Director, Reimbursement

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🔥 9 minutes ago

🔔 Pennsylvania – Remote

🔔 Pennsylvania – Remote

⏰ Full Time

🔴 Lead

👔 Director

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Lehigh Valley Health Network

WebsiteLinkedInAll Job Openings

10,000+ employees

⚕️ Healthcare Insurance

Healthcare Insurance

Lehigh Valley Health Network is a comprehensive healthcare system that is now part of Jefferson Health, one of the top 15 not-for-profit health systems in the United States. It offers a wide range of medical services, including primary care, urgent care, and specialized institutes like the Lehigh Valley Topper Cancer Institute and the Lehigh Valley Heart and Vascular Institute. LVHN provides extensive care solutions, including video visits, second opinions, and a network of doctors and clinicians in numerous locations. It emphasizes education through residencies and fellowships and prioritizes patient-centric services such as lab testing and women's health care. The network also focuses on innovation, offering clinical trials and advanced therapies like CAR-T Cell Therapy.

📋 Description

• 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. • Provides 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.

🎯 Requirements

• Bachelor’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.

🏖️ Benefits

• Health insurance • 401(k) matching • Paid time off • Flexible work arrangements • Professional development opportunities