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Director Reimbursement

Company: West Park Hospital-WY-US
Location: Allentown
Posted on: September 15, 2020

Job Description:


2100 Mack Blvd, Allentown, PA

Accounting & Finance

Full Time 40 hours , Day Shift , M-F; 8:00a-4:30p

Posted 09/08/2020

Union: N/A

Imagine a career at one of the nation's most advanced health networks.

Be part of an exceptional health care experience. Join the inspired, passionate team at Lehigh Valley Health Network, a nationally recognized, forward-thinking organization offering plenty of opportunity to do great work.

LVHN has been ranked among the "Best Hospitals" by U.S. News & World Report for 22 consecutive years. We're a Magnet(tm) Hospital, having been honored four times with the American Nurses Credentialing Center's prestigious distinction for nursing excellence and quality patient outcomes. Finally, Lehigh Valley Hospital - Cedar Crest, Lehigh Valley Hospital - Muhlenberg and Lehigh Valley Hospital - Pocono each received an 'A' grade on the Hospital Safety Grade from The Leapfrog Group for spring 2018, the highest grade in patient safety. These recognitions highlight LVHN's commitment to teamwork, compassion, and technology with an unrelenting focus on delivering the best health care possible every day.

Whether you're considering your next career move or your first, you should consider Lehigh Valley Health Network.

Job Summary: The Director will serve as a key resource for providing government reimbursement support and developing/implementing related payment strategies across LVHN focusing on Medicare and Medicaid reimbursement. This includes overseeing the preparation and review of the annual Medicare/Medicaid cost reports filings. The director will lead separate reviews of DSH, Medicare Bad Debts, Wage Index, Geographic Reclassification, GME/IME, etc. In addition, the director will provide guidance related to LVHN’s participation in state level supplemental payments programs, general Medicaid reimbursement topics, and will be asked to assist with regulatory research. The Director will also supervise finance department personnel at assigned facilities and will oversee the accurate determination of third party receivables/payables, ensuring revenue and receivables reporting is in compliance with GAAP. The Director will have expert level of knowledge of government payment regulation, third party revenue accounting practices, and have excellent communication/staff management skills. Furthermore, promotes a positive atmosphere and maintains a high degree of customer service orientation to include proactive interaction with LVHN staff and managers.

Minimum Requirements:  BS/BA in Accounting, Finance, or Health Administration required.

10 plus years of experience interpreting Medicare and Medicaid payment regulations, ensuring optimization of revenue and completion of Medicare and Medicaid cost reports.

Expert level of knowledge of Medicare and Medicaid regulation and payment rules in essential; • The ability to interpret Medicare and Medicaid payment regulation and develop and implement processes ensuring LVHN hospitals are reimbursed for all programs and services is required; • Educated on and follows Generally Accepted Accounting Principles (GAAP); • Organization - proactively prioritizes needs and effectively manages resources; • Delegation - delegates and trains appropriately to ensure required deadlines are met; Communication - communicates clearly and concisely; • Leadership - guides individuals and groups toward desired outcomes with minimal supervision, sets high performance standards and delivers high quality services; • Decision-making - demonstrates appropriate decision-making skills and escalates issues to supervisor as appropriate; Customer orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations; • Tactical execution - coordinates with LVHN leadership and deploys and directs resources appropriately (e.g. Cost Report preparation, Wage Index, etc.) as directed; • PC skills - demonstrates proficiency in Microsoft Office applications (i.e. Excel, Word) and others as required.

Preferred Requirements: CPA or HFMA.


Influenza vaccination is required at most LVHN facilities for all colleagues with patient contact unless medically contraindicated or due to a bona fide religious belief or practice, and is strongly encouraged for all colleagues.

Lehigh Valley Health Network is an equal opportunity employer. In accordance with, and where applicable, in addition to federal, state and local employment regulations, Lehigh Valley Health Network will provide employment opportunities to all persons without regard to race, color, religion, sex, age, national origin, sexual orientation, gender identity, disability or other such protected classes as may be defined by law. All personnel actions and programs will adhere to this policy. Personnel actions and programs include, but are not limited to recruitment, selection, hiring, transfers, promotions, terminations, compensation, benefits, educational programs and/or social activities.

Keywords: West Park Hospital-WY-US, Allentown , Director Reimbursement, Other , Allentown, Pennsylvania

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