Email Alert for
ⓘ There was an unexpected error processing your request.
Please refresh the page and try again.
If the problem persists, please contact us with your issue.
You can always manage your preferences and update your interests to ensure you receive the most relevant opportunities.
Get ready to discover your next great opportunity.
Staff Financial Group
Atlanta, GA, United States
Director of Government Reimbursement Duties Organizing, coordinating, and performing the reimbursement function for Healthcare system entities, including the preparation of entity Medicare/Medicaid/ Tricare cost reports, surveys, audits, appeals, budget and planning in an effort to assist management in operational and compliance decisions. Requir
Job Source: Staff Financial GroupPiedmont Healthcare
Atlanta, GA, United States
JOB PURPOSE: Organizing, coordinating, and performing the reimbursement function for Piedmont Healthcare and system entities, including the preparation of entity Medicare/Medicaid/ Tricare cost reports, surveys, audits, appeals, budget and planning in an effort to assist management in operational and compliance decisions. This position reports to t
Job Source: Piedmont HealthcareUCB S.A.
Atlanta, GA, United States
Make your mark for patients We are looking for a Government Reimbursement Analyst to join us in our Market Access & Pricing team , based in Atlanta, GA.This hybrid role (at least 40% of the time in office). About the Role The Government Reimbursement Analyst is responsible for a range of activities related to the payment of Government Programs,
Job Source: UCB S.A.Confidential
Atlanta, GA, United States
Executive Director, Access & Reimbursement About the Company Innovative biotechnology (BioTech) company Industry Biotechnology Type Privately Held Founded 2015 Employees 201-500 Categories Biotechnology Academic Research Laboratory Services About the Role The Company is seeking an Executive Director for Access and Reimbursement. This key leadersh
Job Source: ConfidentialNovocure Inc
Atlanta, GA, United States
Description: The Director, Reimbursement & Payor Policy will lead the development and execution of coverage and reimbursement strategies for Novocure's products, with a focus on commercial payers. This role will focus on enhancing Novocure's market access by driving engagement with large and regional commercial payers and contributing to pricing
Job Source: Novocure IncConfidential
Atlanta, GA, United States
Director of Foundation & Government Grants About the Company Esteemed liberal arts college Industry Higher Education Type Educational Institution Founded 1916 Employees 201-500 Categories Education Higher Education Colleges & Universities Montreat College Specialties adult education graduate degrees Christ-centered education degree programs for w
Job Source: ConfidentialMorehouse School Of Medicine
Atlanta
Executive Director, Government Relations Bookmark this Posting Print Preview | Apply for this Job Posting Details Position Information About MSM Morehouse School of Medicine ( MSM ) is a place of distinction, serving as the nation’s leading academic medical center for vulnerable populations. It’s also a place for passionate individuals looking to j
Job Source: Morehouse School Of MedicineFord Motor Company
Atlanta
We are the movers of the world and the makers of the future. We get up every day, roll up our sleeves and build a better world -- together. At Ford, we’re all a part of something bigger than ourselves. Are you ready to change the way the world moves? Ford is looking for Government Affairs Director, EV Fleet sales. This role will partner with the Go
Job Source: Ford Motor CompanyAtlanta, GA, United States
Description:
JOB PURPOSE:
Organizing, coordinating, and performing the reimbursement function for Piedmont Healthcare and system entities, including the preparation of entity Medicare/Medicaid/ Tricare cost reports, surveys, audits, appeals, budget and planning in an effort to assist management in operational and compliance decisions. This position reports to the Piedmont Healthcare Government Reimbursement Executive Director.
KEY RESPONSIBILITIES:
1. Prepares and files Piedmont Healthcare Medicare/Medicaid/Tricare Cost Reports by applicable federal and state deadlines.
2. Prepares and maintains all schedules and analysis supporting cost report preparation.
3. Coordinates Medicare and Medicaid audits and prepares all supporting work papers and documentation.
4. Analyzes Medicare Administrative Contractor (MAC) correspondence and interim rate setting to ensure accurate reimbursement and compliance with regulations.
5. Works with senior management to research, analyze, and communicate reimbursement issues.
6. Prepares pro-formas with regard to third party reimbursement.
7. Monitors regulatory changes for compliance and also seeks ways to optimize reimbursement.
8. Assists Piedmont Healthcare and system entities with reimbursement percentages for use in calculating contractual reserves. Provides the Government Reimbursement Executive Director with research and ad hoc reporting, as directed.
9. Provides documentation for use in calculating monthly reserve requirements for Piedmont Healthcare and system entities.
10. Prepares and assists Piedmont Healthcare and system entities with Medicare, Medicaid, and state surveys.
11. Reviews and analyzes Medicare and Medicaid Remittance Advices to ensure proper payments.
12. Ensures all third- party pass thru payments and lump sum adjustments are received as communicated by the Medicare Administrative Contractor (MAC) and account.
13. Reviews cost report settlements for accuracy and compliance with regulations.
14. Review cost report settlements and assists with appeal filings, where applicable.
15. Coordinates cost report reopening reviews and prepares all supporting documentation.
16. Assists with graduate medical education reporting for Piedmont teaching facilities.
17. Assists with the completion and timely submission of the Interns and Residents Information System (IRIS) software program to Medicare.
18. Prepares the Allied Health reporting and reimbursement for cost report filing.
19. Prepares the Wage Index and Occupational Mix Survey filings and reviews.
KNOWLEDGE, SKILLS, ABILITIES
Proficient in graduate medical education regulations and reporting requirements.
Skill and ability for effective verbal and written communications.
Skill and ability to handle multiple projects, priorities, and deadlines.
Proficient in Microsoft Office applications and CMS2552 Cost Report Software.
Must be able to work as a member of a team.
In depth knowledge of the healthcare reform and how the healthcare industry is changing.
Must be able to interpret, implement, and communicate the impact of Medicare, Medicaid, and TriCare regulations.
Disclaimer
The above information is intended to describe the general nature and level of work being performed by people assigned to this job. It is not intended to be an exhaustive list of responsibilities, duties and skills required of personnel so classified.
Qualifications:
MINIMUM EDUCATION REQUIRED:
Bachelors degree in Accounting or a related field.
MINIMUM EXPERIENCE REQUIRED:
Seven (7) years of government healthcare reimbursement and accounting experience.
Must have knowledge and experience with CMS PRM regulation manuals, the CMS 2552 software system and the CMS IACS/ EIDM system.
ADDITIONAL QUALIFICATIONS:
MBA and/or CPA preferred.
Previous MAC/Fiscal Intermediary/Federal CMS experience preferred.
#J-18808-Ljbffr
Email Alert for Director of Government Reimbursement jobs in Atlanta, GA, United States
ⓘ There was an unexpected error processing your request.
Please refresh the page and try again.
If the problem persists, please contact us with your issue.
You can always manage your preferences and update your interests to ensure you receive the most relevant opportunities.
Get ready to discover your next great opportunity.