Manager, Reimbursement

Role Overview

• Collaborate with hospitals to ensure Medicare and Medicaid contractual accruals and settlement estimates are accurate.
• Monitor state legislative activity to ensure Lifepoint is aware of upcoming Medicaid payment changes or opportunities to influence policy.
• File Medicaid Disproportionate Share Hospital (DSH) audits, month end close related to governmental payers, and other miscellaneous activities for their assigned hospitals.
• Mitigate risk of loss of income and seize opportunities to provide value throughout the reimbursement process related to Medicare and Medicaid programs to include, but not limited to, the planning, filing, and auditing of Medicare and Medicaid cost reports.
• Review monthly Governmental exhibits as a part of month end close and complete/file annual Medicare and Medicaid Cost Reports.
• Review exhibit models and assist in the calculation of net revenue, represent the hospital during audit, review the assigned hospitals month end exhibits, and complete a detailed review once a quarter.
• Work with Governmental Relations in monitoring Medicaid legislative changes for assigned States.
• Review monthly and quarterly Government reimbursement exhibits to ensure cash and accrued reimbursement rates are properly set.
• Adjust accruals and reimbursement factors as needed, in conjunction with Federal and State guidance, as well as with internal costing data.
• Process month end close to include calculating, reviewing, and preparing entries related to state supplemental payment programs.
• Regular and reliable attendance.
• Perform other duties as assigned.

Requirements

• Bachelor's Degree in Accounting required
• Minimum of 5 years related experience in acute care cost reporting hospital reimbursements required
• Certifications: Certified Professional Accountant (CPA) preferred

Benefits

• Comprehensive Benefits: Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
• Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short
• and long-term disability, paid family leave and paid time off.
• Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.
• Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).
• Professional Development: Ongoing learning and career advancement opportunities.