Additional Requirements
This is a full-time position, Monday to Friday, with a hybrid work model allowing for 3 days on-site.
##### 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.
##### Required Employment / Compliance Language
Medix is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status. Medix will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law.
*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).
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.
Any required state or Joint Commission training is compensated at the state or local minimum wage rate.
*As a job position within our Revenue Cycle division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, handling financial and other payment data, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the 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.