Mgr- Reimbursement & Net Revenue

Mgr
- Reimbursement & Net Revenue - 95486

Northern Light Health Home Office |US:

ME:

Brewer or Remote | Leader - Non Clinical | Full Time

Salary range-  USD

The compensation range listed reflects the range Northern Light Health anticipates relying on in setting the wages for the position. The range may not necessarily include all additional compensation elements available, such as differentials, incentive programs and benefits.

Northern Light Health

Department:Reimbursement

Position is located:Cianchette Professional Blding

Work Type:Full Time

Work Schedule:8:00 AM to 5:00 PM

Salary Range : $ 39.51 - $61.04

Exempt:
Yes

Summary
:

The Reimbursement and Net Revenue Manager will prepare and manage the timely submission of Medicare and Medicaid Cost Reports for all applicable NLH entities. The Manager will be responsible for the accuracy of Net Patient Revenue and the valuing of Accounts Receivable for the System each month. The Manager will participate and oversee the preparation of the Net Revenue Budget each year and assist in forecasting each month.

The Manager will be the administrative lead of the department and continually raise the level of expertise of the team. It is essential that the Manager be able to communicate complex reimbursement principles in easily understood terms to leaders throughout Northern Light Health.

Responsibilities
:

• Prepare, file and defend Medicare and Medicaid Cost Reports annually.
• Analyze and Prepare Journal Entries for Net Patient Revenue each month for the close.
• Prepare Net Patient Revenue for the annual Operating Budget.
• Maintain and improve the Payer Contract Management System to net down Accounts Receivable and forecast Net Revenue.
• Work closely with the Revenue Cycle team to identify items that impact revenue.
• Estimate Net Revenue impacts from Regulatory, Contract and Volume changes.
• Analyze different payment models to determine optimal structures for reimbursement.
• Represent the Reimbursement Department in meetings with Third Party Auditors, Financial Auditors and Internal Auditors.
• Keep current with emerging Reimbursement regulations, issue and trends along with accounting pronouncements.
• Other Duties.

Other Information
:

Competencies and Skills

• Achieves Results:
  Sets high standards for their own outcomes and seizes opportunities to engage others towards objectives. Consistently moves forward with direct actions in order to attain or exceed objectives. Manages their own time effectively to accomplish assigned tasks. Successfully prioritizes multiple projects and duties as needed.
• Acts Strategically:
  Creates effective plans that anticipate future consequences and opportunities and is able to connect the day to day operations to longer-term objectives, shifts in the industry, and system goals.
• Adobe Acrobat
• Applies Business Acumen:
  
  Demonstrates knowledge of current and future trends that impact organizational success. Applies proven practices and business theories to get results that meet financial as well as other business goals. Recognizes opportunities for new services and products and acts accordingly, taking measured risks into consideration. Possesses a thorough knowledge of their field and independently carries out their work in accordance with professional standards of the profession.
• Arithmetic
• Demonstrates Emotional Intelligence:
  Exhibits a high level of self-awareness, self-management, other awareness and relationship management. Conducts themselves in an empathic, appropriate way, with a sense of humor and stimulates a collaborative work environment. Is respectful of the attitudes, feelings, or circumstances of others and aware of the influence of their own behavior on them. Is aware of relevant social, political, system, and professional trends and developments and uses this information for the organization's benefit.
• Develops Self and Others:
  
  Takes responsibility for engaging in professional self-development activities and programs. Strives to gain insight into their own values, strengths and weaknesses, interests and ambitions and takes action in order to enhance competencies and skills when possible. As a leader, encourages and guides employees towards growth opportunities to enhance performance and help them reach goals. Reviews and analyzes employees' strengths and weaknesses to distinguish their talents and development needs, and to ensure they are enhanced appropriately.
• Effectively Communicates:
  Listens, speaks and writes appropriately, using clear language. Communication methods are…