Director, Corporate Reimbursement (Hybrid/Remote) - Oceanport, NJ at RWJBarnabas Health Corporate Services summary:

The Director of Corporate Reimbursement at RWJBarnabas Health is responsible for managing Medicare and Medicaid reimbursement strategies and ensuring compliance with payment regulations across the organization's hospitals. With over 10 years of experience, they oversee the preparation of annual cost reports and collaborate with finance personnel to track third-party receivables and payables. This leadership role involves maintaining high customer service standards while guiding teams towards optimal revenue generation and regulatory adherence.

Job Overview:

The Director will serve as a key resource to department leadership for providing Medicare and Medicaid reimbursement support and implementing government payment strategies across all RWJBarnabas Health hospitals. This includes planning, preparing and reviewing of the annual Medicare/Medicaid cost reports filings. In partnership with the Vice President of Corporate Reimbursement, the Director will manage the completion of DSH, Medicare Bad Debts, Wage Index, and Geographic Reclassification projects. In addition, the Director will closely assess, track, and monitor s participation in state level supplemental payments programs and will be asked to assist with regulatory research. The Director will also work closely with finance department personnel at system facilities and will oversee the accurate determination of third party receivables/payables, ensuring revenue and receivables reporting complies with GAAP. The Director will have advanced level of knowledge of government payment regulation, third party revenue accounting practices, and have excellent communication/staff management skills. Furthermore, promotes a positive atmosphere and maintains a high degree of customer service orientation to include proactive interaction with staff and managers.

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

• HFMA Certification

Benefits and Perks:

At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees physical, emotional, social, and financial health.

• Paid Time Off (PTO)
• Medical and Prescription Drug Insurance
• Dental and Vision Insurance
• Retirement Plans
• Short- & Long-Term Disability
• Life & Accidental Death Insurance
• Tuition Reimbursement
• Health Care/Dependent Care Flexible Spending Accounts
• Wellness Programs
• Voluntary Benefits (e.g., Pet Insurance)
• Discounts through our partners, such as NJ Devils, NJ PAC, Verizon, and more!

Choosing RWJBarnabas Health!

RWJBarnabas Health is the premier health care destination providing patient-centered, high-quality academic medicine in a compassionate and equitable manner, while delivering a best-in-class work experience to every member of the team. We honor and appreciate the privilege of creating and sustaining healthier communities, one person and one community at a time. As the leading academic health system in New Jersey, we advance innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants of health.

RWJBarnabas Health aims to truly make a unique impact in local communities throughout New Jersey. From vastly improving the health of local residents to creating educational and career opportunities, this combination greatly benefits the state. We understand the growing and evolving needs of residents in New Jersey whether that be enhancing the coordination for treating complex health conditions or improving community health through local programs and education.

Equal Opportunity Employer

Keywords:

Medicare, Medicaid, reimbursement strategies, healthcare finance, cost reports, GAAP compliance, third party revenue, customer service, hospital administration, healthcare regulations