Program Manager - Reimbursement - BH

Arbour SeniorCare; King of Prussia (PA); Hybrid; USD 80,000 - 100,000; Full time

Job summary

A leading healthcare organization in King of Prussia, PA, is seeking a qualified professional for compliance with Medicare and Medicaid reimbursement rules. This position requires a Bachelor's degree in Accounting or Finance and 5-8 years of relevant experience in cost reporting applications. The role offers a hybrid work schedule along with competitive benefits and opportunities for professional growth.

Benefits

Competitive compensation package

Medical, Dental, Vision, and Prescription Drug Plan

Opportunity for career advancement

Qualifications

• 5-8 years of experience in cost reporting applications for behavioral health facility Medicare/Medicaid/Special State & County costs.
• Advanced knowledge of Medicare Psychiatric Prospective Payment System.
• Intermediate to advanced knowledge of Medicaid and special State & County reimbursement systems.

Responsibilities

• Assist in ensuring compliance with Federal and State reimbursement rules and regulations.
• Prepare, review, and coordinate annual Medicare Cost Report filings.
• Provide ongoing hospital reimbursement consulting services to corporate business office.

Skills

Cost reporting applications

Microsoft Excel

Medicare Psychiatric Prospective Payment System

Medicaid reimbursement systems

Education

Bachelor's degree in Accounting or Finance

Tools

Viewpoint

Med Series 4

Job description

Employer Industry: Healthcare Services

Why consider this job opportunity

• Competitive compensation package with excellent benefits, including Medical, Dental, Vision, and Prescription Drug Plan
• Opportunity for career advancement and professional growth within the organization
• Hybrid work schedule with 3 days in the office and 2 days flex-remote
• Supportive and collaborative work environment in a leading healthcare organization
• Engage in meaningful work by contributing to the care of over 3 million patients annually

What to Expect (Job Responsibilities)

• Assist in ensuring compliance with Federal and State reimbursement rules and regulations for Medicare, Medicaid, and special State and County reimbursements
• Prepare, review, and coordinate annual Medicare Cost Report filings for assigned hospitals
• Provide ongoing hospital reimbursement consulting services to corporate business office and facility executive staff
• Support departmental activities for hospital assessment and supplemental payment programs
• Coordinate and complete required cost reports for Medicaid and other regulatory bodies

What is Required (Qualifications)

• Bachelor's degree in Accounting or Finance
• 5-8 years of experience in cost reporting applications for behavioral health facility Medicare/Medicaid/Special State & County costs
• Advanced knowledge of Medicare Psychiatric Prospective Payment System
• Intermediate to advanced knowledge of Medicaid and special State & County reimbursement systems
• Proficiency in Microsoft Excel and relevant cost report software programs

How to Stand Out (Preferred Qualifications)

• Working knowledge of health care accounting, finance, and business office concepts
• Familiarity with Viewpoint and Med Series 4 systems

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