Reimbursement Supervisor

Why work for Nebraska Methodist Health System?
At Nebraska Methodist Health System, we focus on providing exceptional care to the communities we serve and people we employ. We call it The Meaning of Care – a culture that has and will continue to set us apart. It’s helping families grow by making each delivery special, conveying a difficult diagnosis with a compassionate touch, going above and beyond for a patient’s needs, or giving a high five when a patient beats a disease or conquers a personal health challenge. We offer competitive pay, excellent benefits and a great work environment where all employees are valued! Most importantly, our employees are part of a team that makes a real difference in the communities we live and work in.

Job Summary:

Location: Methodist Corporate Office
Address: 825 S 169th St. - Omaha, NE

Work Schedule: Mon - Fri, 7:00am to 4:00pm

Responsible for maintaining the charge master on a compliant, standardized, and efficient basis as well as performing analyses to understand the reimbursement impact of proposed charge master changes. This position reports to the Senior Reimbursement Manager with a collaborative working relationship with other Finance Division staff and also works with other department and affiliate employees.

Responsibilities:

Essential Functions

Supervise Charge Services Assistant personnel including direct involvement in hiring, orienting/training, counseling and evaluating performance.

Provide an electronic audit trail for charge master changes, additions and deletions.

Utilize charge master compliance tools to verify compliance with coding and regulations and take appropriate action as indicated.

Participate in charge master audits and implement recommended process and charge master changes.

Work with the revenue producing departments to perform applicable analyses to understand charge master proposed changes.

Inform management of changes in regulations and coding including evaluating the impact to the Health System.

Analyze market information and recommend price schedule changes.

Assist Senior Reimbursement Manager in formulating and implementing policies and procedures.

Proactively research for reimbursement improvements.

Provide excellent customer service in response to requests or inquiries from other departments within the Health System, as well as external parties.

Participate in testing of patient accounting system code upgrades and new system implementations.

Participate in departmental meetings as well as special projects and represent the Finance Division as assigned.

Assist with the year-end audit including involvement with the auditors, preparation of audit schedules and support, and responding to inquiries from the auditors.

Schedule:

Mon - Fri, 7:00am to 4:00pm

Job Description:

Job Requirements

Education

• Bachelor degree required or 10 years of work history related to coding/charge master required.

Experience

• Minimum five years related work experience required, preferably in charge master or revenue integrity.
• Understanding of hospital billing, revenue cycle and reimbursement required.
• Experience in researching complex coding and regulatory requirements.
• Familiarity with healthcare information systems and databases is required.
• Must have a good understanding of the Charge Description Master (CDM) and its relationship to related areas such as the General Ledger, Productivity, Cost Reporting and Budget.

License/Certifications

• N/A

Skills/Knowledge/Abilities

• A self starter, able to effectively deal with uncertainty and complex situations
• Strong problem-solving skills
• Ability to supervise, counsel and evaluate others.
• Strong financial accounting and analytical skills
• Excellent verbal and written communication skills
• Demonstrated ability to effectively work in a team environment
• Ability to define problems, collect data, establish facts, and draw valid conclusions
• Excellent project management, time management and organizational skills (ability to manage multiple projects and priorities effectively)
• Demonstrated relationship management skills
• Advanced computer proficiency

Physical Requirements

Weight Demands

• Light Work - Exerting up to 20 pounds of force.

Physical Activity

• Occasionally Performed (1%-33%):
  • Balancing
  • Climbing
  • Carrying
  • Crawling
  • Crouching
  • Distinguish colors
  • Kneeling
  • Lifting
  • Pulling/Pushing
  • Reaching
  • Standing
  • Stooping/bending
  • Twisting
  • Walking
• Frequently Performed (34%-66%):
  • Hearing
  • Repetitive Motions
  • Seeing/Visual
  • Speaking/talking
• Constantly Performed (67%-100%):
  • Fingering/Touching
  • Grasping
  • Keyboarding/typing
  • Sitting

Job Hazards

• Not Related:
  • Chemical agents (Toxic, Corrosive, Flammable, Latex)
  • Biological agents (primary air born and blood born viruses) (Jobs with Patient contact) (BBF)
  • Physical hazards (noise, temperature, lighting, wet floors, outdoors, sharps) (more than ordinary office environment)
  • Equipment/Machinery/Tools
  • Explosives (pressurized gas)
  • Electrical Shock/Static
  • Radiation Alpha, Beta and Gamma (particles such as X-ray, Cat Scan, Gamma Knife, etc)
  • Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means)
  • Mechanical moving parts/vibrations

About Methodist:

Nebraska Methodist Health System is made up of four hospitals in Nebraska and southwest Iowa, more than 30 clinic locations, a nursing and allied health college, and a medical supply distributorship and central laundry facility. From the day Methodist Hospital was chartered in 1891, service to our communities has been a top priority. Financial assistance, health education, outreach to our diverse communities and populations, and other community benefit activities have always been central to our mission.

Nebraska Methodist Health System is an Affirmative Action/Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex, age, national origin, disability, veteran status, sexual orientation, gender identity, or any other classification protected by Federal, state or local law.