What are the responsibilities and job description for the Manager - Reimbursement position at MaineHealth?
Summary
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**Fully Remote Position
- The manager is primarily responsible for the coordination of data collection and accurate submission of the System’s member’s Medicare and Medicaid cost reports, which includes acting as liaison to all external auditors and consultants regarding reimbursement matters for assigned members; improving processes and relationships whenever possible. The position will actively facilitate cost reporting, best practice reviews and team member education. The position will be responsible for the preparation and/or supervising the completion of monthly contractual adjustment and third party receivable journal entries to division financial statements as well as the analysis and interpretation of variances between performance and budget. The position will perform or coordinate the performance of reimbursement analyses as assigned by the Senior Director. The manager will complete or supervise the completion of timely facility enrollment changes and revalidations with third party payers. The manager will have the support and obligation to supervise and train reimbursement department staff.
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Required Minimum Knowledge, Skills, and Abilities (KSAs)
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Education: BS required; CPA, MBA, HFMA preferred or equivalent specific experience in hospital reimbursement.
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License/Certifications: N/A
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Experience: Three to five years’ experience in hospital reimbursement is required to include preparation or supervision of the preparation of hospital Medicare cost reports as well as estimating contractual allowances and third party payables/receivables.
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Previous leadership experience is preferred.
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Interpersonal skills are necessary to communicate effectively with both internal and external customers.
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Ability to problem solve and work cooperatively with other hospital departments, physicians, the System's reimbursement team and management.
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Additional Information
With a career at any of the MaineHealth locations across Maine and New Hampshire, you’ll be working with health care professionals that truly value the people around them – both within the walls of the organization and the communities that surround it.
We offer benefits that support an individual's needs for today and flexibility to plan for tomorrow – programs such as paid parental leave, a flexible work policy, student loan assistance, training and education, along with well-being resources for you and your family.
With a career at any of the MaineHealth locations across Maine and New Hampshire, you’ll be working with health care professionals that truly value the people around them – both within the walls of the organization and the communities that surround it.
We offer benefits that support an individual's needs for today and flexibility to plan for tomorrow – programs such as paid parental leave, a flexible work policy, student loan assistance, training and education, along with well-being resources for you and your family.
MaineHealth remains focused on investing in our care team and developing an inclusive environment where you can thrive and feel supported to realize your full potential. If you’re looking to build a career in a place where people help one another deliver best-in-class care, apply today.
Additional Information
MaineHealth is a health system whose members and affiliates include hospitals, physician practices, long-term care facilities, home care agencies, and support services. Learn more about this system at www.mainehealth.orgManager
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