MGR REIMBURSEMENT
Apply NowCompany: H. Lee Moffitt Cancer Center
Location: Tampa, FL 33647
Description:
Position Highlights:
The Ideal Candidate:
Responsibilities or Essential Functions:
Credentials and Experience:
- The Manager of Reimbursement is responsible for the Cancer Center's Medicare and Medicaid reimbursement matters.
- This includes the annual and interim third party cost report completion and monthly contractual allowances and settlement adjustments.
- The Manager is responsible for achieving accurate third-party reimbursement.
- Moffitt is a cost-based PPS exempt Cancer Center with significant cost report settlement activities.
- This position serves as an expert resource for the Cancer Center in the areas of Medicare and Medicaid regulatory/settlement matters.
The Ideal Candidate:
- The ideal candidate will have Healthcare financial experience, including hospital reimbursement and experience with cost reporting.
- The ideal candidate will have experience with patient billing and general ledger software and have experience with Medicare auditors and defending proposed adjustments
Responsibilities or Essential Functions:
- Prepares and files Medicare Cost Reports ensuring strict compliance with all Medicare regulations, policies, procedures and guidelines
- Complete monthly review of Medicare and Medicaid contractual allowances and third-party settlements
- Serves as the Cancer Center's resource on Medicare and Medicaid reimbursement matters and regulations
- Assess impacts of the State's Medicaid Programs
- Oversee and Supervise staff
Credentials and Experience:
- Bachelor's Degree required - field of study: Finance, Accounting, or related field
- Minimum on ten (10) years' experience in Healthcare financial related field, including four (4) years in hospital reimbursement and experience with cost reporting.
- Preferred experience includes:
- Experience with patient billing and general ledger software.
- Experience with Medicare auditors and defending proposed adjustments.
- Experience with financial data.
- Preferred experience includes: