Reimbursement Director

Location: Lake Spring

Description

:

The reimbursement director reports directly to the VP of Finance and Revenue Cycle of Cox Health. 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