All the benefits and perks you need for you and your family:

Benefits from Day One
Career Development
Whole Person Wellbeing Resources
Mental Health Resources and Support

Our promise to you:

Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

Shift: Monday- Friday Fulltime

Job Location : AltamonteSprings, FL

The role you will contribute:

The Reimbursement Director directs the Reimbursement Department's financial analysis and reimbursement activities. These activities include preparation and filing the annual Medicare, Medicaid, and Champus/Tricare cost reports; preparation of reopening and appeal papers, audit preparation and other cost report settlement activity and related analysis for third party financial statement reporting for the Adventist Health System (AHS). This position collaborates with management in the reimbursement regulations and regulatory, operational, and financial impacts of proposed operational decisions; and serves as subject matter resource for Medicare and Medicaid reimbursement matters. The Director is responsible for creating a work environment that supports a strong team, and challenges team members to continually strive for improvements in work processes. The Director actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.

The value you will bring to the team:

Serve as AHS' subject matter resource for Medicare and Medicaid reimbursement matters
Maintain a strong working knowledge of current laws and regulations of the Federal Medicare and State Medicaid programs, including changes affecting hospital reimbursement of Medicare bad debt, graduate medical education, disproportionate share hospital adjustment, and uncompensated care payments
Communicate technical positions/arguments effectively to Medicare, Medicaid and other State or Federal agencies' auditors to support positions taken on the hospital cost report, or other required reporting
Review the Medicare and Medicaid Uniform Contractual Worksheet-Third Party Settlement (UCW-TPS) templates of each AHS hospital according to standardized policies and procedures to properly reflect the financial reporting of third party balances of AHS
Prepare year end estimated Medicare and Medicaid third party financial settlement to be audited by AHS' external financial auditor for inclusion in the audited financial statements
Prepare annual Medicare Inpatient and Outpatient net revenue schedules used to prepare hospital annual operating net revenue budget
Maintain awareness of organizational administrative and operational changes that could impact the hospital's Medicare and/or Medicaid reimbursement
Direct financial analysis and modeling activities to determine the financial and reimbursement implication of proposed business transactions and changes in regulatory requirements
Complete special projects assigned by Corporate Leadership within the time frame requested
Daily supervision of department staff
Foster an environment that promotes strong team values and cooperation
Recruit and retain high performance employees
Prepare annual department budget
Develop annual department goals
Hire, dismiss, develop and evaluate the individual members of the department staff

Qualifications
The expertise and experiences you'll need to succeed:

Bachelor's Required
10+ Work Experience Required
Strong and proven leadership skills
In depth knowledge of Medicare and state Medicaid program reimbursement laws and regulations
Ability to research and interpret Medicare and Medicaid laws and regulations
Proficient in use of regulatory cost reporting software
Possess an understanding of financial accounting and auditing principles and their application to healthcare
Strong computer software skills including Microsoft Office applications
Ability to learn new technology applications used by Adventist Health System
Strong analytical reasoning, critical thinking, judgment and problem solving skills in order to independently assess, interpret and address complex issues in a continually changing environment
Effective written and verbal communication skills
Excellent interpersonal skills
Well organized and detail-oriented
Proficient using Health Financial Systems (HFS) cost reporting software

Preferred Qualifications:

Master's Preferred
Certified Public Accountant (CPA) Preferred

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