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Reimbursement Manager

Job Description - Reimbursement Manager

Description

Join us on the heart-warming journey with a team that is a top leader in the rehabilitation industry

 

Encompass Health is the leader in the inpatient rehabilitation industry, you’ll feel the Encompass Health difference as soon as you join. We collaborate and provide high-quality, compassionate, individualized care for our patients, allowing us time to get to know them and help them achieve their goals during their rehabilitation journey. 

 

 

POSITION PURPOSE

 The Reimbursement Manager is responsible for cost reporting, hospital support, and audit support for hospitals in assigned regions and functional areas such as top downs, bad debts, Home Office, DTDF, LIP, CRIP/Propapers, and review tool.

 

RESPONSIBILITIES AND TASKS

 

  • Files Medicare and Medicaid cost reports; oversees assigned cost report, including add-on payments. 

  • Participates in audit/reviews conducted by governmental agencies, contractors, and audit firm(s). 

  • Ensures audit impacts are calculated and accounted for, while contesting disputed adjustments. 

  • Supports personnel in identifying and resolving reimbursement issues. 

  • Conducts complex research independently with high accuracy and efficiency. 

  • Monitors compliance with Medicare and policies related to reimbursement; resolves concerns. 

  • Leads projects to obtain results while managing productivity/development of staff. 

  • Oversees projects which may include LIP, DTDF, Home Office, Review Tool, and hospital onboarding. 

  • Stays current on cost reports, LIP/bad debt, state reimbursement, and provider enrollment. 

  • Understands cost report drivers and operational impacts; communicates technical information upward. 

  • Reviews work; constructively review strengths and opportunities to develop direct reports. 

  • Possesses detailed working knowledge of all software applications and reports. 

  • Uses technology applications to accomplish department goals. 

  • Researches, analyzes, and reconciles data and complete complex hospital cost reports and assigned projects.

  • Completes day-to-day responsibilities; identifies and resolves issues; follows chain of command.

  • Possesses industry, organizational, and position knowledge and skills. 

  • Stays current in job knowledge through departmental regulation summaries, CMS/state/hospital association websites, MediRegs, and other industry related materials. 

  • Uses company resources where appropriate; shares information and resources with peers. 

  • This position must sit at our Home Office in Birmingham, AL 

 

Minimum Qualifications

  • Bachelor’s degree in Accounting (preferred) or Finance 

  • 7 years of hospital reimbursement experience 

  • At least two years of supervisor experience or project management experience 

 

A little about us

We’re confident you’ll see the difference the moment you join our team. Working at Encompass Health means working with a growing national inpatient rehabilitation leader. We’re proud of our career growth opportunities and how our team members work together for the greater good of our patients. We’ve been named one of the “World’s Most Admired Companies” and a Fortune 100 Best Companies to Work For® Award, among others, which is pretty amazing. 

 

Our benefits start day one

  • Affordable medical, dental and vision plans for full-time and part-time employees and their families.

  • Generous paid time off that accrues over time.

  • Tuition reimbursement and continuing education opportunities.

  • Company-matching 401(k) and employee stock purchase plans.

  • Flexible spending and health savings accounts.

  • A community of people who love what they do. Yes, we see that as a benefit.

 



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