The Coordinator Reimbursement Lead is responsible for quality control and implementing the reimbursement functions at the Regional hospitals in order to complete Government required filings, determine the impact of federal regulations on hospital operations and maintain proper account analysis. This position is also responsible for review of third party accounts throughout the System all Regions. The position serves as the champion and educator of uniformed software (easy papers) for all Regions and has the responsibility to train and maintain this software knowledge.
Coordinate and review processes throughout the System specific to Medicare cost report software implementation, usage and maintenance for HFS cost report software and EZ WPs work paper preparation software
Responsible for teaching all Regions new reimbursement software to standardize a uniform Reimbursement processes during site visits, webinars and annual reimbursement meeting updates
Prepare and review cost reports, completing comparative analysis of the cost report versus the financial statement and compliance checklist prior to submission, for assigned facilities
Timely completion of work is required to ensure Medicare, Medicaid and CHAMPUS cost reports are submitted by due dates to prevent loss of reimbursement to the facilities
Identify and pursue proper reimbursement methodologies in an effort to receive all reimbursement due based upon Medicare, Medicaid and CHAMPUS Regulations
Responsible for mid-year and annual reviews of third party payable/receivables and providing documentation and analysis as needed to external auditors
CHRISTUS HEALTH is an international Catholic, faith-based, not-for-profit health system comprised of almost more than 600 services and facilities, including more than 60 hospitals and long-term care facilities, 350 clinics and outpatient centers, and dozens of other health ministries and ventures. CHRISTUS operates in 6 U.S. states, Colombia, Chile and 6 states in Mexico. To support our health care ministry, CHRISTUS Health employs approximately 45,000 Associates and has more than 15,000 physicians on medical staffs who provide care and support for patients. CHRISTUS Health is listed among the top ten largest Catholic health systems in the United States.