Reimbursement Manager

POSITION PURPOSE

The Reimbursement Manager is responsible for cost reporting, hospital support, and audit support for hospitals in assigned regions and functional areas such as top downs, bad debts, Home Office, DTDF, LIP, CRIP/Propapers, and review tool.

• Files Medicare and Medicaid cost reports; oversees assigned cost report, including add-on payments.
• Participates in audit/reviews conducted by governmental agencies, contractors, and audit firm(s).
• Ensures audit impacts are calculated and accounted for, while contesting disputed adjustments.
• Supports personnel in identifying and resolving reimbursement issues.
• Conducts complex research independently with high accuracy and efficiency.
• Monitors compliance with Medicare and policies related to reimbursement; resolves concerns.
• Leads projects to obtain results while managing productivity/development of staff.
• Oversees projects which may include LIP, DTDF, Home Office, Review Tool, and hospital onboarding.
• Stays current on cost reports, LIP/bad debt, state reimbursement, and provider enrollment.
• Understands cost report drivers and operational impacts; communicates technical information upward.
• Reviews work; constructively review strengths and opportunities to develop direct reports.
• Possesses detailed working knowledge of all software applications and reports.
• Uses technology applications to accomplish department goals.
• Researches, analyzes, and reconciles data and complete complex hospital cost reports and assigned projects.
• Completes day-to-day responsibilities; identifies and resolves issues; follows chain of command.
• Possesses industry, organizational, and position knowledge and skills.
• Stays current in job knowledge through departmental regulation summaries, CMS/state/hospital association websites, Medi Regs, and other industry related materials.
• Uses company resources where appropriate; shares information and resources with peers.
• This position must sit at our Home Office in Birmingham, AL

• Bachelor's degree in Accounting (preferred) or Finance
• 7 years of hospital reimbursement experience
• At least two years of supervisor experience or project management experience

• Affordable medical, dental and vision plans for full-time and part-time employees and their families.
• Generous paid time off that accrues over time.
• Tuition reimbursement and continuing education opportunities.
• Company-matching 401(k) and employee stock purchase plans.
• Flexible spending and health savings accounts.
• A community of people who love what they do. Yes, we see that as a benefit.

At Encompass Health, we celebrate and welcome diversity in our inclusive culture. We provide equal employment opportunities regardless of race, ethnicity, gender, sexual orientation, gender identity or expression, religion, national origin, color, creed, age, mental or physical disability, or any other protected classification.