Director Reimbursement
Imagine a career at one of the nation's most advanced health networks. Be part of an exceptional health care experience. Join the inspired, passionate team at Lehigh Valley Health Network, a nationally recognized, forward-thinking organization offering plenty of opportunity to do great work. LVHN has been ranked among the "Best Hospitals" by U.S. News & World Report for 23 consecutive years. We're a Magnet(tm) Hospital, having been honored five times with the American Nurses Credentialing Center's prestigious distinction for nursing excellence and quality patient outcomes in our Lehigh Valley region. Finally, Lehigh Valley Hospital - Cedar Crest, Lehigh Valley Hospital - Muhlenberg, Lehigh Valley Hospital- Hazleton, and Lehigh Valley Hospital - Pocono each received an 'A' grade on the Hospital Safety Grade from The Leapfrog Group in 2020, the highest grade in patient safety. These recognitions highlight LVHN's commitment to teamwork, compassion, and technology with an unrelenting focus on delivering the best health care possible every day. Whether you're considering your next career move or your first, you should consider Lehigh Valley Health Network.
Summary
Serves as a key resource and provides government reimbursement support; develops/implements related payment strategies across the network. Oversees the preparation and review of the annual Medicare/Medicaid cost reports filings. Provides guidance related to participation in state-level supplemental payment programs and assists with regulatory research. Job DutiesProvides expertise in DSH, IME, DME, wage index, geographic reclass, value-based purchasing, and other government payment systems. Resolves any cost report audit issues and ensures compliance with Medicare and Medicaid reporting requirements. Provides constructive feedback to staff and identifies learning opportunities and job assignments that expand staff experience. Ensures accurate and timely preparation of the Medicare and Medicaid cost reports and other government data submissions. Participates in annual operating budget preparation. Minimum QualificationsBachelor’s Degree Accounting, Finance, or Health Administration. 10 years Interpreting Medicare and Medicaid payment regulations and optimizing revenue. Demonstrates ability to use the computer system and all applicable software programs. Demonstrates proficiency in Microsoft Office applications. Knowledge of Medicare and Medicaid regulation and payment rules. Physical Demands Lift and carry 25 lbs. frequent sitting/standing, frequent keyboard use, *patient care providers may be required to perform activities specific to their role including kneeling, bending, squatting and performing CPR.
Job Description
Disclaimer: This position description provides the major duties/responsibilities, requirements and working conditions for the position. It is intended to be an accurate reflection of the current position, however management reserves the right to revise or change as necessary to meet organizational needs. Other responsibilities may be assigned when circumstances require. Lehigh Valley Health Network is an equal opportunity employer. In accordance with, and where applicable, in addition to federal, state and local employment regulations, Lehigh Valley Health Network will provide employment opportunities to all persons without regard to race, color, religion, sex, age, national origin, sexual orientation, gender identity, disability or other such protected classes as may be defined by law. All personnel actions and programs will adhere to this policy. Personnel actions and programs include, but are not limited to recruitment, selection, hiring, transfers, promotions, terminations, compensation, benefits, educational programs and/or social activities. https://youtu.be/GD67a9hIXUY Lehigh Valley Health Network does not accept unsolicited agency resumes. Agencies should not forward resumes to our job aliases, our employees or any other organization location. Lehigh Valley Health Network is not responsible for any agency fees related to unsolicited resumes. Work Shift: Day Shift Address: 1200 S Cedar Crest Blvd Primary Location: REMOTE IN PENNSYLVANIA Position Type: Remote Union: Not Applicable Work Schedule: Monday-Friday; 8:30a-5:00p Department: 1004-13115 CSS-Finance