Manager - Reimbursement

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  • Portland, ME
  • MaineHealth - Corporate
  • Full Time - Day Shift
  • Management/Leadership
  • Req #: 135748
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Summary

**Cost reporting experience is a must**

 

Position Summary

The manager is primarily responsible for the coordination of data collection and accurate submission of the System’s member’s Medicare and Medicaid cost reports which includes acting as liaison to all external auditors and consultants regarding reimbursement matters for assigned members; improving processes and relationships whenever possible. The position will actively facilitate cost reporting best practice reviews and team member education.

 

The position will be responsible for the preparation and/or supervising the completion of monthly contractual adjustment and third party receivable journal entries to division financial statements as well as the analysis and interpretation of variances between performance and budget. The position will perform or coordinate the performance of reimbursement analyses as assigned by the director. The manager will complete or supervise the completion of timely facility enrollment changes and revalidations with third party payers. The manager will have the support and obligation to supervise and train reimbursement department staff.

 

Required Minimum Knowledge, Skills, and Abilities (KSAs)

  • Education: BS required; CPA, MBA, HFMA preferred or equivalent specific experience in hospital reimbursement.
  • License/Certifications: N/A
  • Experience: Three to Five years’ experience in hospital reimbursement required to include preparation or supervision of the preparation of hospital Medicare cost reports as well as estimating contractual allowances and third party payables/receivables.
  • Previous leadership experience preferred.
  • Interpersonal skills necessary to communicate effectively with both internal and external customers.
  • Ability to problem solve and work cooperatively with other hospital departments, physicians, the System's reimbursement team and management.

Additional Information

MaineHealth is a health system whose members and affiliates include hospitals, physician practices, long-term care facilities, home care agencies, and support services. Learn more about this system at www.mainehealth.org

MaineHealth is a not-for-profit integrated health system consisting of twelve local hospital systems, a comprehensive behavioral healthcare network, diagnostic services, home health agencies, and over 22,000 employees. It is the largest health system in northern New England and provides preventive care, diagnosis and treatment to 1.1 million residents in Maine and New Hampshire.

We offer benefits that support an individual's needs for today and flexibility to plan for tomorrow. Our package includes health and dental insurances, paid parental leave (available at most locations), retirement program, generous paid time off, and much more! Our comprehensive array of benefits are competitive, affordable, and include choices that meet specific, but ever changing, needs.

With a career at any of the MaineHealth locations, you’ll be working with healthcare professionals that truly value the people around them – both within the walls of the organization and the neighborhoods that surround it. We are deeply invested in the wellbeing of our communities and employees. We believe in fostering a work environment of strong commitment, compassionate caring and continuous improvement. Our care – and the science behind that care – is top rate. Join us and your abilities will be challenged and enhanced as you take your career to another level.

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