Director Reimbursement

Who We AreJPS Health Network is a $950 million, tax-supported healthcare system in North Texas. Licensed for 582 beds, the network features over 25 locations across Tarrant County, with John Peter Smith Hospital a Level I Trauma Center, Tarrant County's only psychiatric emergency center, and the largest hospital-based family medical residency program in the nation. The health network employs more than 7,200 people.

Acclaim Multispecialty Group is the medical practice group featuring over 300 providers serving JPS Health Network. Specialties range from primary care to general surgery and trauma. The Acclaim Multispecialty Group formed around a common set of incentives and expectations supporting the operational, financial, and clinical performance

outcomes of the network. Our goal is to provide high quality, compassionate clinical care for every patient, every time.

Why JPS?We're more than a hospital. We're 7,200 of the most dedicated people you could ever meet. Our goal is to make sure the people of our community get the care they need and deserve. As community stewards, we abide by three Rules of the Road:

1. Own it. Everyone who wears the JPS badge contributes to our journey to excellence.

2. Seek joy. Every day, every shift, we celebrate our patients, smile, and emphasize positivity.

3. Don't be a jerk. Everyone is treated with courtesy and respect. Smiling, laughter, compassion - key components of our everyday experience at JPS.

When working here, you're surrounded by passion, diversity, and dedication. We look forward to meeting you!

For more information, visit www.jpshealthnet.org.

To view all job vacancies, visit www.jpshealthnet.org, www.jpshealthnet.org/careers, or www.teamacclaim.org.

Job Title:

Director Reimbursement

Requisition Number:

32058

Employment Type:

Full Time

Division:

PLANNING, LABOR & DECISION SUPPORT

Compensation Type:

Salaried

Job Category:

Director / Management Level

Hours Worked:

Location:

JPOC 1350

Shift Worked:

Job Description:

Description: The Director of Reimbursement, under the direction of the Vice President of Finance, will perform compliance and revenue enhancement functions for the JPS Health Network.

Typical Duties:

1. Prepares department operating budgets on an annual basis and monitors areas of responsibility for compliance within current budget.
2. Prepares and administer departmental performance evaluations.
3. Promotes departmental and organizational activities for providing courteous customer service to patients, families, visitors and external customers.
4. Participates in Leadership Development activities; implement strategies and processes to improve employee morale and performance.
5. Develops and maintain good working relationships with all Medicare administrative contractors/fiscal intermediaries and all CMS regional and central offices.
6. Completes Medicare/Medicaid/Tricare cost reports, as required by current laws.
7. Maintains cost allocation statistics and time studies necessary to complete required cost reports in accordance with current regulations.
8. Prepares monthly contractual allowance and reserve adjustments for required payors. Perform monthly variance analysis.
9. Prepares monthly accounts receivable reserve reports for financial close, annual net revenue budgets, 1115 Waiver UCC reports and analysis, and Medicare/Medicaid appeals and provide required data needed for appeals.
10. Maintains statistics and time studies necessary to complete audit reports to track compliance for enrollment applications for Connections.
11. Develops and maintains the proper data to improve the hospital's wage index.
12. Prepares applications as needed for exemption/exception to Medicare limitations as required by law.
13. Consults with management and administrative staff concerning financial strategies as they relate to reimbursement issues and quantify the impact of changes.
14. Works with network staff on business line proformas to ensure accuracy of net revenue assumptions.
15. Provides a high level of visibility on behalf of the district by actively participating in outside organizations.
16. Coordinates regulatory audits and provides appropriate information to external financial auditors, all finance division compliance activities and reporting to Network Compliance Committee and all Chargemaster and revenue enhancement activities.
17. Performs other job related duties as assigned.

Qualifications:

Required Education and Experience:
• Bachelor's degree in Accounting from an accredited University.
• 5 plus years of progressively responsible reimbursement experience in a health care related consulting firm, Medicare administrative contractor/fiscal intermediary, hospital or other health care environment.
• 5 plus years of experience preparing third party cost reports for complex health care entities, both public and private, within a heavily computerized network environment.
• 5 plus years of experience successfully preparing and presenting documents for use in appeals.
• 5 plus years of actively participating in completion of the complex legal appeals process from start to finish.
Preferred Education and Experience:
• Master's Degree in Accounting from an accredited University.
• Advanced coursework and certification in related area.
Preferred Licensure/Certification:
• Certified Public Accountant or MBA with significant health care experience.

Location Address:

1350 S. Main Street

Fort Worth, Texas, 76104

United States