Responsible for the reimbursement function for Baptist Health Care. This includes but is not limited to Baptist Hospital, Gulf Breeze Hospital, Jay Hospital, Baptist Health Care Home Office, and other entities to be determined.
Supervises the preparation of Medicare, Medicaid, Blue Cross, and Champus reimbursement studies and cost reports on an interim and fiscal year basis. Responsible for the proper compliance with all provider regulations and laws governing the preparation of cost reports and other such submissions. Supervises the necessary calculations to properly record the contractual adjustments for Medicare, Medicaid, Managed Care Payors, and any other payors assigned; or the review of calculations performed by others. Review or calculation of appropriate bad debt / charity reserve amount (allowance for bad debt). Responsible for the reasonable explanation of deduction variances as well as net revenue variance from budgeted levels on a monthly basis. The position is also responsible for the calculation of the deduction from revenue budget for the facilities listed above. Review reimbursement related regulatory changes and assists Senior Management in understanding and evaluating the impact of these changes Communicates reimbursement related information to appropriate individuals throughout the corporation. Understands the concept of a full service reimbursement department. Position is responsible for the monthly calculation of net patient service revenue.
The person in this position works under general supervision, is responsible for various shifts, may be subject to over 40 hours per week and/or callback as required, and may also be required to remain on campus immediately before, during, and after severe weather and/or disasters.