Corewell Health
Director Corporate Reimbursement
Corewell Health, Grand Rapids, Michigan, us, 49528
Job SummaryResponsible for directing and managing all financial functions that relate to third party reimbursement and bad debt recognition and providing financial reimbursement services required by all internal and external customers. Will act as a subject matter expert on third party reimbursement, advising and educating senior leadership and advocating for Corewell Health. Position reports to Sr. Director Reimbursement.
Essential Functions
Oversight of the management and estimation of net patient service revenues related to third party payors and support of balance sheet reserves.
Provide leadership and support for all external financial statement audit activity related to third party payor net revenue.
Oversight and involvement of all reimbursement related regulatory filings and related audits.
Oversight and involvement of the annual budget of third party net patient service revenue.
Responsible for the efficient operation of the department along with staff development and training.
Provide oversight to external consultants related to specific reimbursement/net revenue related activity.
Stays abreast of all commercial regulations and changes that impact net revenue.
Communication of key third party reimbursement issues and trends to site operations and executive management.
Deep understanding of all aspects of third party reimbursement and bad debt recognition.
QualificationsRequired
Bachelor's Degree in Accounting or Finance.
7 years of relevant progressive responsibility experience within reimbursement in a healthcare system.
A minimum of 3 years in a leadership role within reimbursement in a healthcare system.
Preferred
Medical education experience.
Physical Demands
Pallet to Waist (6" from floor) > 5 lbs: Seldom up to 20 lbs
Waist to Waist > 5 lbs: Seldom up to 20 lbs
Waist to Chest (below shoulder) > 5 lbs: Seldom up to 20 lbs
Waist to Overhead > 5 lbs: Seldom up to 20 lbs
Bilateral Carry > 5 lbs: Seldom up to 20 lbs
Unilateral Carry > 5 lbs: Seldom up to 20 lbs
Pushing Force > 5 lbs: Seldom up to 20 lbs
Pulling Force > 5 lbs: Seldom up to 20 lbs
Sitting: Frequently
Standing: Occasionally
Walking: Occasionally
Forward Bend - Standing: Seldom
Forward Bend - Sitting: Occasionally
Trunk Rotation - Standing: Seldom
Trunk Rotation - Sitting: Occasionally
Reach - Above Shoulder: Seldom
Reach - at Shoulder or Below: Seldom
Handling: Occasionally
Forceful Grip > 5 lbs: Seldom
Forceful Pinch > 2 lbs: Seldom
Finger/Hand Dexterity: Frequently
Visual Acuity ¹[None = No; Seldom = Yes]: Seldom
Primary Location : SITE - Corewell Health Place - 100 Corewell Drive NW - Grand Rapids
Department Name : Reimbursement
Employment Type : Full time
Shift : Day (United States of America)
Weekly Scheduled Hours : 40
Hours of Work : 8 a.m. to 5 p.m.
Days Worked : Monday to Friday
Weekend Frequency : Variable weekends
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Essential Functions
Oversight of the management and estimation of net patient service revenues related to third party payors and support of balance sheet reserves.
Provide leadership and support for all external financial statement audit activity related to third party payor net revenue.
Oversight and involvement of all reimbursement related regulatory filings and related audits.
Oversight and involvement of the annual budget of third party net patient service revenue.
Responsible for the efficient operation of the department along with staff development and training.
Provide oversight to external consultants related to specific reimbursement/net revenue related activity.
Stays abreast of all commercial regulations and changes that impact net revenue.
Communication of key third party reimbursement issues and trends to site operations and executive management.
Deep understanding of all aspects of third party reimbursement and bad debt recognition.
QualificationsRequired
Bachelor's Degree in Accounting or Finance.
7 years of relevant progressive responsibility experience within reimbursement in a healthcare system.
A minimum of 3 years in a leadership role within reimbursement in a healthcare system.
Preferred
Medical education experience.
Physical Demands
Pallet to Waist (6" from floor) > 5 lbs: Seldom up to 20 lbs
Waist to Waist > 5 lbs: Seldom up to 20 lbs
Waist to Chest (below shoulder) > 5 lbs: Seldom up to 20 lbs
Waist to Overhead > 5 lbs: Seldom up to 20 lbs
Bilateral Carry > 5 lbs: Seldom up to 20 lbs
Unilateral Carry > 5 lbs: Seldom up to 20 lbs
Pushing Force > 5 lbs: Seldom up to 20 lbs
Pulling Force > 5 lbs: Seldom up to 20 lbs
Sitting: Frequently
Standing: Occasionally
Walking: Occasionally
Forward Bend - Standing: Seldom
Forward Bend - Sitting: Occasionally
Trunk Rotation - Standing: Seldom
Trunk Rotation - Sitting: Occasionally
Reach - Above Shoulder: Seldom
Reach - at Shoulder or Below: Seldom
Handling: Occasionally
Forceful Grip > 5 lbs: Seldom
Forceful Pinch > 2 lbs: Seldom
Finger/Hand Dexterity: Frequently
Visual Acuity ¹[None = No; Seldom = Yes]: Seldom
Primary Location : SITE - Corewell Health Place - 100 Corewell Drive NW - Grand Rapids
Department Name : Reimbursement
Employment Type : Full time
Shift : Day (United States of America)
Weekly Scheduled Hours : 40
Hours of Work : 8 a.m. to 5 p.m.
Days Worked : Monday to Friday
Weekend Frequency : Variable weekends
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