Regional Executive Director of Reimbursement
Company: CareerArc
Location: Chesterfield
Posted on: March 8, 2025
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Job Description:
We're a Little DifferentOur mission is clear. We bring to life a
healing ministry through our compassionate care and exceptional
service.At Mercy, we believe in careers that match the unique gifts
of unique individuals - careers that not only make the most of your
skills and talents, but also your heart. Join us and discover why
Modern Healthcare Magazine named us in its "Top 100 Places to
Work."Overview:The Regional Executive Director of Reimbursement for
Mercy Health (Mercy) is responsible for the direction and oversight
of reimbursement activities related to specific communities within
Mercy. This position will have supervisory responsibilities of the
manager and reimbursement specialists in their communities. The
Regional Director will assist the Vice President Reimbursement in
facilitating the effective strategies and/or processes associated
with third-party governmental reimbursement and net revenue
integrity and enhancement. This position oversees the activities
associated with required governmental filings and reimbursement
analyses. Strong command of Medicare and Medicaid regulations and
communication skills with peers as well as senior leaders in the
organization are key to success in this role. A candidate must have
the ability and willingness to work with others both internal and
external to the organization to address the complex needs of a
multi-state $10 billion dollar health system.Facilitate the monthly
analysis of third-party reserve position. Serve as the contact for
the external auditor's review of third-party reserves. Partner with
the regional and central finance teams to integrate reimbursement
rates in forecast and actual results. Communicate risks and
opportunities to financial leadership resulting from audits,
regulatory change, or other industry awareness. Prepare and/or
facilitate the completion of all assigned regional cost reports and
other regulatory filings in accordance with requirements. Maintain
professional working relationships with MAC and other auditing
bodies. Direct and resolve audit requests and findings. Keep
contemporary with all governmental regulations and identify
opportunities for Mercy to compliantly enhance reimbursement.
Support leadership with Mercy wide impact for regulatory changes.
Review and provide comments on all major CMS proposed and final
rules. Support other Mercy initiatives including regulatory
compliance efforts, local pricing initiatives, administrative
decision making and related reimbursement impacts, 340B program,
revenue cycle projects with reimbursement impact, and strategic
reimbursement initiatives. Coordinate hospital enrollment with
Medicare and Medicaid.Qualifications:
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Keywords: CareerArc, Chesterfield , Regional Executive Director of Reimbursement, Executive , Chesterfield, Missouri
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