Manager of Reimbursement

About Us:

At Sinai Chicago, we take health care personally. Excellence in health care is about more than just medicine, technology, tests and treatments, it is about really caring for people with dignity and respect. That’s what we do. We are dedicated to providing the best care to meet the needs of people, for our community, for our patients and for you.

Position Purpose:

The Manager of Reimbursement will support the reimbursement calculation, assist in cost report preparation, manage third party regulatory requirements, and reporting function for all hospitals. Additionally, you will play an integral role in budgeting, accounting and analysis of settlements.

Key Job Activities:

• Prepare and Reporting of the Net Patient Revenues for Month End Close as well as year-end reporting.
• Ensures Accounts Receivable reserves are calculated and recorded timely and accurate
• Reconcile and track Due to Third Party reimbursement accounts.
• Develop the budget for Net Revenues for all hospitals.
• Primary contact for providing data to prepare cost reports for all hospitals.
• Ensure all data included in the cost reports is based on auditable, verifiable and adequate documentation.
• Partner with external consultants to file and resolve cost report appeals.
• Special projects as needed and additional duties as assigned.

Education and Work Experience:

• Bachelors in Accounting or Finance or Related Field, MBA preferred.
• 5-7 years of healthcare industry experience with concentration in Reimbursement and Revenue Cycle
• Medicare cost report and reimbursement experience
• Minimum of 2 years supervisory experience
• Previous experience in a fast-paced, continually changing/growing environment
• Strong knowledge of Microsoft Excel preferred

Knowledge and Skills:

• Dependable to consistently deliver accurate and timely results
• Ability to prioritize and multi-task in a fast-paced work environment
• Attention to detail and committed to ensure integrity of deliverables
• Excellent time management skills to meet deadlines and multitask
• Constantly looking for process improvement opportunities
• Problem solves as challenges arise
• Willingness and eagerness to learn and take on new tasks
• Excellent verbal and written communications skills
• Action-oriented and eager to embrace opportunities and challenges with a sense of urgency and enthusiasm
• Communicate progress and setbacks in order for management to handle processes accordingly
• Provide support and guidance to non-accounting staff in a manner that is understandable and actionable
• Strong leadership, organizational, and planning skills
• Inspire and empower team to reach to their potential

Certifications/Licenses:

• CPA preferred

Workplace Conditions:

PHYSICAL DEMANDS:

• While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle or feel; and talk or hear
• The employee frequently is required to walk and stoop, kneel, crouch
• The employee is occasionally required to stand
• The employee must occasionally lift and/or move up to 25 pounds.
• Specific vision abilities required by this job include close vision, distance vision, and ability to adjust focus

WORK ENVIRONMENT:

• General office environment and the noise level in the work environment is usually moderate

BLOOD-BORNE PATHOGEN EXPOSURE CATEGORY:

Category 1 - Job usually involves contact with patients or patient’s specimens. Exposure to blood, body fluids, non-intact skin or tissue specimens, is possible

Category 2 - Job may expose incumbent occasionally or in emergency situations to blood, body fluids, non-intact skin or tissue specimens

Category 3x - Job does not involve exposure to blood, body fluids, non-intact skin or tissue specimens. Incumbent does not perform or help in emergency medical care or first aid as a part of his/her job.

Benefits:

Sinai Health System’s goal is to provide you with the most comprehensive benefit package possible while balancing our fiscal commitments and obligations. Sinai Health Systems currently offers its employees the option to participate in a full range of benefits, including a health care program which includes medical, dental, vision and prescription coverage. Along with Employer Paid Life and Accidental Death & Dismemberment (AD&D), Supplemental Life, Short-Term and Long-Term Disability, Health Savings Account (HSA) and Flexible Spending Account (FSA), Employee Assistance Program and Student Loan Assistance. Participation in some programs requires that employees be regularly scheduled to work a minimum number of hours and/or to have fulfilled a waiting period after they begin employment with Sinai Health Systems.

Registry (per diem) Caregivers are caregivers who work less than 1,000 hours in a calendar year. Registry caregivers are employees of Sinai Health System but are typically on an as needed basis. These caregivers may be called upon to cover full-time or part-time caregivers during PTO events or sick leave as well as to provide supplemental coverage. Registry Caregivers are not eligible for Sinai’s benefit programs with the exception for Sick-C, PPO Medical Plan, Employee Assistance Program (EAP) and non-match eligible contribution to the Sinai Health System Consolidated 403(b) retirement savings plan.

Living the Values:

• TEAMWORK - Caregiver works together with other caregivers to create and maintain an inclusive workplace where differences, inclusivity, conflict resolution and open communication are valued
• RESPECT - Caregiver shows mutual respect and fairness, treats each person with dignity and encourages each individual’s unique talents and contributions
• QUALITY - Caregiver improves our services by following protocol and suggesting improvements based on observations, continuous learning and industry best practices
• INTEGRITY - Caregiver holds self and others accountable for their actions and are honest and ethical in all dealings
• SAFETY - Caregiver practices behaviors that promote safety for all patients, visitors, and caregivers
• ROLE MODEL - Caregiver is a dependable role model and champions our values through their daily interactions with patients, customers and coworkers