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University of Michigan

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500 S State St, Ann Arbor, MI 48109, USA

5 Star University

"Reimbursement Manager Senior / Intermediate"

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Reimbursement Manager Senior / Intermediate

The Healthcare Reimbursement Manager is a critical leader in the finance division at University of Michigan Health. The manager is responsible for overseeing all reimbursement, ensuring compliance with federal, state, and local regulations, optimizing revenue realization, and developing strategies to maximize third-party reimbursement. This role partners closely with Finance, Clinical, and Compliance leaders to support the mission of Michigan Medicine.

  • Coordinates Federal and State reporting activities to ensure that the Health System receives maximum reimbursement consistent with Federal and State regulations.
  • Responsible for financial reporting, including monthly third-party payer accounting for net revenue and estimated settlements.
  • Health System liaison for Medicare, Medicaid, and financial audits.
  • Provides expert reimbursement consulting assistance to management at the Health System to promote financially sound decision making.
  • Manages the daily tasks of financial analysts as well as annual goals including cross-training employees on new tasks

Senior Level: Bachelor's degree in Finance, Accounting, Healthcare Administration, Business, or related field. Minimum 7 years of experience in healthcare reimbursement.

Intermediate Level: Bachelor's degree in Finance, Accounting, Healthcare Administration, Business, or related field. Minimum 5 years of experience in healthcare reimbursement.

Minimum of 5 years of Medicare Cost report preparation or cost report audit experience.

Demonstrated expertise in healthcare reimbursement, third-party payor contracting, and government payor programs.

Ability to analyze complex financial data, contracts, and regulatory material.

Excellent communication, negotiation, and leadership skills.

Strong technical knowledge and skills in financial analysis

Must demonstrate customer service skills appropriate to the job

Must be fluent with Medicare/Medicaid regulations

Experience working with large databases

Exhibits excellent leadership and self-direction, good judgment in handling difficult situations and good organizational, time management, interpersonal and conflict

Evidence of sound critical thinking skills and the ability to think creatively and strategically

Demonstrates highly developed verbal and written communication skills, excellent analytical and problem-solving skills, the ability to assess and evaluate complex financial data, and the ability to manage multiple complex tasks. History of making recommendations using clear and concise presentations to senior leadership

Demonstrated knowledge of Excel, Outlook, PowerPoint, Word and fluency with industry technology/tools (cost statement software, accounting/ledger, etc).

Demonstrate sound working knowledge of the contractual allowance, bad debt, financial statement reserve process.

Demonstrate comprehensive knowledge of net revenue, patient accounting and accounts receivable management.

Ability to establish and maintain effective working relationships across the Health System

Preferred: Master's degree in Finance, Business Administration, Healthcare Administration, or a related field.

Experience working in an academic medical center or large health system.

This position may be underfilled at a lower classification depending on the qualifications of the selected candidate.

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