Reimbursement Director

CoxHealth

$100K — $130K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's Degree in Accounting or related field required
  • Master's Degree in Business or Healthcare Administration preferred
  • Minimum of 5 years' accounting or leadership experience
  • Certified Public Accountant or related certification required
  • Strong interpersonal skills for effective collaboration with staff and external entities

Responsibilities

  • Prepare internal documentation for Medicare and Medicaid cost reports
  • Perform detailed reviews and analyze 3rd party payer reimbursements
  • Develop impact analyses of changes in 3rd party payer policies
  • Analyze pricing structures and recommend tactical adjustments
  • Evaluate and implement a payer contract modeling system
  • Prepare monthly financial estimates for net realizable value of accounts receivable
  • Oversee and develop staff under the reimbursement director

Benefits

  • Join a reputable healthcare organization
  • Opportunity to work directly with senior leadership
  • Engage in special reimbursement projects
  • Potential for professional development in healthcare finance
  • Work in a supportive team environment
Full Job Description
Facility:
CoxHealth South: 3801 S National Ave, Springfield, Missouri, United States of America, 65807

Department:
1724 System Admin

Scheduled Weekly Hours:
40

Hours:

Work Shift:
Day Shift (United States of America)

Job Description:
The reimbursement director reports directly to the VP of Finance and Revenue Cycle of CoxHealth. The Reimbursement Director prepares internal documentation for preparation of Medicare and Medicaid cost reports. Performs detailed reviews and analysis of 3rd party payer reimbursement, develops impact analysis of 3rd party payer changes. The Reimbursement Director analyzes the pricing structure and makes recommendations for tactical pricing adjustments. This position evaluates and implements a payer contract modeling system, prepares monthly financial statement estimates for valuing the net realizable value of accounts receivable and performs special reimbursement projects as needed. The Reimbursement Director oversee and develop staff supervised by the reimbursement director.
Education:
• Required: Bachelor's Degree in Accounting or a related field
• Preferred: Master's Degree in Business or Healthcare Administration
Experience:
• Required: At least 5 years' accounting or leadership experience
Skills:
• Must be able to work effectively with staff, public and external agencies.
• Must have the ability to take initiative and to exercise good judgment and decision-making
• Problem solving
• Critical thinking, conflict management, negotiation and Personnel development
Licensure/Certification/Registration:
• Required: Certified Public Accountant or a related certification

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