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Medicare Reimbursement Manager

Overview

A leading healthcare organization is seeking a Medicare Reimbursement Manager to oversee reimbursement processes related to Medicare, Medicaid, Tricare, and other government cost reports for multiple facilities.

Why Join?

• PTO front-loaded for eligible hires.
• Free health insurance options for full-time single coverage.
• Up to 5% employer matching contribution for retirement.
• Career development supported by hands-on training and mentorship.
• Competitive Compensation: Offering $100K-$140K for the right person!

Key Responsibilities

• Manage and review Medicare, Medicaid, and Tricare cost reports, ensuring accuracy and compliance.
• Complete monthly Medicare 3rd Party Settlement calculations.
• Develop and calculate annual revenue deductions and uncompensated care budgets.
• Oversee the collection and audit of cost report information across multiple facilities.
• Provide expertise on state and federal regulatory changes, analyzing impacts on financial operations.
• Act as a financial liaison on reimbursement matters, compliance, and charge master oversight.
• Collaborate with Finance, Decision Support, and Revenue Cycle teams to address reimbursement concerns.

Qualifications

• Bachelor’s degree in Accounting, Business, Finance, or a related field.
• 4-6 years of experience in healthcare with regulatory and cost reporting exposure required.
• Experience across reimbursement settings such as PPS, SCH, CAH, RHC, and SNF.
• Knowledge of IME, GME, Transplant, DSH, and Wage Index is a plus.

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