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Medicare and Medicaid Compliance Expert

RWJBarnabas Health Corporate Services
Oceanport, NJ Full Time
POSTED ON 3/15/2025
AVAILABLE BEFORE 4/13/2025

About the Job

The Director, Corporate Reimbursement will serve as a strategic partner to department leadership, providing expertise on Medicare and Medicaid reimbursement policies and procedures.

This involves developing and implementing effective government payment strategies to optimize revenue and ensure compliance with regulations.

The Director will be responsible for managing the completion of various projects, including DSH, Medicare Bad Debts, Wage Index, and Geographic Reclassification, in partnership with the Vice President of Corporate Reimbursement.

The Director will also oversee the accurate determination of third-party receivables/payables, ensuring revenue and receivables reporting complies with GAAP.

Key Skills

  • Extensive knowledge of Medicare and Medicaid regulation and payment rules.
  • Ability to interpret and apply complex reimbursement policies and procedures.
  • Strong analytical and problem-solving skills, with attention to detail.
  • Excellent communication and interpersonal skills, with ability to work effectively with cross-functional teams.
  • Proven ability to prioritize needs, manage resources effectively, delegate tasks, and communicate clearly.
  • Experience guiding individuals and groups towards desired outcomes with minimal supervision.
  • Demonstrated decision-making skills and ability to escalate issues to supervisor as needed.

About Us

RWJBarnabas Health is a leading healthcare provider in New Jersey, dedicated to delivering exceptional patient care and fostering a positive work environment.

We are committed to advancing healthcare through innovation, education, and research, and to promoting the well-being of our staff and patients.

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