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Director of Financial Reporting and Reimbursement

Singing River Health System
Pascagoula

Job Description

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The Director of Financial Reporting and Reimbursement is responsible for leading cross-functional financial initiatives and insightful business analytics in conjunction with accounting, decision support, revenue cycle, reimbursement, and clinical data management. The Director will monitor and maintain operational plans to sustain the economic health and well-being of all departments. He/She provides financial reporting, and creates value and actionable data to operational leaders in keeping with the mission and objectives of the System. The Director works cross-functionally with Reimbursement and Special Projects; assists with cost report preparations, audits, and appeals and re-openings focusing on state compliance and federal reimbursement policy. This position also serves as a financial resource to the CFO, CEO and System directors.

The Director of Financial Reporting and Reimbursement serves as the central coordinator for all Centers for Medicare and Medicaid Services (CMS) matters, including cost report filing, audits and final settlements; all other governmental program reimbursement matters, including Tricare and Champus, third party reserves and other analytics, Certificate of Need (CON) projects involving the System. He/She develops and improves revenue enhancement processes. The Director serves as a liaison with partnerships and affiliations to ensure maximum efficiency and value of the relationship. He/She serves as a resource for material acquisitions and contract negotiations; and ensures effective and efficient billing systems to optimize revenue.

DISCLAIMER: This is not necessarily an exhaustive list of all responsibilities, duties, skills, efforts, requirements or working conditions associated with the job. While this is intended to be an accurate reflection of the current job, management reserves the right to revise the job or to require that other or different tasks be performed as assigned.

Education:

Masters degree in a related field required.

License:

N/A

Certification:

Certified Public Accountant designation required.

Experience:

A minimum of five (5) years increasing responsibilities relating to financial management and/or leadership positions within a healthcare system to include: a working knowledge of financial planning, GAAP,project management, process analysis and improvement techniques, development, forecast modeling, and budgeting. Experience in industry / compliance and physician practice management preferred.

Reports to:

Chief Financial Officer, with accountability to the CEO.

Supervises:

Personnel as assigned.

Physical Demands:

Work involves moderate physical activity: frequently moving about the office, building, or other facilities within the SRHS service area; frequently positioning self to access files, computers, equipment, and other objects; performing repetitive motions with wrists, hands and fingers in using the keyboard and other office equipment; and regularly exerting up to 30 pounds of force to move objects.

Work involves being able to perceive the nature of sounds at normal speaking levels, with or without correction. Must demonstrate the ability to communicate, speak, and enunciate to express / exchange ideas and detailed information in person and on the telephone. Work requires a minimum standard of visual acuity, with or without correction, with the ability to adjust the eye to bring an object into sharp focus, i.e. shift gaze from viewing a computer monitor to forms that are closer to compare data at close vision.

Mental Demands:

Must be a strategic visionary with sound technical skills, analytical ability, good judgment and strong operational focus; must be well-organized and self-directed. Work requires the ability to read, analyze, and interpret the most complex documents. Must demonstrate the ability to apply advanced financial and mathematical concepts and operations.

Must demonstrate keen mental faculties / assessment and decision making skills in the management of financial responsibilities, staff, and/or patients. Must possess emotional stability conducive to dealing with high stress levels associated in dealing with employee issues and demands of maintaining effective working relationships with peers, staff, managers, physicians, and other healthcare associates.

Special Demands:

Must possess superior customer service skills and professional etiquette. Must possess proficient knowledge and ability to use a computer (must be keyboard proficient) and other office technology (i.e., telephone, fax, etc.). Must have moderate to advanced knowledge and skills in using Microsoft Word, Excel, and PowerPoint.

Work requires the ability to function independently, adapt to workload demands, set priorities, understand and set goals. Must possess highly developed organizational, planning and management writing skills, excellent oral communication skills, and the ability to create/maintain a collaborative work environment.

Must have a valid driver license as job requires traveling throughout the SRHS service area with the employee providing his / her own transportation. Frequent travel within a radius of 50 miles, with occasional travel beyond, is required.

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