Reimbursement Manager (Hybrid)

Description

Take on a significant leadership role within a world-class health organization. Elevate the operational and financial effectiveness of a complex health system. Take your professional expertise to the next level. You can do all this and more at UCLA Health.

You will be responsible for overseeing fina n cial a n d statistical in f ormati o n for Medicare and Medi-Cal c o st repor t s. You will serve a s a prim a ry cont a c t for Med i c a re and Med i- Cal audits as well as support auditors in the review of cost report reimbursement and third-party accounts. You will:

• Prepare, review, and analyze financial and statistical information
• Calculate contractual expenses for Medicare, MediCal, and other third-party payors
• Review the annual AB915 MediCal Outpatient Supplemental Reimbursement forms and certification
• Prepare and file annual GPP reporting
• Analyze our hospital accounts receivable model, bad debt model, and accounts receivable roll-forward reports
• Prepare MediCal P14 waiver reports and respond to waiver audits/questions
• Analyze each hospital's net patient revenue budget
• Support financial, federal, and state audit requests
• Calculate annual PPS Medicare rates for internal hospital coding

Salary Range: $76,200-$158,800/annually