Reimbursement Manager
Current♦ Ensure the accurate and timely preparation of various HSCRC, Medicare, and other regulatory reports on a monthly, quarterly, and annual basis. Manage the staff during the Annual Filing and Medicare Cost Report preparation processes. ♦ Manage monthly rate analytics, adjust rates to ensure compliance with federal, state (HSCRC) and local laws and regulations, and oversee the preparation of the annual approved rate calculation and rate reviews for various UMMS hospitals.♦ Responsible for an Academic Medical Center (AMC) and level one trauma center. ♦ Experience with IME and GME. Complete the Interns & Residents Surveys for all UMMS hospitals using HFS software.♦ Oversee the completion of the annual revenue budgets and check for reasonableness. Assist Decision Support teams with budget volumes and prepare budget revenue spreads in accordance with volume.♦ Develop Organ Acquisition rates and monitor pricing. Work closely with Transplant Department in cost reduction initiatives to reduce OA rates and performance improvement.♦ Maintain and disseminate monthly revenue reports to hospital CFOs and UMMS Finance Shared Services.