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Trilogy Health Services, LLC · 1 day ago

Director of Reimbursement

Louisville, KY

Full-time

Hybrid

Lead/Staff, Director/Executive

5+ years exp

Trilogy Health Services is a senior living provider aiming to be the Best Healthcare Company in The Midwest. The Director of Reimbursement oversees Medicare and Medicaid reimbursement processes for a multi-state skilled nursing facility organization, ensuring compliance with regulations and optimizing financial strategies.

Assisted LivingHealth CareNursing and Residential CareRehabilitation

Growth Opportunities

Responsibilities

Manages the Reimbursement Team to prepare and submit accurate Medicare and Medicaid cost reports for SNFs in Indiana, Ohio, Michigan, and Wisconsin

Ensures compliance with CMS Form 2540-10 and each state’s Medicaid cost reporting requirements

Possesses working knowledge of CMS 15-1 and state-specific Medicaid reimbursement manuals

Leads audit responses and manages appeals with state agencies and CMS intermediaries

Analyzes cost report data to identify trends, risks, and reimbursement opportunities

Collaborates with facility administrators, clinical teams, and finance staff to ensure accurate data collection and reporting

Monitors regulatory changes and communicates financial implications to leadership

Maintains documentation and internal controls to support audit readiness

Provides training and guidance to internal team on reimbursement and cost reporting

Other duties as assigned

Qualification

Medicare reimbursementMedicaid reimbursementCost report preparationAudit defenseCPA certificationManagement experienceRegulatory complianceData analysisCommunication skillsTeam leadership

Required

Bachelor Degree

5-8 years of experience

2 years of Management Experience

CPA certification preferred

Sitting, standing, bending, reaching, stretching, stooping, walking, and moving intermittently during working hours

Must be able to lift at least 50lbs

Must be able to maintain verbal and written communication with co-workers, supervisors, residents, family members, visitors, vendors, and all business associates outside of the health campus