- Capably utilizes various computer software, including Microsoft Excel and Word, other Windows applications, and Medicare/MediCal cost reporting software.
- Exhibits advanced knowledge of day-to-day hospital operational and financial activities.
- Demonstrates knowledge of Medicare and Medi-Cal principles of reimbursement.
- Displays excellent problem-solving and analytical abilities.
- Exhibits good judgment in interactions with internal and external customers.
- Possesses and utilizes good oral and written communication skills.
- Observes hospital safety guidelines, policies and procedures.
- Attends and/or completes required safety and disaster training.
- Attends/Completes required annual education modules.
- Makes suggestions for improvement based on personal observations, where appropriate.
2. Willingly participates on process improvement initiatives, when asked or assigned. - Identifies/attends optional educational programs related to job requirements.
-
Reimbursement Manager
2 weeks ago
Washington Hospital Healthcare System Fremont, United StatesSalary Range: $130,062 - $182,062 · The Reimbursement Manager will ensure that cost reports and other reimbursement related reports, as required, for government payors are accurate and filed timely. Accurately calculates monthly contractual reserve and bad debt allowances and ass ...
-
Reimbursement Manager
2 weeks ago
Washington Hospital Healthcare System Fremont, United StatesSalary Range: $130,062 - $182,062 The Reimbursement Manager will ensure that cost reports and other reimbursement related reports, as required, for government payors are accurate and filed timely. Accurately calculates monthly contractual reserve and Manager, Financial Planning, ...
-
Field Reimbursement Manager
3 weeks ago
Bausch + Lomb San Francisco, United StatesBausch + Lomb (NYSE/TSX: BLCO) is a leading global eye health company dedicated to protecting and enhancing the gift of sight for millions of people around the worldfrom the moment of birth through every phase of life. Our mission is simple, yet powerful: helping you see better, ...
-
Field Reimbursement Manager
1 week ago
ExecuStaff San Francisco, United StatesJob Description · Job Description · FIELD REIMBURSEMENT MANAGER OPENING... · This exciting rare disease opportunity is seeking the following: · 1) Field Reimbursement Management experience · 2) Buy & Bill experience · Current/past Urology experience is a huge plus as is any k ...
-
Field Reimbursement Manager
1 week ago
ExecuStaff San Francisco, United StatesJob Description · Job DescriptionFIELD REIMBURSEMENT MANAGER OPENING... · This exciting rare disease opportunity is seeking the following: · 1) Field Reimbursement Management experience · 2) Buy & Bill experience · Current/past Urology experience is a huge plus as is any kind of ...
-
Senior Field Reimbursement Manager
7 hours ago
BioSpace Foster City, United StatesJob Details · Senior Field Reimbursement Manager - Northwest · United States - Remote · Gilead Sciences, Inc. is a research-based bio-pharmaceutical company that discovers, develops and commercializes innovative medicines in areas of unmet medical need. With each new discovery an ...
-
Field Reimbursement Manager
3 weeks ago
BridgeBio Palo Alto, United StatesBridgeBio · is a biopharmaceutical company founded to discover, create, test, and deliver transformative medicines to treat patients who suffer from genetic diseases and cancers with clear genetic drivers. We bridge the gap between remarkable advancements in genetic science in a ...
-
Access and Reimbursement Manager, Bay Area
3 days ago
Mallinckrodt Pharmaceuticals San Francisco, United StatesJob Title · Access and Reimbursement Manager, Bay Area · Requisition · JR Access and Reimbursement Manager, Bay Area (Open) · Location · ARD Field Office - USA405 · Additional Locations · Sacramento, CA, San Francisco, CA, San Jose, CA · Job Description · The primary responsibili ...
-
Regional Reimbursement Manager Job
2 weeks ago
SBM Management San Francisco, CA, United States Full timePosition at SBM Management · SBM Management is hiring an Area Manager As the Area Manager, you will direct company programs and implements company policy to ensure compliance with contract duties between company and Customer for a specified area. · Responsibilities · Develop s ...
-
Senior Field Reimbursement Manager
1 month ago
Gilead Sciences, Inc. Foster City, United States Full timeSenior Field Reimbursement Manager - Southwest · United States – Remote · Gilead Sciences, Inc. is a research-based bio-pharmaceutical company that discovers, develops and commercializes innovative medicines in areas of unmet medical need. With each new discovery and investigatio ...
-
Gilead Sciences San Mateo, United StatesSenior Field Reimbursement Manager South/Mid-Atlantic · United States – Remote · Gilead Sciences, Inc. is a research-based bio-pharmaceutical company that discovers, develops and commercializes innovative medicines in areas of unmet medical need. With each new discovery and inv ...
-
Spectrum Innovations Union Valley, United StatesAbout the Company · With over 50 years of continuity and stability, Union Valley is constantly evolving. Our current team is a great mix of long-standing experience and fresh dynamism. The atmosphere is excellent and we have fun working on exciting projects. · And we continue to ...
-
Sandoz Pharmaceuticals AG San Jose, United StatesAccess & Reimbursement Manager (ARM) – NPS CV – San Jose - Remote · For six decades, we've been working to advance cardiovascular health by transforming the standard of care and bringing innovation to areas of high unmet need. · CVD is the #1 cause of death worldwide. In fact, C ...
-
Registered Nurse
1 week ago
Regency at Fremont FREMONT, United States8 or 12-hour shift options · Are you a critical thinker, a skilled communicator, and passionate about caring for seniors? Are you seeking career advancement? As a Registered Nurse (RN) at Regency at Fremont, you have the opportunity to use your nursing skills and become a leader. ...
-
principal transportation engineer, caltrans
3 weeks ago
Department of Transportation Alameda County, United StatesJob Description and Duties · Under the general direction of the Deputy District Director of Construction, the incumbent will be responsible for specific functional activities within Division of Construction in District 4. The incumbent serves as Division Chief over a geographic ...
-
Community Autism Services Fremont, United StatesBoard Certified Behavior Analyst (BCBA), Clinical Supervisor Full Time Center Position · Community Autism Services, a division of The Stepping Stones Group, is hiring immediately for a Full-Time Board Certified Behavior Analyst (BCBA) for our Fremont, CA center. Join our passion ...
-
staff services manager ii
1 week ago
Department of Transportation Alameda County, United StatesJob Description and Duties · Under the direction of the Office Chief of Business Operations, Staff Services Manager III, the incumbent, Staff Services Manager II, has overall responsibility for managing, directing, organizing, and planning the Facilities, Logistics, Security and ...
-
staff services manager i
3 weeks ago
Department of Transportation Alameda County, United StatesJob Description and Duties · Under the administrative direction of the Deputy District Director of Administration (DDDA), the Discipline Services Manager, a Staff Services Manager I (SSM I) (Specialist) provides detailed advice and technical guidance to managers and supervisors ...
-
staff services manager i
2 weeks ago
Department of Rehabilitation Alameda County, United StatesJob Description and Duties · This position is located in the city of Oakland .Under the general direction of the Staff Services Manager II (District Administrator), the Team Manager Staff Services Manager I (Team Manager) provides direct supervision over the Vocational Rehabili ...
-
staff services manager i
3 weeks ago
Department of Transportation Alameda County, United StatesJob Description and Duties · Under the direction of the Deputy of External Affairs, the PIO Branch Chief is responsible for assisting in the planning, organization, direction, coordination, evaluation, and management of media relations for the department. The PIO Branch Chief is ...
Reimbursement Manager - Fremont, United States - Washington Hospital
![Default job background](https://contents.bebee.com/public/img/bg-user-ex-1.jpg)
Description
Salary Range: $130,062 - $182,062
The Reimbursement Manager will ensure that cost reports and other reimbursement related reports, as required, for government payors are accurate and filed timely. Accurately calculates monthly contractual reserve and bad debt allowances and assists in forecasting contractual and bad debt rates to be used for annual budget process. Reviews and interprets contracts and provides input to senior management regarding potentials for increased reimbursement.
In addition to performing the essential functions listed below, may also be assigned other duties as required.
Education
Required: Bachelor's Degree
Preferred: Master's Degree; Certified Public Accountant
Experience
Required: 5 years of hospital or healthcare financial and reimbursement experience Preferred: 2 years audit experience with Federal (Medicare) or State (Medi-Cal) fiscal intermediary.
Skills: Required: Strong Excel spreadsheet knowledge, including ability to work with large data files.
1. Prepares monthly calculation of contractual reserve and bad debt allowances, for recording in the hospital's financial statements, in accordance with relevant GASB and FASB guidance. Maintains supporting documentation and provides related reports or analyses, as requested.
2. Responds to reimbursement-related requests as part of the annual hospital financial audit, including preparation of various schedules and providing related supporting documentation. External auditor proposes no changes to the recorded reserves.
3.
•Assists with calculation of contractual and bad debt rates for annual hospital budget.
4. Responsible for annual cost report preparation and works with outside consultants, as needed, to resolve and/or appeal cost report findings.
5. Assists with the periodic reconciliation of Net Revenue and the general ledger.
6. Prepares all other reports as requested by Finance management and/or other internal and external parties.
7. Results for all of the above must be accurate, timely, useful and relevant.
Demonstrates Skills:
1. Continually strives to improve and streamline overall reimbursement analyses and activities.
2. Works closely with other key personnel, including from Financial Planning & Analysis and Patient Accounting to align definitions, categorization and calculations related to reimbursement.
3. Demonstrates ability to organize projects, prioritize and complete duties on a timely basis with minimal direct supervision.
Professionalism
1. Exhibits good judgment in interactions with internal and external customers.
2. Possesses and utilizes good oral and written communication skills.
3. Observes hospital safety guidelines, policies and procedures.
4. Attends and/or completes required safety and disaster training.
5. Attends/Completes required annual education modules
Professional
1. Accurately prepares annual Medicare and Medi-Cal cost reports in compliance with applicable regulations.
2. Monitors reimbursement data and publications for relevant changes in Federal and State regulations.
3. Communicates changes, and the related implications, on a timely basis, in a clear and concise manner, to relevant personnel.
Washington Hospital Health System does not utilize any form of electronic chatting, such as Google chat for the purposes of interviewing candidates for employment. If you are contacted by any entity or individual attempting to engage you in this format, do not disclose any personal information and contact Washington Hospital Healthcare System.