Shire Jobs

Manager, Reimbursement

Who we are:

At Lifepoint Health, we provide quality healthcare to rural communities. As a valued member of our team, you will be an integral part of a group working together to elevate Lifepoint's healthcare delivery network.Our network includes 60 community hospitals, 60 rehabilitation/behavioral health hospitals, and 250 additional sites of care across the United States.As an organization, we are dedicated to serving communities nationwide by providing exceptional care. We believe in the power of our talented teams and strive to create environments where employees find purpose and fulfillment.

What you’ll do:

The Manager, Reimbursement manages and files Medicare and Medicaid cost reports and other regulatory reporting requirements for 7 hospitals. Works with the Medicare Audit Contractors (MACs)and Medicaid State Agencies during the audit of these cost reports and calculates governmental settlement accruals on a monthly basis.

Responsibilities:

• Collaborate with hospitals to ensure Medicare and Medicaid contractual accruals and settlement estimates are accurate.
• Monitor state legislative activity to ensure Lifepoint is aware of upcoming Medicaid payment changes or opportunities to influence policy.
• File Medicaid Disproportionate Share Hospital (DSH) audits, month end close related to governmental payers, and other miscellaneous activities for their assigned hospitals.
• Mitigate risk of loss of income and seize opportunities to provide value throughout the reimbursement process related to Medicare and Medicaid programs to include, but not limited to, the planning, filing, and auditing of Medicare and Medicaid cost reports.
• Complete monthly governmental year-end settlement exhibits as a part of the month end close and complete and file annual Medicare and Medicaid Cost Reports.
• Work with Governmental Relations in monitoring Medicaid legislative changes for assigned States.
• Review monthly and quarterly Government reimbursement exhibits to ensure cash and accrued reimbursement rates are properly set.
• Adjust accruals and reimbursement factors as needed, in conjunction with Federal and State guidance, as well as with internal costing data.
• Process month end close to include calculating, reviewing, and preparing entries related to state supplemental payment programs.
• Regular and reliable attendance.
• Perform other duties as assigned.

What you’ll need:

Education:Bachelor's Degree in Accounting.

Experience:Minimum of 5 years related experience in hospital reimbursement.

Certifications:Certified Professional Accountant (CPA) preferred.

Why choose us:

As a team member of the Health Support Center, our goal is to support those that are in our facilities who are interfacing and providing care to our patients and community members. Our focus is to attract, retain, and empower a diverse and determined workforce. Our mission statement is at the heart of who we are and what we do: “Making Communities Healthier.” In this shared mission, we believe that our collective efforts will shape a healthier future for the communities we serve.

Benefits:We offer an excellent total compensation package, including a competitive salary and benefits. Some of our benefits include 401k, flexible PTO, generous Employee illness benefit (EIB), medical, dental, vision, tuition reimbursement, and an Employee Assistance Program. We believe that happy, healthy people have a passionate engagement with life and work and have designed our package to enhance your wellbeing.**

Job: *Please select a valid job field

Organization: *LifePoint Health Support Center

Title: Manager, Reimbursement

Location: Tennessee-Brentwood

Requisition ID: 7410-8283