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Reimbursement Manager

Company: Erlanger Health System
Location: Chattanooga
Posted on: November 25, 2022

Job Description:

Reimbursement Manager (34614) -Erlanger Baroness Hospital
Reimbursement Manager
Regular - Exempt - Full-time - Standard Hours 37.5 Description Job Summary:
Job responsibilities include the preparation of annual Medicare and Medicaid cost reports for Erlanger Health System entities. In addition to the completion of Medicare and Medicaid cost reports, preparation of an annual Champus cost report. Responsibilities also include the coordination of Medicare and Medicaid cost reports and DSH audits, as well as S-10 audits. Other responsibilities include reopenings and PRRB appeals. This position assists in the coordination and completion of DSH surveys by the TennCare and NC Medicaid programs. Other monthly responsibilities include preparing monthly calculations for Medicare and Medicaid contractual allowances for Erlanger Health System entities that will be used in the reporting of monthly financial statements. This position will assist with various special reimbursement projects and completion of reimbursement analyses for various departments as needed. Education:
Required:
Bachelor's Degree in Business Administration with a major in Accounting or Finance; or Bachelor's Degree in related field with related experience or graduate degree in Business Administration or Health Administration. Preferred: Experience:
Required:
Four years' progressive experience in hospital reimbursement with extensive experience in preparation of Medicare cost reports for IPPS teaching hospitals, Critical Access and FQHC cost reports. Preferred:
N/A Position Requirement(s): License/Certification/Registration
Required:
N/A Preferred:
Certified Public Accountant Department Position Summary:
Ability to prepare annual Medicare cost reports for Erlanger Medical Center and Home Office and submit according to CMS mandated deadlines with little or no supervision. Manager must have extensive knowledge of CMS laws and regulations relating to PPS hospitals and Home Office structures. Also requires through knowledge of Microsoft Excel, MicroKostPak or other cost reporting software, IRIS & RAS computer applications. PeopleSoft experience is desirable. Ability to maintain in an organized manner extensive amount of documentation, both hardcopy and electronic, to support settled, filed and to be filed cost reports. Ability to prepare annual Champus cost report for Erlanger Medical Center and submit according to mandated deadlines. Coordinate cost report audits, reopenings, and appeals including working with Fiscal Intermediary to resolve disputed issues. Able to calculate monthly Medicare contractual allowances for Erlanger Health System entities using various reports & methods to project expected reimbursement and contractual write-offs. Will reconcile Medicare related general ledger accounts on a regular basis and maintain an up-to-date reconciliation of cost report settlement accounts to filed and/or settled cost reports. Prepare annual Medicare budget. Ability to complete and submit Provider Enrollment applications in Out of State Medicaid plans and furnish documentation as requested by these plans. Provide assistance & oversight as needed in preparation of following items related to Bledsoe Hospital: 1. monthly Medicare and Medicaid contractuals; 2. annual Medicare cost report; 3. TennCare Critical Access Hospital Invoice. Assist in special projects as needed or requested by individuals within the department or within the Health System.

Keywords: Erlanger Health System, Chattanooga , Reimbursement Manager, Executive , Chattanooga, Tennessee

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