Manager, Enterprise Reimbursement – Net Revenue

Job not on LinkedIn

🔥 1 minute ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

👻 Ghost score 10%

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WVU Medicine

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

WVU Medicine is a comprehensive health system affiliated with West Virginia University, providing medical services through a network of hospitals across West Virginia. The system includes notable facilities such as J. W. Ruby Memorial Hospital, WVU Medicine Children's, and various other regional medical centers. WVU Medicine offers a wide range of healthcare services, including specialized and advanced medical treatments such as robotic heart surgery. It's also involved in medical education, research, and community health initiatives, emphasizing a mission of delivering high-quality care to the communities it serves.

📋 Description

• Ensure all WVUHS hospitals comply with state and federal reimbursement regulations • Manage preparation and analytical review of Medicare Cost Reports, WV HCA filings, and other reimbursement filings • Review reimbursement regulations and present financial impacts of regulatory changes • Communicate with external auditors, third party payors, and WV HCA staff regarding financial matters • Coordinate net revenue budget development • Monitor gross and net revenue, including contractual, bad debt, and charity reserves • Coordinate payment requirement changes and their impact on financial reporting and statements • Analyze and monitor financial terms of managed care contracts • Ensure accurate reimbursement assumptions in long-range financial planning • Coordinate revenue enhancement projects • Work with legal counsel and the fiscal intermediary on Medicare appeal issues • Develop staff development and orientation programs • Monitor and document staff performance and apply rewards or disciplinary measures as needed • Foster staff motivation and departmental goal achievement • Provide leadership and direction to professional staff and maintain interdepartmental communication

🎯 Requirements

• Bachelor’s Degree in Business with a major in Accounting or Finance • Five (5) years of experience in healthcare finance or accounting • Extensive knowledge of third party reimbursement regulations • Effective verbal and written communications skills and strong interpersonal skills • Extensive knowledge of personal computers; Excel software is desirable