What are the responsibilities and job description for the Director, Corporate Reimbursement position at RWJBarnabas Health Corporate Services?
Job Overview:
The Director will serve as a key resource to department leadership for providing Medicare and Medicaid reimbursement support and implementing government payment strategies across all RWJBarnabas Health hospitals. This includes planning, preparing and reviewing of the annual Medicare/Medicaid cost reports filings. In partnership with the Vice President of Corporate Reimbursement, the Director will manage the completion of DSH, Medicare Bad Debts, Wage Index, and Geographic Reclassification projects. The Director will closely assess, track, and monitor participation in state level supplemental payments programs and will be asked to assist with regulatory research. The Director will also work closely with finance department personnel at system facilities and will oversee the accurate determination of third party receivables/payables, ensuring revenue and receivables reporting complies with GAAP.
Responsibilities:
The Director will have an advanced level of knowledge of government payment regulation, third party revenue accounting practices, and excellent communication/staff management skills. Furthermore, the Director promotes a positive atmosphere and maintains a high degree of customer service orientation to include proactive interaction with staff and managers.
Qualifications:
- Bachelor's Degree in Accounting, Finance, or Health Administration required
- Minimum of 10 years of experience interpreting Medicare and Medicaid payment regulations, ensuring optimization of revenue and completing Medicare and Medicaid cost reports
- Expert level of knowledge of Medicare and Medicaid regulation and payment rules is essential
- The ability to interpret Medicare and Medicaid payment regulations and develop and implement processes ensuring hospitals are reimbursed for all programs and services is required
- Educated on and follows Generally Accepted Accounting Principles (GAAP)
- Proactively prioritizes needs and effectively manages resources
- Delegates and trains appropriately to ensure required deadlines are met; Communication - communicates clearly and concisely;
- Guides individuals and groups toward desired outcomes with minimal supervision, sets high performance standards and delivers high quality services;
- Demonstrates appropriate decision-making skills and escalates issues to supervisor as appropriate
- Establish and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations;
- Coodinates with leadership and deploys and directs resources appropriately (e.g. Cost Report preparation, Wage Index, etc.) as directed;
- Demonstrates proficiency in Microsoft Office applications (i.e. Excel, Word) and others as required
Benefits and Perks:
RWJBarnabas Health offers a comprehensive benefits package including medical, dental, vision, retirement plans, and more.
About Us:
RWJBarnabas Health is a leading academic health system in New Jersey, advancing innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants of health.
