Finance Reimbursement Assistant Director
Listed on 2026-01-26
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Healthcare
Healthcare Administration, Healthcare Management
Overview
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Job Title:
Finance Reimbursement Assistant Director
Department:
Health System Shared Services | General Accounting and Reimbursement
The Ohio State University Wexner Medical Center is a proud part of one of the nation’s largest major public research universities, serving more than 65,000 students and employing thousands of staff. It is one of the largest and most diverse academic medical centers in the country and the only academic medical center in central Ohio.
The Ohio State Wexner Medical Center offers health care services in virtually every specialty and subspecialty in medicine. The center serves millions of outpatient visits each year and is committed to world-class care and research.
Position SummaryUnder the supervision of the Senior Director of Accounting, the Finance Reimbursement Assistant Director plays a strategic and hands-on role in managing the hospital’s third-party reimbursement activities. This includes the annual filing of Medicare and Medicaid cost reports for a large academic medical center with over 600 GME/IME FTEs, $23 million in Medicare DSH reimbursement, and a PPS-Exempt Cancer Hospital. The Assistant Director provides high-level analytical and regulatory support across all reimbursement functions, including audits, appeals, DSH, 340(b), wage index, and uncompensated care reporting.
This role requires a deep understanding of healthcare reimbursement methodologies and financial reporting systems, as well as the ability to lead complex projects and collaborate with senior leadership.
This position directly supervises two manager-level employees, both of whom are responsible for Finance Reimbursement.
Reporting Structure:
This position reports to the Senior Director of Accounting.
- Responsible for preparing and filing information with various third-party payers, including but not limited to cost reports, surveys and questionnaires, and special CMS requests.
- Manages audits conducted by third-party payers (e.g., Medicare, Medicaid, Champus, state Medicaid programs).
- Develops and maintains expertise in reimbursement processes and financial reporting systems.
- Prepares reimbursement-related reports and analyses to support the reimbursement team.
- Performs monthly analysis of all contractual and settlement accounts.
- Oversees general ledger accounts related to third-party payers on the balance sheet and statements of revenues and expenses (including HCAP, UPL, HAP).
- Provides hospital leadership with analyses on the financial impact of proposed and finalized regulations.
- Serves as a subject matter resource on reimbursement topics.
- Supports the development of the reimbursement team through sharing professional and technical expertise.
- Monitors the status of appeals and assists with the preparation and filing of appeals to Medicare and Medicaid programs.
Practices within the medical center’s policies and procedures. Adheres to the Mission and Values statements as demonstrated through positive patient/guest relations, effective interactions with staff and by meeting developmental goals.
Qualifications- Bachelor’s degree in Business Administration, Accounting, Finance, or a…
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