Req #: 0000180233
Category: Professional / Management
Status: Full-Time
Shift: Day
Facility: RWJBarnabas Health Corporate Services
Department: Corporate Reimbursement
Pay Range: $144,483.00 - $209,501.00 per year

QUALIFICATIONS:

Required:

• BS/BA 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;
• Coordinates 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

Preferred:

• HFMA Certification

SCHEDULING REQUIREMENTS:

• Full Time
• Working Location(s): Hybrid/Remote; Homebase- Oceanport, NJ

ESSENTIAL FUNCTIONS:

• Prepares Medicare and Medicaid cost reports and supporting forms/schedules as required
• Responsible for the completion and review of the annual New Jersey Acute Care Hospital (SHARE) cost reports
• Monitor and validate State and federal issued reimbursement rates
• Investigates and responds to audit reviews/questions/adjustments
• Regularly monitor and evaluate changes in reimbursement regulations and policies to optimize reimbursement opportunities
• Monitor Medicare and Medicaid appeal and cost report reopening issues.
• Completed Medicare 855As (and Medicaid) when applicable – such as Change of Ownership (CHOW) and Change of Information applications
• Completed the annual Medicaid DSH Surveys.
• Manage and optimize the data collection and reporting process for the Medicare, Medicaid and NJ SHARE cost reports (Physician Time Studies, Contracted Labor, A-6 Reclasses, and B-1 Statistics)
• Maintains working knowledge of various Medicaid state regulations and Medicare federal regulations.
• Assists in orientation, training and development of new Financial Analysts as needed.
• Supervises Financial and Senior Financial Analyst(s) in completion of certain projects when assigned by senior management.
• Assists in Reimbursement Department projects not listed above.
• Assists in special projects as needed.
• Other work duties as assigned.

OTHER DUTIES:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time, with or without notice.