Remote Medicare & Medicaid Reimbursement Manager

1004 Lehigh Valley Hospital; Pennsylvania; Hybrid; USD 75,000 - 110,000; Full time

Job summary

Lehigh Valley Health Network is seeking a knowledgeable finance professional to interpret Medicare and Medicaid payment regulation and guide hospital activities to optimize revenue and ensure compliance.

You'll develop and execute processes to gather information required for Medicare and Medicaid cost reports, and complete these reports accurately and by filing due dates. The role supports cost report preparation, reviews third party settlements, and contributes to revenue budgeting.

Qualifications

• Bachelor's degree in a relevant field.
• 5 years interpreting Medicare and Medicaid payment regulation and completing Medicare and Medicaid cost reports.
• Ability to work independently.

Responsibilities

• Calculates financial impacts of purchasing, readmissions, infections, and ACO arrangements.
• Develops strategies and processes to ensure hospital compliance with Medicare/Medicaid regulations.
• Develops processes to complete cost reports and ensure hospital receives payment for programs and services.
• Provides expert guidance on Medicare/Medicaid reimbursement and payment regulation.
• Supports participation in cost report appeals and related processes.
• Reviews third party settlements monthly and aligns with closing schedules.

Skills

Medicare/Medicaid knowledge

Independent worker

Education

Bachelor's Degree

Job description

Lehigh Valley Health Network is seeking a knowledgeable finance professional to interpret Medicare and Medicaid payment regulation and guide hospital activities to optimize revenue and ensure compliance.

You'll develop and execute processes to gather information required for Medicare and Medicaid cost reports, and complete these reports accurately and by filing due dates. The role supports cost report preparation, reviews third party settlements, and contributes to revenue budgeting.