Reimbursement Services Director jobs in the United States

Overview

Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 45 hospitals and has more than 300 outpatient locations in 14 states providing more than 2.6 million patient visits annually. It is one of the nation’s leading health systems with nearly 50,000 employees and physicians. Fourteen of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team!

Responsibilities

The Corporate Director Government Reimbursement and Reporting will serve as a lead in understanding and realization of various state and federal reimbursement programs and ensure compliance with all related reporting and attestations including cost reports, government stimulus and state supplemental payment programs.

Qualifications

Required qualifications:

1. Minimum of a BS/BA in Business, Finance, Accounting, or related field. 2. Must have minimum of 15 – 20 years healthcare finance experience with demonstrated knowledge of cost reporting and government payer oversight. Specifically, has experience overseeing Interns & Residents program reimbursement, Medicare bad debts, S-10 Charity, and Total Hospital bad debt logs, prepare monthly reserves and have knowledge of Federal and State DSH programs.3. Must have multi-state experience, ideally in CA, TX, MI, NJ, and PA.4. Must have a strong background in financial analysis and cost accounting. 5. Must be familiar with Medicare regulations, terminology, and program guidelines for cost reporting

Preferred qualifications:

1. Experience with HFS cost reporting software is highly desirable2. Able to interact with various patient accounting systems3. Working knowledge of Excel

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf

Prime Healthcare offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. Benefits may vary based on employment status, i.e. full-time, part-time, per diem or temporary. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $100,006.40 to $199,992.00 on an annualized basis. The compensation estimate noted above is specific to California and has not been adjusted for any other geographic location. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.