What are the responsibilities and job description for the Manager, Reimbursement position at Ardent Health?
Overview
Ardent Health Services (AHS) is a national health care services company headquartered in Nashville, TN. Through its subsidiaries, Ardent owns and operates nearly 200 sites of care. Our subsidiaries own and operate hospitals and multispecialty physician practices in six states. Ardent includes 30 hospitals, 4,423 patient beds, 23,000 employees, and 1,700 employed physicians. Within the industry, we are noted for recognizing that every hospital is as unique as the community it serves. This in-depth understanding of how health care works at the local level is one of our great strengths.
Position Summary
The Manager, Reimbursement obtains proper Medicare, Medicaid and other third-party cost based reimbursement for assigned hospitals and ensures hospital compliance with Ardent's standard third-party accounting system.
Responsibilities
Education & Experience:
Ardent Health Services (AHS) is a national health care services company headquartered in Nashville, TN. Through its subsidiaries, Ardent owns and operates nearly 200 sites of care. Our subsidiaries own and operate hospitals and multispecialty physician practices in six states. Ardent includes 30 hospitals, 4,423 patient beds, 23,000 employees, and 1,700 employed physicians. Within the industry, we are noted for recognizing that every hospital is as unique as the community it serves. This in-depth understanding of how health care works at the local level is one of our great strengths.
Position Summary
The Manager, Reimbursement obtains proper Medicare, Medicaid and other third-party cost based reimbursement for assigned hospitals and ensures hospital compliance with Ardent's standard third-party accounting system.
Responsibilities
- Prepares annual Medicare, Medicaid and other third-party cost reports in compliance with rules and regulations of the respective third-party program.
- Defends filed cost report, as appropriate, during the annual cost report audit.
- Protects appeal rights for cost report audit adjustment(s) by ensuring compliance with required administrative appeal procedures and provides support during the appeal process.
- Provides monthly contractual adjustments calculations for assigned hospitals. Reviews such calculations for accuracy and propriety.
- Prepares reports to State Agencies used to compute each assigned hospital’s eligibility and for State Supplemental DSH, and GME Programs Reimbursement and the computation of the amounts paid to the hospital by the state agencies.
- Monitors interim Medicare payments to assigned hospitals to ensure that such payments reflect estimated cost-based reimbursement for the respective accounting period.
- Works with external auditors in their conduct of interim and annual financial audit activities.
- Assists in preparing annual hospital operations budget for contractual adjustments.
- Develops and maintains good working relationships with Intermediaries / governmental agencies.
- Develops and maintains good working relationships with Ardent Corporate, Group, and local hospital personnel.
Education & Experience:
- BBA or BS in Accounting, Finance or Business
- 5 years of reimbursement experience.
- 2 years of management experience
- Advanced skill set in Microsoft Excel
- Enjoys supporting end users
- Demonstrated ability to quickly learn and utilize various financial systems
- Desire to automate processes using software
- Problem solving skills
- Action-orientated with the ability to meet deadlines and turnaround requests in short order.
- Needs to be comfortable with a small, fast-paced environment, have a high sense of urgency, be good at multi-tasking, a self-starter and be comfortable with changes.
