Join Avera Health as a Cost Report Reimbursement Manager in Sioux Falls, SD, where you'll oversee Medicare, Medicaid, and Tricare cost reports for various healthcare entities. This role offers the opportunity to make a significant impact on reimbursement processes and work alongside a compassionate multidisciplinary team.
Key Responsibilities
Complete the monthly Medicare 3rd Party Settlement calculation for all hospitals
Assist in the annual revenue deductions and uncompensated care budget calculations
Manage workflows for filing and review of Medicare, Medicaid, and Tricare cost reports
Oversee the collection of cost report information and governmental audits
Provide data and documentation support during annual audits
Monitor and interpret state and federal regulatory publications
Provide guidance on reimbursement issues and cost report impacts
Collaborate with Finance, Decision Support, and the Revenue Cycle
Required Qualifications
Bachelor's in Accounting, Business, Finance or related field
4-6 years experience in the healthcare environment with regulatory and cost reporting experience
Preferred Qualifications
Master's in Accounting, Business, Finance or related field
Certified Public Accountant (CPA)
Experience in reimbursement settings such as PPS, SCH, CAH, RHC, SNF
Experience with IME, GME, Transplant, DSH, and Wage Index
Benefits & Perks
PTO available from day 1 for eligible hiresFree health insurance options for full-time single coverageUp to 5% employer matching contribution for retirementCareer development with hands-on training and mentorship