Posted Date 4 months ago(8/24/2018 9:30 AM)
    Requisition ID
    # of Openings
    Location Name
    Baptist Management Services
    Category (Portal Searching)
    Position Type
    Day Shift
  • Overview

    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.


    • B.S. Degree in accounting/finance required; Masters Level Degree in relevant field preferred
    • Ten years of experience in directing the reimbursement function for large health care system
    • Proficient with Microsoft Office Tools and PC use in general


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