The Director of Reimbursement ensures the appropriate capture of Government revenue across the entire Catholic Health system. The Director is responsible for the coordination, completion and timely filing of all cost reports (acute, long-term care, home care), all Medicare and Medicaid rate reviews for acute, long term care, and home care, and coordination and timely filing of appeals to the NYS Department of Health and CMS. The Director is responsible for the collection and preparation of data, analysis of accounting and related systems, regulatory submissions, fiscal presentations for budget and other forums as needed. The role assists with reimbursement related projects such as DSH, IME, HCRA and other 3rd party reporting.
The Director will adhere to Hospital Standards of Conduct and practices the Core Values of Service of the Poor, Reverence, Integrity, Wisdom, Creativity and Dedication.
The Director represents Catholic Health (CH) accurately and honestly and acts with integrity and in the best interest of CH. Associate identifies instances of non-compliance and takes appropriate action, including reporting violations of the CRP. Associate will adhere to Hospital policy or regulations. Business relationships are conducted in the best interest of CH, free of gifts, favors or other improper inducements.
Master's Degree or CPA preferred
Seven (7) years in healthcare reimbursement
KNOWLEDGE, SKILL AND ABILITY
Knowledgeable of Federal and State Healthcare reimbursement and financial analysis
Extensive use of Excel including Pivot Tables, V Look up and Macros
Use of PowerPoint, Strong knowledge of financial management
Good strategic planning, analytical, and organization skills
Demonstrated ability to work well in a team setting
Strong written and verbal communication skills
Strong interpersonal and leadership skills
Comfort in working in a matrix environment
Ability to work independently
Normal heat, light space, and safe working environment; typical of most office jobs