Manager, Reimbursement

Lifepoint Health; Brentwood (TN); On-site; USD 90,000 - 120,000; Full time

Job summary

Lifepoint Health is seeking a Manager of Reimbursement to lead Medicare and Medicaid cost reporting and related regulatory filings. This role partners with hospitals to ensure accurate accruals and settlements and supports audits with CMS and state agencies.

The ideal candidate has a Bachelor’s in Accounting with at least 5 years in hospital reimbursements; CPA is preferred, with up to 10% travel. This is a full-time, on-site position supporting Lifepoint Health’s mission.

Qualifications

• Bachelor's degree in Accounting required.
• Minimum 5 years related experience in hospital reimbursements.
• CPA certification preferred.
• Up to 10% overnight travel required.

Responsibilities

• Collaborate with hospitals to ensure Medicare/Medicaid accruals and settlements are accurate.
• File and review Medicare/Medicaid cost reports and related regulatory submissions.
• Support audits with CMS and state agencies and monitor regulatory changes.

Skills

Hospital reimbursements

Education

Bachelor's degree in Accounting

Job description

Schedule: Days: M-F

Your experience matters

At Lifepoint Health, we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. As a member of the Health Support Center (HSC) team, you'll support those that are in our facilities who are interfacing and providing care to our patients and community members to positively impact our mission of making communities healthier .

More about our team

The Manager, Reimbursement manages and files Medicare and Medicaid cost reports and other regulatory report-ing requirements, working with Centers for Medicare and Medicaid Services (CMS) and Medicaid States Agencies during the audit of these cost reports, and for forecasting Medicaid supplemental payment income, etc.

How you'll contribute

• Collaborate with hospitals to ensure Medicare and Medicaid contractual accruals and settlement estimates are accurate.
• Monitor state legislative activity to ensure Lifepoint is aware of upcoming Medicaid payment changes or opportunities to influence policy.
• File Medicaid Disproportionate Share Hospital (DSH) audits, month end close related to governmental payers, and other miscellaneous activities for their assigned hospitals.
• Mitigate risk of loss of income and seize opportunities to provide value throughout the reimbursement process related to Medicare and Medicaid programs to include, but not limited to, the planning, filing, and auditing of Medicare and Medicaid cost reports.
• Review monthly Governmental exhibits as a part of month end close and complete/file annual Medicare and Medicaid Cost Reports. Review exhibit models and assist in the calculation of net revenue, represent the hospital during audit, review the assigned hospitals month end exhibits, and complete a detailed review once a quarter.
• Work with Governmental Relations in monitoring Medicaid legislative changes for assigned States.
• Review monthly and quarterly Government reimbursement exhibits to ensure cash and accrued reimbursement rates are properly set.
• Adjust accruals and reimbursement factors as needed, in conjunction with Federal and State guidance, as well as with internal costing data.
• Process month end close to include calculating, reviewing, and preparing entries related to state supplemental payment programs.
• Regular and reliable attendance.
• Perform other duties as assigned.

Why join us

In addition to your base compensation, this position also offers:

• Comprehensive Benefits : Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
• Financial Protection & PTO : Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.
• Financial & Career Growth : Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.
• Employee Well-being : Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).
• Professional Development : Ongoing learning and career advancement opportunities.

What we're looking for

• Education: Bachelor's degree in Accounting.
• Experience: Minimum of 5 years related experience in hospital reimbursements.
• Certifications: Certified Professional Accountant (CPA) preferred
• Minimum overnight travel (up to 10%) by land and/or air
• EEOC Statement " Lifepoint Health is an Equal Opportunity Employer. Lifepoint Health is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment."
• You must be authorized to work in the United States without employer sponsorship.