Manager Reimbursement

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Company: Franciscan Health
Location: Greenwood, IN 46143

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Finance

Franciscan Health
421 South Emerson Avenue
Greenwood, IN 46143
Days
Full-Time
Bachelor’s Required
WHAT WE NEED
Persistent & pleasant insurance leader

WHO WE ARE LOOKING FOR
Reimbursement, verification and documentation is not for the faint of heart. It can be a confusing field with as many different situations as there are patients. If you’re good at figuring out the details, chasing down the right people, and managing others – we have a position that needs your skills. If you like working behind the scenes knowing that your job does good for others, this is the job for you.

Are you a good leader? Are you good at following instructions to the letter? Are you highly organized? Do you take pride in a job well done? If so, let’s talk about the important role of Manager of Reimbursement.

WHAT YOU WILL DO
  • Manage third-party reimbursement analysis.
  • Direct assigned staff in identifying and prioritizing required tasks.
  • Assist staff in meeting deadlines and monitor the department’s quality plan.
  • Review and analyze all information generated in the reimbursement area for accuracy and appropriateness.
  • Identify areas that should be pursued to optimize reimbursement from third party payors and recommend changes to the reimbursement processes as identified.
  • Analyze, review, and prepare annual Medicare and Medicaid cost reports.
  • Analyze, review, and prepare information for all third party payors for Franciscan Alliance campuses in order to evaluate monthly provisions.
  • Maintain financial DRF rate profiles and monitor changes in reimbursement.
  • Audit DRG calculator by comparing computed rates in the billing system to rates paid by Medicare and Medicaid.
  • Assist the independent auditors in their annual review of the third party reimbursement area.
  • Complete analysis related to third party reimbursement area related to the compilation of the Hospital’s annual operating budget.
  • Assist the Administrative Director of Reimbursement in preparing the Hospitals’ strategic planning module.
WHAT IT TAKES TO SUCCEED
  • Proficient communications skills, verbal and written.
  • Analyze information and evaluating results to choose the best solution and solve problems.
  • Strong attention to detail.
  • Strong organizational and analytical skills.
  • Follow well-defined instructions and comply with regulations, standards and procedures.
  • Knowledge of third party reimbursement and cost report preparation.

WHAT WE’RE LOOKING FOR

3-5 Years Experience
License(s):
Certification(s):
Travel: Never or Rarely

EQUAL OPPORTUNITY EMPLOYER
It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law.
Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights.
Franciscan Alliance is committed to equal employment opportunity.
PROFESSIONAL