Reimbursement and Revenue Cycle Manager

About the role

This role is based in Stamford, CT and will work a Monday-Friday schedule.

Responsibilities

• Responsible for the completion and analysis of the Medicare, Medicaid, CT OHS, third-party cost reports, other and reporting.
• Reviews, maintains, and keeps management updated on all system, payor and internal issues that impact reimbursement and the revenue cycle, including assisting with CDM maintenance.
• Works closely with Contracting, Business Office, Operations, and other Partners to review and reconcile proration rules and evaluate managed care contract performance.
• Responsible for the month end close process pertaining to Net Accounts Receivable.
• Participates in the completion of required State of Connecticut Office of Health Care Access reporting including Certificate of Need reporting and year-end annual filings.
• Affiliated with the yearly budget process pertaining to expected changes for all third party reimbursement.
• Oversees completion and analytics concerning month end AR valuation, statistical and revenue results.
• In conjunction with Contracting and Business Office, assists in the evaluation of prorations and contract performance by managed care payors.
• Performs special projects as requested by Finance leadership.

Qualifications/Requirements

• Bachelor’s degree required.
• MBA, CPA, or other Business/Healthcare Master’s degree preferred.
• 3 years of leadership experience preferred.
• Either 3-5 years of experience preparing Medicare cost reports or 3-5 years of experience working in a hospital Accounting or Finance Department.
• Proficiency with hospital financial/billing/claims data compiling and analysis.
• High level of literacy with personal computer desktops (p. c.’s), including prior experience importing & exporting data files.
• Proficiency using Microsoft Excel.
• Prior exposure to reimbursement or cost accounting software.
• Ability to work in Epic, and Oracle.

Benefits

In alignment with our Planetree philosophy, the individual in this role will foster a respectful, collaborative environment that honors the needs, values, and preferences of every person we serve and the colleagues we partner with.