Manager Reimbursement - Irving - Christus Health

    Christus Health
    Christus Health Irving

    9 hours ago

    $65,000 - $115,000 (USD) per year *
    Description
    Ensure all your application information is up to date and in order before applying for this opportunity.

    Summary:


    The primary purpose of the Reimbursement Manager is to ensure proper payments are received from Third Party programs and proper accounting of such programs is maintained.

    This will be accomplished through completion and review of monthly contractual related income statement and balance sheet accounts and proper filing, audit and settlement of cost reports.

    The System Reimbursement Manager is responsible for the reimbursement function of multiple facilities.

    The complexity of the facilities may include acute care, rehabilitation unit, psychiatric unit, skilled nursing facility, medical education, End Stage Renal Disease, Organ Transplant and Disproportionate Share.

    The System Reimbursement Manager spends a significant amount of time supporting the Corporate Reimbursement Department, on projects as needed. The needs could include and are not limited to regulatory analysis, financial analysis, system-wide reopening or reporting issues. This position requires diligent values of integrity and compliance with all applicable Regulations

    Responsibilities:
    Prepare and review monthly contractual allowance journal entries and supporting calculations and responsible for proper balances in associated income statement and balance sheet accounts, for multiple facilities
    Scope of accounting responsibility includes Medicare, Medicaid, USFHP, CHAMPUS, Blue Cross, Worker's Compensation and Managed Care
    Analyze monthly contractual allowance variances, providing detailed explanations for significant fluctuations to Hospital Administration for use during close meetings
    Maintain current, correct account analysis' related to program Income Statement and Balance Sheet accounts
    Ensure monthly reports are prepared timely and accurately by supporting departmental Associates
    Prepare final hospital and home office cost reports, completing comparative analysis of the cost report versus the financial statement and compliance checklist prior to submission, for multiple facilities
    Ensure Medicare, Medicaid and CHAMPUS cost reports are submitted by due dates to prevent loss of reimbursement to the facilities
    Identify and pursue proper reimbursement methodologies in an effort to receive all reimbursement due based upon Medicare, Medicaid and CHAMPUS Regulations
    Coordinate the Medicare Field Audits, ensuring complete, proper and timely information is provided and audit adjustments are reviewed prior to issuance of the settlement
    Errors found must be communicated in writing to the Auditors during the audit, to ensure proper settlement and issuance of the Notice of Program Reimbursement
    Prepare audit adjustment analysis to determine reimbursement impact of adjustments to as filed report
    Act as a liaison to the External Financial Auditors for both the interim and final audits, for multiple facilities
    Review settled cost reports prior to final reopening deadlines to ensure the reports were appropriately settled
    Prepare and submit cost report reopening requests to obtain additional reimbursement due and otherwise make requests for corrections as appropriate
    Prepare and submit appeals and subsequent position papers to appeal inappropriate settlements with the PRRB, for assigned facilities
    Assist in preparation of Social Accountability and Community Needs reports required as part of annual budget process
    Respond to requests from Hospital Administration and other internal and hospital departments in areas where reimbursement knowledge is required
    Analyze and inform Hospital Administration of financial impact of operational decisions, as requested
    This may include preparation of pro-forma analysis and due diligence for new and existing business opportunities and informing Management and Hospital Administration of proposed/final rules and Regulations, which could impact the hospitals' operations
    Assist in maintenance of xhmxlyz rate tables for Medicare, Traditional Medicaid and CHAMPUS in an effort to ensure proper payments are received
    Monitor interim payment rates and work with the Intermediary to ensure proper payments are being made
    Participate on the performance initiative to track, review and reduce denials
    Assist with contract rate issues as requested
    Collaborate on cross-functional teams to address System standardization needs of processes where reimbursement expertise is required
    Assist in authoring thorough, accurate policies and procedures for standardized and transparent processes
    Assist Accounting and Business Office departments with the cash reconciliation process for settlements and interim payments
    This includes identifying and communicating errors or issues found to these departments
    Maintain knowledge of current trends and developments in the field by reading appropriate books, journals, and attending related seminars and conferences
    Actively participate as a member in HFMA as a representative of CHRISTUS Health
    Assist Director and Senior Managers of Reimbursement Department including education, annual reimbursement conference and other projects

    Requirements:
    Bachelor's Degree required

    Work Schedule:
    8AM - 5PM Monday-Friday

    Work Type:
    Full Time
    * This salary range is an estimation made by beBee
  • Work in company

    Manager Reimbursement

    Only for registered members

    The primary purpose of the Reimbursement Manager is to ensure proper payments are received from Third Party programs and proper accounting of such programs is maintained. · ...

    Irving

    1 month ago

  • Work in company

    Manager Reimbursement

    Only for registered members

    · Summary: · The primary purpose of the Reimbursement Manager is to ensure proper payments are received from Third Party programs and proper accounting of such programs is maintained. This will be accomplished through completion and review of monthly contractual related income s ...

    Irving $65,000 - $115,000 (USD) per year

    3 days ago

  • Work in company

    Manager Reimbursement

    Only for registered members

    The primary purpose of the Reimbursement Manager is to ensure proper payments are received from Third Party programs and proper accounting of such programs is maintained.This will be accomplished through completion and review of monthly contractual related income statement and ba ...

    Irving, TX

    1 month ago

  • Work in company

    Field Reimbursement Manager

    Only for registered members

    · Harmony Biosciences is recruiting for a Field Reimbursement Manager in our South Central territory covering Houston, Austin, and Denver. Field Reimbursement Manager (FRM) is a customer facing role that will be responsible to appropriately support the reimbursement process for ...

    Field - Texas $65,000 - $115,000 (USD) per year

    2 days ago

  • Work in company

    Field Reimbursement Manager

    Only for registered members

    We are excited to add a Field Reimbursement Manager to our reimbursement team The position will pay between $106,000 - $178,000 plus bonus based on previous relevant experience educational credentials and location. · ...

    Dallas, TX

    1 month ago

  • Work in company

    Field Reimbursement Manager

    Only for registered members

    We are excited to add a Field Reimbursement Manager to our reimbursement team The position will pay between $106,000 - $178,000 plus bonus based on previous relevant experience educational credentials and location. · ...

    Dallas $106,000 - $178,000 (USD)

    1 month ago

  • Work in company Remote job

    Field Reimbursement Manager

    Only for registered members

    This is a high-impact, visible role where your expertise directly translates into patient access. · ...

    Dallas, TX

    1 month ago

  • Work in company

    Access and Reimbursement Manager

    Only for registered members

    The primary responsibility of the ARM is to help create and maintain treatment access for patients through the duration of the course of therapy. · Leading case pull-through, · Identifying payer trends, · alerting business partners, · Taking initiative around developing ...

    Dallas $160,000 - $202,000 (USD) Full time

    1 month ago

  • Work in company

    Reimbursement Contract Manager

    Only for registered members

    The Reimbursement Contracts Manager is responsible for supporting the intake and reimbursement teams in the area of commercial contracting and government programs. · Review payor contracts for intake and reimbursement contract terms (e.g., timely filing, clean claim payment terms ...

    Frisco, TX

    1 month ago

  • Work in company Remote job

    Field Reimbursement Manager, Central

    Only for registered members

    The Field Reimbursement Manager (FRM) serves as key field-based expert in market access and reimbursement, and the subject matter expert in navigating the reimbursement and access landscape for healthcare providers, office staff, and other critical stakeholders. · ...

    Dallas, TX

    2 months ago

  • Work in company Remote job

    Field Reimbursement Manager, Southeast

    Only for registered members

    Location: Southeast (Dallas) · Position Summary: · The Field Reimbursement Manager (FRM) serves as key field-based expert in market access and reimbursement, and the subject matter expert in navigating the reimbursement and access landscape for healthcare providers, office staff, ...

    Dallas, TX

    2 weeks ago

  • Work in company

    Reimbursement Contract Manager

    Only for registered members

    Soleo Health is seeking a Reimbursement Contract Manager to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care Signficant Specialty Pharmacy Or Home Infusion Experience Required. · ...

    Frisco $70,000 - $88,000 (USD)

    1 month ago

  • Work in company

    Field Reimbursement Manager, Urology –

    Only for registered members

    We are seeking a Field Reimbursement Manager for our Urology team in the Southwest territory. This role involves educating healthcare providers on reimbursement processes and collaborating with internal teams to resolve access issues. · ...

    Dallas, TX

    1 month ago

  • Work in company

    Field Reimbursement Manager, Southeast

    Only for registered members

    Location: Southeast (Dallas) · Position Summary: · The Field Reimbursement Manager (FRM) serves as key field-based expert in market access and reimbursement, and the subject matter expert in navigating the reimbursement and access landscape for healthcare providers, office staff, ...

    Dallas $152,000 - $202,000 (USD)

    2 weeks ago

  • Work in company Remote job

    Health Plan Reimbursement Policy Manager

    Only for registered members

    This position is responsible for coordinating with health plans to implement processes that ensure adherence to regulatory standards. The ideal candidate will have 5+ years of medical/healthcare job experience and 1+ years of medical/healthcare claims processing experience. · Coo ...

    Dallas, TX

    1 month ago

  • Work in company

    Director Managed Care

    Christus Health

    · Find out more about this role by reading the information below, then apply to be considered. · Summary: · The Director Managed Care is responsible for enhancing and maintaining managed care operations between the CHRISTUS providers (Acute Care Hospitals, Physicians and Ancilla ...

    Irving $145,000 - $260,000 (USD) per year

    9 hours ago

  • Work in company

    Nurse Manager

    Medical City Dallas

    As a Nurse Manager of Rehabilitation Services at Medical City Dallas, you will lead our team of daring managers who care without reservations or limits. · You will supervise, coordinate and evaluate nursing care provided on the assigned unit. · Coordinate and supervise activities ...

    Irving $80,000 - $125,000 (USD) per year

    1 day ago

  • Work in company

    Travel RN Care Manager - 1,182 per week

    IDR Healthcare

    IDR Healthcare is seeking a travel nurse RN Care Manager for a travel nursing job in Irving, Texas. · Job Description & Requirements · Specialty: Care Manager · Discipline: RN · Start Date: 03/23/2026 · Duration: 13 weeks · 36 hours per week · Shift: 12 hours, days · Employment T ...

    Irving Brand Activation Manager - Liverpool (L Postcodes) Join one of Europe's fastest‑growing companies and represent a market‑leading global brand! Phoenix 2 Retail is expanding fast - and we're building a brand‑new team dedicated

    1 week ago

  • Work in company

    Area/Regional Administrator

    Only for registered members

    About Us · Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. · Our Core Values Are · We serve faithfully by d ...

    Irving, TX

    1 week ago

  • Summary:The RN Care Manager (CM) II works with physicians and multidisciplinary team members to develop a plan of care for each assigned patient from admission through discharge. · Maximise your chances of a successful application to this job by ensuring your CV and skills are a ...

    Irving

    9 hours ago

Jobs
>
Manager reimbursement
>
Jobs for Manager reimbursement in Irving