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Director of Budget and Reimbursement

Location: Hackensack, NJ, United States
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Description

Holy Name is New Jersey's last remaining independent, Catholic health system, comprising a comprehensive 361-bed acute care medical center, a cancer center, medical fitness center, residential hospice, nursing school, and physician network. The system has a national reputation for providing culturally sensitive care to a diverse population, drawing patients from across the New York City region to its specialty centers and renowned doctors. Holy Name's mission to provide technologically advanced, compassionate and personalized care extends across a continuum that encompasses education, prevention, diagnosis, treatment, rehabilitation and wellness maintenance. The system is known as a high-quality, low-cost provider of extraordinary clinical care given by compassionate, highly trained physicians and staff.

A Brief Overview
Responsible for all aspects of Hospital operating & capital budgeting, expense & revenue analysis and Medicare/Medicaid cost reporting and reimbursement.

What you will do
  • Preparation and supervision of the Medicare cost report.
  • Ensure the implementation and continued maintenance of all significant changes to Federal Reimbursement programs.
  • Maximize reimbursement from third party payers by researching and reviewing current and proposed Medicare and Medicaid regulations.
  • Ensure that the Hospital charge master is up-to-date with all CPT-4 coding changes.
  • Ensure charge levels are competitive with the local market.
  • Prepare and/or supervise the calculation of monthly budget to actual variances for revenue and expenses. Discuss variances with department heads and prepare explanation for review by senior management.
  • Prepare and supervise the completion of the Hospital’s annual Operating and Capital budgets.
  • Summarize data in a meaningful manner for senior management review. Present budget recommendations in a clear concise manner.
  • Ensure the timely and accurate distribution of all monthly budget reports to
  • Department Managers. Examples of reports include the Budget Comparison, Detailed expense, FTE and Revenue by Charge Code.
  • Ensure all patient statistical information is prepared and distributed accurately and timely.
  • Utilize the existing information system capabilities to maximize workflow.
  • Assist in compiling and completing the monthly and annual audited financial statements.
  • Assist in monthly journal entries and the financial month end close process.
  • Assist with financial projections and pro-forma analysis.
  • Perform return on investments analysis and other financial analysis to support senior management decisions.
  • Prepare Statements of Profit & Loss at the payer and departmental levels. Distribute to all levels of management. Utilize results to make adjustments and recommendations to management, i.e. charge amounts, FTE levels etc.
  • Develop Hospital wide and department specific cost benchmarking. Work with third party vendor in summarizing data and establishing goals.
  • Demonstrate effective oral and written communication skills.
  • All other duties as assigned.


Education Qualifications
  • Bachelor's Degree in Finance or Accounting required

Experience Qualifications
  • A minimum of 6+ years of budgeting and reimbursement experience in a Hospital environment required

Knowledge, Skills, and Abilities
  • Thorough knowledge and working experience with microcomputer and spreadsheets software


Holy Name is a mission-driven facility whose quality standards and philosophy are rooted in the principles of its founders, the Sisters of St. Joseph of Peace. Those principles are exercised daily by the Medical Center's dedicated and talented team of physicians, nurses, allied health employees, and a wide variety of non-clinical administrative and operational staff members. Holy Name is an Equal Opportunity Employer.
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