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Senior Reimbursement Specialist

Location: 4211 Metro Parkway, Fort Myers, FL
Department: Financial Svs
Categories: Professional
Type: Full-Time
Shift: 8:00 AM-5:00 PM
Schedule: Days

Description:

Are you a caring, compassionate, customer service focused individual who enjoys helping people? If so, read on!!

When you join Lee Health, you’ll enjoy getting involved to continuously improve your skills. Here, our employees feel welcomed, valued and respected. Having a career with Lee Health offers valuable growth opportunities, market competitive compensation, and exceptional benefits that address your holistic health.

Lee Health attracts the brightest stars, so if selected, we will contact you to discuss next steps.




This opportunity requires a full understanding of the requirements of Medicare, Medicaid and all other major third party payors . Understands revenue, CPT/HCPCS, ICD-9, DRG and APC codes to ensure the accuracy of the charge master and reimbursement. Develops appropriate strategies for all changes in reimbursement and enlists the assistance of a multi-disciplinary team to assist with the implementation of any process or reimbursement change. Must understand Medicare's PPS/OPPS program which includes the cost report, wage index, capital payment and DSH payments as well as their impact on reimbursement. Assembles data and completes the Medicare Cost Report and AHCA's hospital information report that is filed annually. Required to understand and communicate complex issues and changes relating to regulatory compliance and third-party reimbursement to leadership. Apply knowledge of third party payor programs for the monthly determination of net patient revenue for assigned entities and/or cost centers. Must have extensive financial knowledge in the completion of reimbursement/revenue cycle responsibilities. Will have financial responsibilities through assigned duties that relate to the completion of monthly financial statements as well as the completion of the annual audit and budget. Will be responsible for all financial reporting and analysis for all cost centers and/or entities that have been assigned. Must apply knowledge of healthcare along with the utilization of LMHS' cost accounting system in the development of reliable financial proformas.

Requirements:

Educational Requirements

Degree/Diploma ObtainedProgram of StudyRequired/
Preferred
and/or
Bachelor'sAccountingRequiredor
Bachelor'sFinanceRequiredor
Bachelor'sHealthcare AdministrationRequiredor
Master'sBusiness AdministrationPreferredor
Master'sHealthcare AdministrationPreferred

Experience Requirements

Minimum Years RequiredArea of ExperienceRequired/
Preferred
and/or
3YearsRequired

Minimum 3 years healthcare reimbursement experience


State of Florida Licensure Requirements

LicensesRequired/
Preferred
and/or
Not Required

Certifications/Registration Requirements

Certificates/RegistrationsRequired/
Preferred
and/or