Talent.com
Director, Corporate Reimbursement (Hybrid / Remote)

Director, Corporate Reimbursement (Hybrid / Remote)

RWJBarnabas Health Corporate ServicesOceanport, New Jersey, US
3 days ago
Job type
  • Full-time
  • Remote
Job description

Job Title : Director

Location : Barnabas Health Corp

Department : Corporate Reimbursement

Req# : 0000180233

Status : Full-Time

Shift : Day

Pay Range : $144,483.00 - $209,501.00 Annual

Pay Transparency :

The above reflects the anticipated annual salary range for this position if hired to work in New Jersey.

The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience.

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

Preferred :

  • HFMA Certification
  • Scheduling Requirements :

  • Full Time
  • Working Location(s) : Hybrid / Remote; Homebase- Oceanport, NJ
  • Essential Functions :

  • Prepares Medicare and Medicaid cost reports and supporting forms / schedules as required
  • Responsible for the completion and review of the annual New Jersey Acute Care Hospital (SHARE) cost reports
  • Monitor and validate State and federal issued reimbursement rates
  • Investigates and responds to audit reviews / questions / adjustments
  • Regularly monitor and evaluate changes in reimbursement regulations and policies to optimize reimbursement opportunities
  • Monitor Medicare and Medicaid appeal and cost report reopening issues.
  • Completed Medicare 855As (and Medicaid) when applicable - such as Change of Ownership (CHOW) and Change of Information applications
  • Completed the annual Medicaid DSH Surveys.
  • Manage and optimize the data collection and reporting process for the Medicare, Medicaid and NJ SHARE cost reports (Physician Time Studies, Contracted Labor, A-6 Reclasses, and B-1 Statistics)
  • Maintains working knowledge of various Medicaid state regulations and Medicare federal regulations.
  • Assists in orientation, training and development of new Financial Analysts as needed.
  • Supervises Financial and Senior Financial Analyst(s) in completion of certain projects when assigned by senior management.
  • Assists in Reimbursement Department projects not listed above.
  • Assists in special projects as needed.
  • Other work duties as assigned.
  • Other Duties :

    Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time, with or without notice.

    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

    Create a job alert for this search

    Director Corporate • Oceanport, New Jersey, US

    Related jobs
    • Promoted
    Director, Risk & Compliance

    Director, Risk & Compliance

    CedarNew York, NY, US
    Full-time
    Our healthcare system is the leading cause of personal bankruptcy in the U.Every year, over 50 million Americans suffer adverse financial consequences as a result of seeking care, from lower credit...Show moreLast updated: 21 days ago
    • Promoted
    Access & Reimbursement Manager - CV - Miami (Remote)

    Access & Reimbursement Manager - CV - Miami (Remote)

    Novartis Group CompaniesEast Hanover, NJ, United States
    Remote
    Full-time
    Access and Reimbursement Manager (ARM) is a field-based role that proactively provides in person (or virtual as needed) education to defined accounts within their assigned geographies on a wide ran...Show moreLast updated: 10 days ago
    • Promoted
    Access & Reimbursement Manager (ARM) - Renal - Minneapolis (Remote)

    Access & Reimbursement Manager (ARM) - Renal - Minneapolis (Remote)

    Novartis Group CompaniesEast Hanover, NJ, United States
    Remote
    Full-time
    Access and Reimbursement Manager (ARM) is a field-based role that proactively provides in person (or virtual as needed) education to defined accounts within their assigned geographies on a wide ran...Show moreLast updated: 8 days ago
    • Promoted
    Licensed Outpatient Operations Director

    Licensed Outpatient Operations Director

    VirtualVocationsToms River, New Jersey, United States
    Full-time
    A company is looking for a Remote Outpatient Director of Growth & Operations (Telehealth Behavioral Health).Key Responsibilities Design and execute referral growth strategies to expand session vo...Show moreLast updated: 2 days ago
    • Promoted
    FINRA Series 65 Licensed Director

    FINRA Series 65 Licensed Director

    VirtualVocationsToms River, New Jersey, United States
    Full-time
    A company is looking for an Advisor Advice Solutions & Partnerships Director.Key Responsibilities Build and manage a forward-looking Advisor Managed Accounts (AMA) pipeline across partner firms a...Show moreLast updated: 3 days ago
    • Promoted
    Associate Director, US Federal and State Compliance

    Associate Director, US Federal and State Compliance

    Novartis Group CompaniesEast Hanover, NJ, United States
    Full-time
    The AD, US Federal and State Compliance is responsible for the leadership, management, and execution of US tax compliance as thought leader on the various dimensions of US federal and state tax.The...Show moreLast updated: 8 days ago
    • Promoted
    Director, PSC (Patient Support Center) Operations Insights

    Director, PSC (Patient Support Center) Operations Insights

    Novartis Group CompaniesEast Hanover, NJ, United States
    Full-time
    The Insights and Decision Science (IDS) team is dedicated to enabling improved decision making at Novartis by leveraging data and advanced analytics capabilities to generate actionable insights tha...Show moreLast updated: 30+ days ago
    • Promoted
    CMA

    CMA

    Seabrook Village by Erickson Senior LivingTinton Falls, NJ, United States
    Full-time +1
    Seabrook Village by Erickson Senior Living.NOW HIRING : Per diem and part time weekends.Apply and we will reach out to discuss availability. CMA with CNA certification strongly preferred.Certified Me...Show moreLast updated: 30+ days ago
    • Promoted
    VP Enterprise Compliance

    VP Enterprise Compliance

    VirtualVocationsElizabeth, New Jersey, United States
    Full-time
    A company is looking for a VP Enterprise Compliance, responsible for managing the bank's compliance risk management program. Key Responsibilities Stay updated on consumer protection laws and infor...Show moreLast updated: 1 day ago
    • Promoted
    Director, Corporate Reimbursement (Hybrid / Remote)

    Director, Corporate Reimbursement (Hybrid / Remote)

    RWJBarnabas Health Corporate ServicesOceanport, NJ, US
    Remote
    Full-time
    Job Title : Director Location : Barnabas Health Corp Department : Corporate Reimbursement Req : 0000180233 Status : Full-Time Shift : Day Pay Range : $144,483. Annual Pay Transparency : The above reflects t...Show moreLast updated: 2 days ago
    • Promoted
    Pennsylvania Licensed Provider Credentialing Director

    Pennsylvania Licensed Provider Credentialing Director

    VirtualVocationsElizabeth, New Jersey, United States
    Full-time
    A company is looking for a Senior Director Provider Credentialing and Enrollment.Key Responsibilities Oversee all aspects of credentialing, re-credentialing, payer enrollment, and facility enroll...Show moreLast updated: 1 day ago
    • Promoted
    • New!
    Claims and Payments Director

    Claims and Payments Director

    VirtualVocationsElizabeth, New Jersey, United States
    Full-time
    A company is looking for a Claims & Payments Director.Key Responsibilities Interface directly with providers on claims policies and disputes Lead the Payment Policy Committee and provide policy ...Show moreLast updated: 18 hours ago
    • Promoted
    Director, Compliance & Risk Operations

    Director, Compliance & Risk Operations

    Novartis Group CompaniesEast Hanover, NJ, United States
    Full-time
    Join Novartis in a new role as the Director of Compliance & Risk Operations, responsible for scaling and leading Novartis' Integrated Marketing Organization (IMO)-focused capability that ensures ma...Show moreLast updated: 7 days ago
    • Promoted
    Access and Reimbursement Manager - CV - San Jose (Remote)

    Access and Reimbursement Manager - CV - San Jose (Remote)

    Novartis Group CompaniesEast Hanover, NJ, United States
    Remote
    Full-time
    Access and Reimbursement Manager (ARM) is a field-based role that proactively provides in person (or virtual as needed) education to defined accounts within their assigned geographies on a wide ran...Show moreLast updated: 30+ days ago
    • Promoted
    Ohio Licensed Pharmacy Director

    Ohio Licensed Pharmacy Director

    VirtualVocationsAstoria, New York, United States
    Full-time
    A company is looking for a Director, 340B Solutions.Key Responsibilities Influence strategy and execution across a dynamic portfolio of healthcare clients Deliver expert guidance on 340B program...Show moreLast updated: 2 days ago
    • Promoted
    Assistant Director of Nursing, RN

    Assistant Director of Nursing, RN

    Seabrook Village by Erickson Senior LivingTinton Falls, NJ, US
    Full-time
    Seabrook Village by Erickson Senior Living.Step into a key leadership role as our.Join a team that values innovation, compassion, and results. A culture of diversity, inclusion, equity and belonging...Show moreLast updated: 30+ days ago
    • Promoted
    • New!
    AD, Market Access Engagement (Hospital Systems) - Remote

    AD, Market Access Engagement (Hospital Systems) - Remote

    Novartis Group CompaniesEast Hanover, NJ, United States
    Remote
    Full-time
    As Associate Director, Market Access Engagement (Hospital Systems), you will be a key account manager responsible for the execution of the market access strategies within assigned accounts as it re...Show moreLast updated: 15 hours ago
    • Promoted
    Associate Director, Coverage & Access - Remote

    Associate Director, Coverage & Access - Remote

    Novartis Group CompaniesEast Hanover, NJ, United States
    Remote
    Full-time
    This position can be based remotely anywhere in the U.Please note that this role would not provide relocation as a result. The expectation of working hours and travel (domestic and / or international)...Show moreLast updated: 7 days ago
    • Promoted
    Ohio Licensed Clinical Documentation Director

    Ohio Licensed Clinical Documentation Director

    VirtualVocationsElizabeth, New Jersey, United States
    Full-time
    A company is looking for an Associate Director, Clinical Documentation Integrity.Key Responsibilities Oversee the Clinical Documentation Improvement (CDI) program and manage the CDI team Provide...Show moreLast updated: 1 day ago
    • Promoted
    Access & Reimbursement Manager (ARM) - Renal - Long Beach, CA (Remote)

    Access & Reimbursement Manager (ARM) - Renal - Long Beach, CA (Remote)

    Novartis Group CompaniesEast Hanover, NJ, United States
    Remote
    Full-time
    Access and Reimbursement Manager (ARM) is a field-based role that proactively provides in person (or virtual as needed) education to defined accounts within their assigned geographies on a wide ran...Show moreLast updated: 8 days ago