Reimbursement Manager

About the role

Interpret Medicare and Medicaid regulations, ensure compliance, and optimize revenue for a leading health network. This remote position supports the finance team in completing accurate cost reports and driving reimbursement strategies.

Key responsibilities

• Calculate financial impacts of purchasing, readmissions, hospital‑acquired infections, and accountable care arrangements.
• Develop and implement processes to ensure compliance with Medicare and Medicaid regulations.
• Create and manage the Medicare and Medicaid cost‑reporting process to secure full payment for services.
• Provide expert guidance on reimbursement and payment regulations and identify opportunities for additional revenue.
• Support cost‑report appeals, evaluate appeal firms, and assist the revenue budgeting process.
• Review third‑party settlements monthly and update financial records according to closing schedules.

Required profile

• Bachelor’s degree with at least 5 years experience interpreting Medicare and Medicaid payment regulations and completing cost reports.
• Minimum 5 years experience recording revenue and determining cost settlement receivables/payables for Medicare and Medicaid.
• Ability to work independently and meet filing deadlines.
• Physical ability to lift 25 lb and perform typical office tasks.