Tamarac, Florida

Description

SHIFT: No Weekends
SCHEDULE: Full-time


Last year alone, our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Division Director of Reimbursement with HCA you can be a part of an organization that is devoted to giving back!
 
We are committed to providing our employees with the support they need. At HCA, we offer an array of medical, dental, and vision packages as well as several add-on perks to make your benefits package truly customizable to you and your family needs. Some of our unique benefits we offer include:
  • Student Loan Repayment 
  • Tuition Reimbursement/Assistance Programs
  • Paid Personal Leave
  • 401k (100% annual match – 3%-9% of pay based on years of service)
  • Identity Theft Protection discounts
  • Auto, Home, and Life Insurance options
  • Adoption Assistance
  • Employee Stock Purchase Program (ESPP)
You contribute to our success. Every role has an impact on our patients’ lives and you have the opportunity to make a difference. We are looking for a dedicated Division Director of Reimbursement like you to be a part of our team. 
 
Job Summary:
 
You will assist hospitals to obtain appropriate reimbursement from the Medicare and Medicaid programs by analyzing new service opportunities.  Responsible to assure that hospitals understand data requirements for Medicare cost reporting and accounting. Serves as a resource to hospital and the Division Office operations for reimbursement and government program questions. May require visiting hospitals to gather information related to 855 filings, provider based attestations, site of service Masterfile maintenance, training new finance employees on exhibit preparation, assisting in the monthly close process, assisting hospitals in the budget preparation of contractuals and meetings with MAC and state auditors who perform periodic hospital audits. Will attend state Medicaid meetings and other task force meetings as a representative of HCA and/or the hospitals within the particular state. Keep apprised of Medicaid reimbursement policy and insure any state survey or application used to distribute Medicaid DSH and/or Supplemental payments is filed accurately and timely.  
 

General Responsibilities:

  • You will perform feasibility analysis and/or due diligence related to Medicare/Medicaid reimbursement for syndications, purchase/sales and mergers of hospitals, establishment of skilled nursing facilities and establishment of distinct part units.  Implement or coordinate the implementation of third party accounting system and ensure it is maintained and identify documentation necessary for completion of annual cost report for all new hospitals.
  • Provide hospital management teams with education related to new inpatient units and other outpatient entities.  Coordinate geographic reclassifications along with the filing of Provider Based Attestations. Evaluate profitability of hospital operations. Communicate with the Reporting Directors and coordinate any changes in operation which could have a material effect on conversion factors.  Assist hospital and Division Chief Financial officer in review of contractual adjustment budgets.   The Division Director also will take an active role in month-end close.
  • The Division Director will also be responsible for completion of Various HCA Home Office Pooled and functional workpaper sets.
  • Meet with outside CPA firms who are now required to render independent audits on a yearly basis of hospital data utilized in the state DSH programs for comparison to state DSH-FMAP limits.  Provide assistance to hospital management team in filing and completing the Medicaid Provider Agreement renewals.
  • Federal regulations are rapidly changing in areas dictated by the rules under the Accountable Care Act and other changes occurring in Medicare regulations such as DSH, ACO’s and value based purchasing. The Division Directors of Reimbursement are responsible for educating the hospitals and working with the Divisions to implement the ACA requirements along with determining the financial effects of the regulations.
  • File geographic reclassifications. Ensure that the hospitals are maintaining the documentation and statistical information for completion of annual cost report.  Monitor all changes in Medicaid and Tricare reimbursement and communicate to hospitals, division office and cost report preparation staff.
  • Reimbursement takes an active role in state Medicaid committees representing proprietary hospitals. Generally Reimbursement personnel are located in cities which allow them quick access to committee meetings held with state healthcare officials. Division Directors has provided testimony and assisted lobbyists in the drafting of state health plan rules.
  • During 2013 Division Directors have assisted hospitals in the input of HiTech attestations for HiTech payments.  Additionally, provide audit support to the hospital management team for CMS Meaningful use HITECH audits.
  • Division Directors have assisted hospitals and worked with outside law firms in the review of licensure and 855 filings. In addition Division Directors have assisted in the filings of required documentation related to new hospital purchases and coordinated the sale of facilities answering questions for new owners. Division Directors have been the go to persons for gathering information from sold hospitals for filings of cost reports on sold hospitals.
  • The Division Director works with GME program directors to make sure FTE’s are properly counted, Resident faculty contracts are properly signed, affiliation agreements are in place by 7-1 of each program year and make sure all residents are counted in their proper program category and resident year for cost reporting purposes.

Qualifications

  • 7+ years of experience with Reimbursement, Cost Reports, Healthcare, Medicare and Medicaid programs
  • Bachelor's Degree Required

HCA Healthcare is a comprehensive healthcare network where 265,000 people across more than 1,800 care facilities are all committed to creating a positive impact every day. It’s an organization that exists to give people healthier tomorrows. Our scale enables caregivers to deliver great outcomes for patients and gives colleagues unparalleled opportunities to learn and grow. Most importantly, as a part of HCA Healthcare we’re connected to something bigger, which means more resources, more solutions and more possibilities for everyone who walks through our doors. What matters most to our diverse and talented colleagues is giving people the absolute best healthcare possible. Every day, we seek to raise the bar higher, not just for ourselves, but for healthcare everywhere.

 

HCA Healthcare has been continually named a World's Most Ethical Company by Ethisphere since 2010. In 2018, HCA Healthcare spent an estimated $3.3 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

 

If you find this opportunity compelling, we encourage you to apply for our Division Director of Reimbursement opening. We promptly review all applications. Highly qualified candidates will be directly contacted by a member of our team. We are actively interviewing so apply today!

 

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

 

Notice

Our Company’s recruiters are here to help unlock the next possibility within your career and we take your candidate experience very seriously. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Gmail or Yahoo Mail. If you feel suspicious of a job posting or job-related email, let us know by clicking here.

For questions about your job application or this site please contact HCAhrAnswers at 1-844-422-5627 option 1.

Tamarac, Florida

HCA Serving Those Who Have Served Us So Faithfully.

Guided by the principle that quality care begins with the warmth, compassion, and positive attitude of our employees, HCA has consistently proven to be the nation’s leading healthcare provider with the widest range of employment opportunities.

Since our founding over 40 years ago, HCA has grown in size and services with over 280 affiliate facilities in 20 states and England. Our family of nearly 190,000 strong is dedicated to developing innovative strategies and practices to better the human condition.

Above all else, we are committed to the care and improvement of human life. Expert care, ethical conduct, innovative technologies, and best practices are the core of our resources. Through these, we strive to deliver high-quality, cost-effective, community-centric health care for approximately 18 million patients annually.

HCA has over 7000 open requisitions in hospitals, diagnostic, outpatient and business operations across 20 states in the U.S.

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