Director Of Reimbursement

Company: Saint Francis Health System
Location: Tulsa
Posted on: May 16, 2022

Job Description:

At Saint Francis Health System (SFHS), we offer a wide variety of medical specialties at locations throughout eastern Oklahoma. From the tiniest premature newborns to end-of-life support to all the needs in between, the physicians -and staff of all SFHS facilities are committed to treating each patient with dignity and integrity. -
At SFHS, our employees are our most precious resource and our greatest strength. As the healthcare leader in eastern Oklahoma, we focus on hiring not only the most qualified team members but hiring and retaining people who "fit" into our culture of caring.
JOB SUMMARY Reporting to the Vice President of Finance, the Director of Reimbursement is responsible for performing Medicare audits, cost -reports, compliance, analysis and successful resolution of appeals for the health system. Additionally, the Director performs -decision support analysis, pro-formas, and reimbursement impact analysis facilitating strategic reimbursement and operational -decisions. -JOB DESCRIPTION
Minimum Qualifications
Education: Bachelors of Science Degree in Business Administration with a major in Accounting.
Licenses/Certifications: - Certified Public Accounting certification, preferred.
Experience/Knowledge/Skills: - - - - - - -Minimum of three years of related experience. - - - - - - -Working knowledge of Microsoft Word and Excel. - - - - - - -Effective interpersonal, written, and oral communication skills. - - - - - - -Ability to perform and interpret automated word processing, database, and spreadsheet programs. - - - - - - -Ability to organize and prioritize work in an effective and efficient manner. -Primary Duties and Responsibilities - - - - - - -Completes and reviews the annual Medicare cost report within the allotted time frame. - - - - - - -Directs and resolves issues pertaining to -the audit findings as related to the annual Medicare cost report. - - - - - - - -Prepares, analyzes, and provides supporting evidence necessary for successful resolution of cost report audits and appeals. This -includes filing appropriate documentation and following regulatory protocol as it relates to appeals of the Medicare cost report. - - - - - - -Performs analysis, as requested, for project proposals, pro-formas and reimbursement impact. - - - - - - - -Takes initiative to conduct Medicare/Medicaid regulation research providing interpretation and financial impact to key leadership -with recommendations for action. - - - - - - - - -Monitors and manages compliance within applicable regulations, as it pertains to Medicare, cost reporting issues for all entities. - - - - - - - - -Coordinates and provides financial and patient utilization data to support outside financial audits. - - - - - - - -Supports 340B drug replacement plan for covered health system entities by providing appropriate patient and operational analysis -to facilitate continued coverage status. - - - - - - - - -Evaluates facility operational impact of key reimbursement changes and facilitates operational discussions to address and minimize -negative impact. - - - - - - - - -Supports operational leaders and finance team in strategic analysis and pro-forma preparation by providing assistance and decision -tools. - - - - - - - - -Facilitates key leadership discussions to optimize governmental payor realization and strategic initiatives. - - - - - - - - -Manage and mentor support staff for cost reporting and pro-forma completion providing value-add services to the health system.

Keywords: Saint Francis Health System, Tulsa , Director Of Reimbursement, Executive , Tulsa, Oklahoma