Location: Barnabas Health Corp

Department: Corporate Reimbursement

Req#: 000 #

Status: Full-Time

Shift: Day

Pay Range: $144,483.00 – $209,501.00 Annual

Pay Transparency:

The above figure indicates the anticipated salary range for this role. The final compensation for the selected candidate will reflect various factors, including educational qualifications, expertise, and relevant work experience.

Position Summary:

In this pivotal role, you will act as a vital support resource for departmental leadership, focusing on Medicare and Medicaid reimbursement processes while executing government payment strategies across all RWJBarnabas Health facilities. Your responsibilities will include the comprehensive planning, preparation, and review of annual Medicare/Medicaid cost report filings. Collaborating closely with the Vice President of Corporate Reimbursement, you will lead projects pertaining to DSH, Medicare Bad Debts, Wage Index, and Geographic Reclassification. You will be responsible for closely tracking each facility’s participation in state-level supplemental payment programs and assisting with regulatory research as needed. Collaboration with finance teams at our system hospitals is essential to ensure accurate determination of third-party receivables and payables, while maintaining compliance with GAAP in revenue and receivables reporting. Your role will demand advanced knowledge of government payment regulations, strong third-party revenue accounting skills, and exceptional communication and staff management abilities, all while fostering a positive work environment focused on customer service excellence.

Essential Qualifications:

Required:

• Bachelor’s Degree in Accounting, Finance, or Health Administration.
• A minimum of 10 years’ experience in interpreting Medicare and Medicaid payment regulations, focusing on revenue optimization and completion of related cost reports.
• Deep expertise in Medicare and Medicaid regulations and payment methodologies.
• Skills to interpret payment regulations and design processes that ensure comprehensive reimbursement for all hospital services.
• Knowledge of and adherence to Generally Accepted Accounting Principles (GAAP).
• Ability to prioritize tasks and utilize resources effectively.
• Ability to delegate responsibilities and train team members to meet deadlines.
• Effective communication skills, both written and verbal.
• Capable of guiding teams toward desired outcomes with minimal supervision while upholding high performance standards.
• Strong decision-making skills, with the judgment to escalate issues when necessary.
• Proven ability to build and maintain long-term customer relationships based on trust and respect.
• Collaboration with leadership to allocate resources efficiently (e.g., in Cost Report preparation, Wage Index, etc.).
• Proficiency in Microsoft Office Suite (Excel, Word, etc.) and other necessary applications.

Preferred:

• HFMA Certification.

Scheduling Requirements:

• Full-Time
• Working Locations: Hybrid/Remote; Primary Base – Oceanport, NJ.

Key Responsibilities:

• Preparation of Medicare and Medicaid cost reports along with necessary supporting schedules/forms.
• Completion and oversight of the annual New Jersey Acute Care Hospital (SHARE) cost reports.
• Monitoring and validation of reimbursement rates issued by state and federal authorities.
• Responding to audit inquiries with thorough investigations and adjustments as needed.
• Ongoing analysis of changes in reimbursement regulations and policies to maximize reimbursement opportunities.
• Management of Medicare and Medicaid appeal processes and cost report re-openings.
• Completion of Medicare 855As (and Medicaid) applications for changes in ownership or information.
• Conducting annual Medicaid DSH Surveys.
• Streamlining the data collection and reporting processes for Medicare, Medicaid, and NJ SHARE cost reports (including Physician Time Studies, Contracted Labor, A-6 Reclasses, and B-1 Statistics).
• Maintaining an up-to-date understanding of various state Medicaid regulations and federal Medicare regulations.
• Assisting in the orientation, training, and development of new Financial Analysts as necessary.
• Supervising Financial and Senior Financial Analysts on specific projects as assigned by senior management.
• Supporting additional Reimbursement Department projects and special initiatives as they arise.
• Fulfilling other duties as assigned.

Additional Information:

This job description is designed to provide a general overview of the responsibilities and duties required for this position. Responsibilities may evolve, and the organization reserves the right to adjust job roles as necessary.

Benefits and Perks:

At RWJBarnabas Health, we pride ourselves on offering a competitive Total Rewards package, designed to support our employees’ overall wellness—physically, emotionally, socially, and financially.

• Generous Paid Time Off (PTO)
• Comprehensive Medical and Prescription Drug Coverage
• Dental and Vision Insurance
• Retirement Savings Plans
• Short- and Long-Term Disability Insurance
• Life and Accidental Death Insurance
• Tuition Assistance Programs
• Flexible Spending Accounts for Health Care/Dependent Care
• Wellness Programs
• Voluntary Benefits Options (e.g., Pet Insurance)
• Exclusive Discounts from partners, such as NJ Devils, NJ PAC, Verizon, and many others!

Why Join RWJBarnabas Health?

At RWJBarnabas Health, we are committed to being the leading healthcare provider, delivering patient-centered, high-quality academic medical care with compassion and equity. We strive to enhance the work experience of every team member while fostering healthier communities, one individual and one neighborhood at a time. As New Jersey’s foremost academic health system, we are dedicated to implementing innovative care strategies and facilitating education and research to tackle both clinical and social determinants of health.

Our goal is to make a significant impact in communities throughout New Jersey, enhancing the health of residents and creating valuable educational and career opportunities. We recognize the evolving healthcare needs of our communities and aim to improve the coordination of complex health conditions through local programs and education initiatives.

We are an Equal Opportunity Employer.