The Director of Reimbursement is a part of the overall health system financial department leadership and reports
directly to the Executive Director of Reimbursement of the Health System. The Director of Reimbursement
Government Reporting and Surveys is responsible for a segment of the government programs reimbursement
function of the health system which includes Medicare, Medicaid and Tricare cost reporting, the Medicare and
assist on Medicaid appeal process, government programs reimbursement regulation (budgets and rulemaking)
review, managed care and commercial payers contracts and financial assessment, provider enrollment and
Medicare and Medicaid contractual allowance reserve accounting. The Director of Reimbursement Government
Reporting and Surveys will be the key the health system reimbursement team member responsible for the
Georgia Department of Community Health Surveys and the filing of the Home Office and Post Acute Care Cost
Reports.

Supervise and review the preparation of government cost reports and other regulatory reporting.
a) Manage the preparation of the annual government programs Home Office and Post Acute Care cost
reports, ensuring their preparation is consistent with government rules and regulations and that they
are all filed on a timely basis, within the required due dates.
b) Manage and Work with the State government on all reporting requirements (HFS, ICTF, Charity
and Indigent monitoring).
c) Ensure government filings are consistent and accurate before they are made available to the
public.

Be responsible for the daily activities of the reimbursement function of the health system, focusing on
the maximization of the health system’s reimbursement in compliance with all governmental rules
and regulations.
a) Analyze new cash flow opportunities related to governmental regulations.
b) Participate in pertinent health system and statewide task forces that effect reimbursement policy
and operations.
c) Keep up with new technologies, education opportunities and changes in the industry.
d) Investigate, review projects, provide opinions, at the request of the Executive Director of
Reimbursement.
e) Work with annual rate changes for both Inpatient and Outpatient (Medicare/Medicaid).

Assist with the review and analysis of proposed government reimbursement regulations and budgets.
a) Assist with the review, summarize and prepare impact analysis of proposed and finalized government programs reimbursement rules and government legislative budget initiatives for
management of the health system.
b) Ensure analytical work is completed to maximize supplemental payments related to changes and
new programs, in compliance with such rules.
c) Ensure Management is kept up to date on Medicare/Medicaid correspondence issues.
Support the annual financial planning (budget) process.
a) Assist with the development of an annual third party reimbursement budget.
b) Assist with the development of action plans and work with multiple departments to facilitate
positive change.
c) Assist in the development of new revenue programs by formulating proforma when required.
d) Pursue underpayments related to governmental payers and managed care governmental payers.

Required Minimum Education: Bachelor's degree in Accounting or Finance. Master's degree or CPA preferred.

Required Minimum Experience: 5 years of leadership experience in healthcare finance/accounting, specifically in
healthcare reimbursement. Must understand revenue cycle, cost reports, and government survey reporting

Required Minimum Skills:

Provider Enrollment Filing
Cost Report Preparation
auditing skills
government legislative understanding
overall reimbursement knowledge
good communication skills
ability to interact professionally with multiple departments including administration, physicians and
senior finance department leaders
advanced computer skills and analysis skills
Strong interpersonal skills, as well as excellent customer service attributes
able to coordinate work efficiently within a multi-facility health system