Job DescriptionReimbursement Manager-Budget & Reimbursement - Corporate 42nd Street-Full-Time Days (Hybrid)Ensures maximization of Reimbursement for facilities through the preparation, development, and analytical review of statistical and financial reports to be submitted to Third Party Payers abiding by Federal, State and payor reimbursement regulations and Generally Accepted Accounting Principles.
Responsibilities- Coordinates and prepares the Institutional Cost Report, Medicare Cost Report, Medicaid Cost Report, and any payor Supplemental reports for New York Eye and Ear (NYEE) or other facilities as needed.
- Reviews all rate calculations received from various Third-Party Payers, ensuring the accuracy of data.
- Prepares appeals to various Third-Party Payers, stating the Institutions position on proposed changes to the reimbursement regulations.
- Analyzes the monthly activity and prepares schedules for the Bad Debt and Charity Care Pool accounts, recording and reviewing all payments and distributions made to and from the Pools.
- Assist with developing charges for various inpatient and outpatient services for institutions, gathering all the cost information involved with the service and ensuring that the developed charge is comparable to other Health Care Institutions.
- Prepares cash budget for the department.
- Trains and assigns work of staff.
- Responsible for updating department with all new regulations and proposed changes to the Medicare Reimbursement System, as set forth in the Health Care Financial Administration Publication 15-1, the Federal Register, and Part 86-1 of the Health's Rules and Regulations.
- Interfaces with auditors from fiscal intermediary and independent accounting firm to ensure the proper presentation of the facilities Revenues and Expenses and balance sheet items in the annual financial statements and Institutional Cost Report.
- Responsible for preparation of Monthly Pool payments for NYS.
- Performs other related duties.
QualificationsEducation- Bachelor's Degree in Health Care Administration, Public Administration or related field; Master's Degree preferred
Experience- 5 years' minimum experience, preferably in a health care setting
Compensation StatementThe Mount Sinai Health System (MSHS) provides salary ranges that comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $95,450.00 - $143,175.00 Annually. Actual salaries depend on a variety of factors, including experience, education, and operational need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.
