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Reimbursement Manager (Hybrid)

University of California - Los Angeles Health
United States, California, Los Angeles
Oct 30, 2024
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
financial and statistical information
for Medicare and Medi-Cal cost
reports. You will serve as a primary
contact for Medicare and Medi-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
Qualifications

We're
seeking a self-motivated, detail-oriented, and highly-analytical leader with:

  • Bachelor's degree in accounting, business, economics, math, or a related
    field
  • Five or more years of directly-related experience
  • Background with net revenue and contractual expense calculations
  • Strong critical thinking and problem-solving abilities
  • Computer proficiency with Microsoft Office
  • Background in report writing and working with large data preferred
  • Knowledge of third-party payer regulations and contracts
  • Excellent communication and leadership skills

UCLA Health is a world-renowned health system with
four award-winning hospitals and
more than 250 community clinics throughout metro Los Angeles as
well as the David Geffen School of Medicine. Through the efforts of our
outstanding people, we have become Los
Angeles' trusted provider of exceptional, compassionate patient care. If you're
looking to experience greater challenge and fulfillment in your career, you can
at UCLA Health.

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