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Assistant Director, Hospital Reimbursement - Third Party Reimbursement

University of Illinois Chicago
United States, Illinois, Chicago
Apr 23, 2025
Assistant Director, Hospital Reimbursement - Third Party Reimbursement Assistant Director, Hospital Reimbursement - Third Party Reimbursement Hiring Department: Finance Location: Chicago, IL USA Requisition ID: 1031393 Posting Close Date: May 9, 2025 Salary: The budgeted salary range for the position is $119,060 - 153,651 We strive to provide a competitive salary, considering factors such as available market data, internal equity, candidate experience and qualifications, and budget constraints. The final salary offer will be determined through a thorough assessment of these elements. About the University of Illinois Hospital & Health Sciences System (UI Health) The University of Illinois Hospital & Health Sciences System (UI Health) provides comprehensive care, education, and research to the people of Illinois and beyond. A part of the University of Illinois Chicago (UIC), UI Health comprises a clinical enterprise that includes a Joint Commission-accredited tertiary care hospital and outpatient clinics, and the Mile Square Health Center network of federally qualified health centers. It also includes the seven UIC health science colleges: the College of Applied Health Sciences; the College of Dentistry; the School of Public Health; the Jane Addams College of Social Work; and the Colleges of Medicine, Pharmacy, and Nursing, including regional campuses in Peoria, Quad Cities, Rockford, Springfield, and Urbana. UI Health is dedicated to the pursuit of health equity. Learn more: https://hospital.uillinois.edu/about-ui-health Benefits eligible positions include a comprehensive benefits package which offers: Health, Dental, Vision, Life, Disability & AD&D insurance; a defined benefit pension plan; paid leaves such as Vacation, Holiday and Sick; tuition waivers for employees and dependents. Click for a complete list of Employee Benefits. Description: About UI Health The University of Illinois Hospital & Health Sciences System (UI Health) provides comprehensive care, education, and research to the people of Illinois and beyond. A part of the University of Illinois at Chicago (UIC), UI Health comprises a clinical enterprise that includes a 495-bed tertiary care hospital, 22 outpatient clinics, and 13 Mile Square Health Center facilities, which are Federally Qualified Health Centers. It also includes the seven UIC health science colleges: the College of Applied Health Sciences; the College of Dentistry; the School of Public Health; the Jane Addams College of Social Work; and the Colleges of Medicine, Pharmacy, and Nursing, including regional campuses in Peoria, Quad Cities, Rockford, Springfield, and Urbana. UI Health is dedicated to the pursuit of health equity. Position Summary Under the direction of the Associate Chief Financial Officer and the Senior Director of Hospital Reimbursement, manages processes to analyze third-party reimbursement and cost reporting functions for University of Illinois Hospital and Clinics (UI Health). Participates in various functions related to accounting for UIH revenue cycle transactions. Serves as an internal consultant to UIH leadership for reimbursement and Medicare/Medicaid regulatory matters. This position reports to the Senior Director of Hospital Reimbursement. Duties & Responsibilities Serve as the secondary contact for stakeholders throughout UI Health, responding to their needs and supporting organizational initiatives including managing the third-party settlement and reimbursement-related accounting, general ledger, and journal entry processes for preparation of monthly financial statements for Hospital. Review account reconciliations completed by staff so that posted adjustments are correct. In collaboration with the Senior Director of Hospital Reimbursement, Financial Reporting, Financial Analysis and Revenue Cycle leaders, manage the processes to analyze and properly state Hospital revenues and accounts receivable. Analyze processes and estimates in response to changing reimbursement methodology and information systems. Analyze variances from budget and prior year results for third-party balance sheet and income statement accounts and communicate to senior leadership. Maintains professional development and growth through professional local, regional and national affiliations, continuing education programs, seminars, and workshops to keep abreast of trends in revenue cycle operations and healthcare in general. Other duties as needed and assigned. In collaboration with the Senior Director of Hospital Reimbursement, assist in the timely preparation of Medicare, Medicaid, Blue Cross, and Tricare costs reports for Hospital. The cost reports provide information to state and federal agencies to determine retrospective and prospective amounts due to or from the hospital for services provided to hospital patients enrolled in these programs. Serve as the secondary contact with external cost reporting auditors. Assists in the preparation of third-party reimbursement audit schedules for annual external financial audit, and other governmental audits (PRF). Analyze audit results and process appropriate journal entries. Analyze interim rate determinations to manage cash flow considerations for Medicare fee-for-service items. In collaboration with the Senior Director of Hospital Reimbursement, assist in the preparation of the State Disproportionate Share Reporting by supervising the completion of the annual Low-Income Utilization and OBRA State of Illinois forms to qualify for State Disproportionate Share and the completion of the annual State Disproportionate Share survey ensuring appropriate claims and reimbursement information in the forms. Analyzes third-party provider appeals and disputes. In collaboration with the Senior Director of Hospital Reimbursement and GME leadership, analyze fiscal impact of GME resident arrangements, FTE caps, and affiliate agreements. Advise on GME-related regulatory compliance matters. Coordinate gathering of data necessary to complete annual cost reports. Monitor and collect receivables due from affiliate hospitals and College of Medicine departments for resident services. Assists in coordination of collection of information necessary to claim the appropriate reimbursement for certified solid organ pre-transplant services rendered to living and cadaveric donors. Assists in coordination of collection of documents needed for Medicare claims as well as data for the Medicare cost report. Review, analyze and interpret new accounting principles and GASB reporting standards and recommend changes in reimbursement accounting and financial reporting Qualifications: Minimum Qualifications Bachelor's degree in Accounting or Finance required. Minimum of seven (7) years of professional experience in the healthcare/health system reimbursement field required; in a large urban academic medical center preferred. A significant knowledge of hospital and physician billing practices and an understanding of healthcare reimbursement regulations and methodologies is essential. Proficiency in Microsoft Office tools, Medicare cost reporting software (HFS - Health Financial Systems), and demonstrated ability to learn and apply additional software products. Broad-based knowledge of GASB and GAAP accounting Advanced analytical, evaluative and problem-solving skills as well as ability to thrive in a self-directed, ambiguous environment. Excellent written and verbal communication skills to effectively identify, assess and facilitate improvements and resolutions and to present advisory, persuasive and authoritative recommendations to all levels. Preferred Qualifications Master's degree in Business, Accounting, Finance, or related field with quantitative and analytical focus preferred. Certified Public Accountant (CPA) and/or other accounting or finance professional certification preferred (i.e. FHFMA certification). Seven (7) years of financial analysis, reporting, budgeting, business, financial, or accounting experience, preferably in a large and complex university or not-for-profit setting. Seven (7) years with significant responsibility for Medicare and Medicaid third-party reimbursement and cost report preparation. Academic medical center experience, organ acquisition, and financial leadership roles strongly preferred. Knowledge of the University of Illinois at Chicago, SCT Banner finance module, SAP Business Objects, EDDIE, and other related campus-based business/finance systems. Knowledge of fund accounting, GASB and GAAP Experience with Tableau or other business analytics platforms. Knowledge of federal and State regulations governing University business and financial activities. Supervisory experience The University of Illinois System is an equal opportunity employer, including but not limited to disability and/or veteran status, and complies with all applicable state and federal employment mandates. Please visit Required Employment Notices and Posters to view our non-discrimination statement and find additional information about required background checks, sexual harassment/misconduct disclosures, and employment eligibility review through E-Verify. The university provides accommodations to applicants and employees. Request an Accommodation To apply, visit https://uic.csod.com/ux/ats/careersite/1/home/requisition/14475?c=uic Copyright 2025 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-98cdd2c9a7703c4e89315432f3ae146b