Manager Reimbursement job – HCA Corporate – Nashville, TN

HCA, a Fortune 100 company with more than 200,000 employees, is one of the nation’s leading providers of healthcare services, operating over 170 locally managed hospitals and over 100 freestanding surgery centers in 20 states and the United Kingdom. With its founding in 1968, HCA created a new model for hospital care in the United States, using combined resources to strengthen hospitals, deliver patient-focused care and improve the practice of medicine. HCA is a learning healthcare system that uses more than 27 million annual patient encounters to advance science, improve patient care and save lives. HCA has been named one of the world’s most ethical companies for eight years in a row. At HCA, we are driven by a single goal: the care and improvement of human life.

JOB SUMMARY

Complete Medicare and Medicaid cost reports to obtain appropriate reimbursement from these programs and monitor hospitals’ compliance with the company’s reimbursement policies and procedures.

GENERAL RESPONSIBILITIES

Prepare Medicare and Medicaid cost reports to obtain all amounts due from these programs.

Prepare accounting entries to record the cost reports.

Revise data elements used to compute contractual adjustments based on the latest annual cost report and

periodic interim cost reports.

Review hospital’s monthly contractual adjustment computations for accuracy and compliance with policies.

Periodically visit hospitals to assure that the hospital is complying with requirements for data collection for cost reporting and to keep updated on

operational changes and answer questions as need be.

Supply fiscal MAC auditors with data and support used to prepare cost reports and answer any questions regarding the cost reports.

Critically review proposed adjustments to cost reports and decide, along with the Director and Managing Director, which adjustments should be appealed.

Assist hospitals to prepare and review contractual adjustments budgets.

Prepare annual and final external audit workpapers. Communicate issues to both the reporting and division managers.

Serve as a resource on reimbursement matters to hospital personnel.

Assist in preparation of feasibility studies for new services.

Qualifications

EXPERIENCE:
Requires 5- 7 years’ relevant work experience

Medicare and Medicaid Cost Reporting experience required

EDUCATION:
Bachelor’s degree required

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A Computer Programmer whose articles got mentions from the likes of The New York Times, Kissmetrics and AllTopStories. He writes articles, novels and poems; spends most of his time reading everything he could get his hands on. He is currently pursuing his Masters from The University of Illinois and holds a Bachelors in Electronics Engineering from the University of California. He is a programmer, a motivational writer and speaker.

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