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Program Manager - Reimbursement - BH

Program Manager - Reimbursement - BH

Universal Health Services, Inc.Brentwood, TN, United States
30+ days ago
Job type
  • Full-time
Job description

Responsibilities

(This role has a hybrid schedule with 3 days in office and 2 days flex-remote)

Join a dynamic organization driven by our passion for healthcare. UHS is seeking talented individuals who are eager to contribute their expertise and pursue rewarding careers. As a leader in acute care and behavioral health, UHS provides high-quality care to over 3 million patients annually, across our national network of facilities.

The UHS Reimbursement Department is hiring a Program Manager - Reimbursement to coordinate the Medicare, Medicaid, and special State and County fee-for- service reimbursement functions for the Behavioral Health Division.

Key Responsibilities include :

  • Assist the Director of Reimbursement and Division Vice President of Reimbursement in ensuring compliance with applicable Federal and State reimbursement rules and regulations and to optimize Medicare, Medicaid, and special State and County reimbursement through strategic planning and on-going financial analysis

Prepare, review, and coordinate annual Medicare Cost Report Filing for assigned hospitals within the Behavioral Health Division and all related cost report audit activity

Provide on-going hospital reimbursement consulting services (e.g. compliance, billing, financial pro forma analysis) to UHS corporate business office, regional finance and behavioral health facility executive staff with moderate level of support by the Director of Reimbursement or Division Vice President of Reimbursement

Support Department's activities for hospital assessment / supplemental payments programs as operated by individual states

Coordinate and complete all behavioral health division Medicaid, County or regulatory required cost reports including but not limited to : Massachusetts (RSC-403), RTC cost reports, Pennsylvania

Medicaid PHC4 filings, Georgia and Indiana Match and Title IV-E cost reports used for Federal Match funding for assigned hospitals

Prepare Disproportionate Share Payment Reports and coordinate audits of those reports by the respective payer

Qualifications

Bachelor's degree in Accounting or Finance with 5-8 years' experience of cost reporting applications and concepts for behavioral health facility Medicare / Medicaid / Special State & County costs reports.

Advanced knowledge of Medicare Psychiatric Prospective Payment System, as well as some working knowledge of the Medicare acute care inpatient DRG system and Outpatient APC's

Intermediate to advanced knowledge of Medicaid and special State & County reimbursement systems related to behavioral health services

Intermediate to advanced knowledge of the following computer applications : (1) Microsoft Excel, (2) Medicare, Medicaid, and special State & County cost report software programs and (3) SEQUEL

Viewpoint and Med Series 4 systems

Working knowledge of health care accounting, finance, and business office concepts and functions

This opportunity provides a rewarding career, challenging and rewarding work environment as well as growth and development opportunities within UHS and its subsidiaries, including competitive compensation, excellent Medical, Dental, Vision and Prescription Drug Plan, and 401k with company match.

One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. During the year, UHS was again recognized as one of the World's Most Admired Companies by Fortune; and listed in Forbes ranking of America's Largest Public Companies. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.

Notice

At UHS and all subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates with matching skillset and experience with the best possible career at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail etc. If you feel suspicious of a job posting or job-related email, let us know by contacting us at : https : / / uhs.alertline.com or 1-800-852-3449

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Reimbursement Manager • Brentwood, TN, United States

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