Manager, Revenue Reimbursement

Raleigh, North Carolina, About WakeMed: Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit www. wakemed. org. EOE Position Information: The Manager, Revenue Reimbursement will utilize industry knowledge and expertise, is accountable and responsible for revenue reimbursement management to include participation in budgeting, modeling federal and state reimbursement programs, such as the North Carolina Medicaid Reimbursement Initiative (MRI) program and month-end close activities, including assisting in the monitoring and reporting of contractual allowances of all payors and related allowances for doubtful accounts and charity. Compiles public data from Medicare and Medicaid websites to model reimbursement effect of programs. Analyzes data and makes recommendations to CFO on how to maximize reimbursement. Oversees, manages and participates in the preparation of cost report filings and other regulatory matters to provide maximum allowable reimbursement for WakeMed. Participates in projects and pro forma models to investigate the viability and capability of billing and reimbursement; prepare financial modeling for the projects and proformas.

Maintains knowledge of and communicates the impact of changes related to current and proposed federal and state reimbursement regulations, which includes provider enrollment requirements and NPI numbers. Supervises staff, one-up reviews journal entries, analysis and reconciliations, ensuring timely and accurate completion of these tasks. Experience Requirements: 5 Years Accounting/Finance – Financial Management – Healthcare And Accounting/Finance – Reimbursement And Accounting/Finance – Accounting And Accounting/Finance – Budget Management Required – And 8 Years Management – Direct Area of Responsibility Preferred Education Required: Bachelor’s Degree Accounting Or Business Administration Or Related Field Required – And Master’s Degree Preferred Licensure/Certification Requirements: Certified Public Accountant Preferred Hours of Work: Days Weekend Requirements: No Weekends Call Requirements: No

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