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Manager Reimbursement

Lehigh Valley Health Network -
Allentown, PA

Apply Now

Job Details

Full-time
1 day ago

Qualifications

Medicare
Microsoft Office
CMS regulatory compliance
Bachelor's degree
Medicare regulations
Team training
Centers for Medicare and Medicaid Services (CMS)
Accounting and finance experience
Centers for Medicare & Medicaid Services (CMS) billing regulations
Healthcare financial management
Medicaid regulations
Medicaid
Acute care experience
Healthcare data reporting
Healthcare accounting

Full Job Description

Full-Time

Day Shift

Department

CSS-Finance

Shift Details

Day Shift, 8:00A-5:00P

Job ID

wd-JR140020

Posted

July 30, 2026

Manager Reimbursement

Join a team that delivers excellence.

Lehigh Valley Health Network (LVHN) is home to nearly 23,000 colleagues who make up our talented, vibrant and diverse workforce.

Join our team and experience firsthand what it's like to be part of a healthcare organization that's nationally recognized, forward-thinking and offers plenty of opportunity to do great work.

Imagine a career at one of the nation's most advanced health networks.

Be part of an exceptional health care experience. Join the inspired, passionate team at Lehigh Valley Health Network, a nationally recognized, forward-thinking organization offering plenty of opportunity to do great work.

LVHN has been ranked among the "Best Hospitals" by U.S. News & World Report for 23 consecutive years. We're a Magnet(tm) Hospital, having been honored five times with the American Nurses Credentialing Center's prestigious distinction for nursing excellence and quality patient outcomes in our Lehigh Valley region. Finally, Lehigh Valley Hospital - Cedar Crest, Lehigh Valley Hospital - Muhlenberg, Lehigh Valley Hospital- Hazleton, and Lehigh Valley Hospital - Pocono each received an 'A' grade on the Hospital Safety Grade from The Leapfrog Group in 2020, the highest grade in patient safety. These recognitions highlight LVHN's commitment to teamwork, compassion, and technology with an unrelenting focus on delivering the best health care possible every day.

Whether you're considering your next career move or your first, you should consider Lehigh Valley Health Network.

Summary

Oversees Medicare and Medicaid cost reports submitted system wide to obtain appropriate reimbursement from these programs and monitor hospitals' compliance with internal reimbursement policies and procedures. Interprets Medicare and Medicaid regulations and directs hospital activities to comply with government payment regulations. Critically reviews proposed adjustments to cost reports and assists the Director and Vice President decide which adjustments should be appealed.

Job Duties

Develops processes needed to complete cost reports and ensure payments for all programs and services.
Develops strategies and implement processes to ensure the hospitals are in compliance with Medicare and Medicaid regulation.
Responsible for the accuracy of system wide Medicare and Medicaid cost report submissions.
Provides expert guidance on complying with Medicare and Medicaid reimbursement and payment regulation.
Identifies opportunities to achieve reimbursement for all programs and services provided.
Participates in cost report appeals and cost report group appeals.
Supports the revenue budget process for items where reimbursement is calculated on the cost report.
Reviews third party settlements monthly and updates in accordance with the monthly and fiscal year closing schedules.
Oversees hiring, training and colleague performance.
Periodically visit hospitals to assure compliance with cost reporting data collection requirements and address questions or operational challenges.

Minimum Qualifications

Bachelor’s Degree in Accounting, Finance, or related field
5 years experience interpreting Medicare and Medicaid payment regulation and completing Medicare and Medicaid cost reports and
5 years experience recording revenue and determining cost settlement receivables/payables for Medicare and Medicaid payments and
3 years in a hospital/acute care environment
High-level of MS Office skills needed
Able to train staff in technology and hospital reimbursement issues
Ability to work in a fast paced environment
Able to review large amount of data
Ability to work independently

Preferred Qualifications

Master’s Degree in Accounting, Finance, or related field

Physical Demands

Lift and carry 25 lbs. frequent sitting/standing, frequent keyboard use, *patient care providers may be required to perform activities specific to their role including kneeling, bending, squatting and performing CPR.

Job Description Disclaimer: This position description provides the major duties/responsibilities, requirements and working conditions for the position. It is intended to be an accurate reflection of the current position, however management reserves the right to revise or change as necessary to meet organizational needs. Other responsibilities may be assigned when circumstances require.

Lehigh Valley Health Network is an equal opportunity employer. In accordance with, and where applicable, in addition to federal, state and local employment regulations, Lehigh Valley Health Network will provide employment opportunities to all persons without regard to race, color, religion, sex, age, national origin, sexual orientation, gender identity, disability or other such protected classes as may be defined by law. All personnel actions and programs will adhere to this policy. Personnel actions and programs include, but are not limited to recruitment, selection, hiring, transfers, promotions, terminations, compensation, benefits, educational programs and/or social activities.

https://youtu.be/GD67a9hIXUY

Lehigh Valley Health Network does not accept unsolicited agency resumes. Agencies should not forward resumes to our job aliases, our employees or any other organization location. Lehigh Valley Health Network is not responsible for any agency fees related to unsolicited resumes.

Location

REMOTE IN PENNSYLVANIA

1200 S Cedar Crest Blvd, 18103, Allentown, United States (Map)

Apply Now

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