MGR REIMBURSEMENT

H. Lee Moffitt Cancer Center

Tampa, FL

ID: 7255691 (Ref.No. hlj_53892)
Posted: June 17, 2024
Application Deadline: Open Until Filled

Job Description

Position Highlights:

  • The Manager of Reimbursement is responsible for the Cancer Center’s Medicare and Medicaid reimbursement matters.
  • This includes the annual and interim third party cost report completion and monthly contractual allowances and settlement adjustments.
  • The Manager is responsible for achieving accurate third-party reimbursement.  
  • Moffitt is a cost-based PPS exempt Cancer Center with significant cost report settlement activities.
  • This position serves as an expert resource for the Cancer Center in the areas of Medicare and Medicaid regulatory/settlement matters. 

The Ideal Candidate:

  • The ideal candidate will have Healthcare financial experience, including hospital reimbursement and experience with cost reporting.
  • The ideal candidate will have experience with patient billing and general ledger software and have experience with Medicare auditors and defending proposed adjustments

Responsibilities or Essential Functions:

  • Prepares and files Medicare Cost Reports ensuring strict compliance with all Medicare regulations, policies, procedures and guidelines
  • Complete monthly review of Medicare and Medicaid contractual allowances and third-party settlements
  • Serves as the Cancer Center's resource on Medicare and Medicaid reimbursement matters and regulations
  • Assess impacts of the State's Medicaid Programs
  • Oversee and Supervise staff

Credentials and Experience:

  • Bachelor’s Degree required – field of study: Finance, Accounting, or related field
  • Minimum on ten (10) years’ experience in Healthcare financial related field, including four (4) years in hospital reimbursement and experience with cost reporting.
    • Preferred experience includes:
      • Experience with patient billing and general ledger software.
      • Experience with Medicare auditors and defending proposed adjustments.
      • Experience with financial data.

 



Mission To create a Moffitt culture of diversity, equity, and inclusion as we strive to contribute to the prevention and cure of cancer. Vision To advance and accelerate a culture of access, equity, and inclusion. Diversity is a priority at Moffitt and is meant "to promote a culture of diversity and inclusion as we contribute to the prevention and cure of cancer." The Enterprise Equity Department focuses its efforts on eliminating those obstacles to an individual’s ability to exist within their personal comfort zone at the cancer center. Everyone is important to meeting this priority. Addressing and responding to diversity and inclusion fosters an environment where mutual respect for diverse cultures, communication styles, languages, customs, beliefs, values, traditions, experiences and other ways in which we identify ourselves, is the expectation.