Senior Reimbursement Analyst

Duties:

Job Summary

Performs duties of moderate to high complexity, judgment and scope. Assists the Reimbursement Manager in preparing Medicare and Medicaid cost reports, wage index reviews and other reimbursement analysis. Prepares workpapers to support the cost reports, as well as analyzing the data for accuracy and additional reimbursement opportunities; is a resource to other reimbursement analysts.

Essential Functions

Gathers and maintains the data used in the preparation of the Medicare and Medicaid cost reports and provides to outside consultants as necessary and reviews.

Oversees the cost report preparation performed by outside consultants and performs initial review prior leadership.

Reviews wage index and recommends adjustments

Analyzes the impact of proposed cost report changes and implements approved changes in the work papers and cost reports.

Prepares the quarterly Medicare/Medicaid cost report settlement estimates and maintains the general reserve binder for the corresponding hospital; is able to revise the models to reflect any regulation changes, as necessary

Skills:

Physical Requirements

Lifting and moving reports and notebooks weighing up to ten pounds. Ability to work under pressure to meet deadlines. Mobility to move freely among departments located in various buildings on and off the main hospital campus, as well as other facilities. Majority of day is spent sitting down.

Shift Schedule: Day

Schedule Notes:

• Interview or Auto Offer: Interview • Location: 100% Remote • Specialty/Unit: Accounting - Reimbursement • Schedule: 8:00am - 5:00pm (May worker extra hours during Jan - May) • Weekend/Float/On Call Requirements (if applicable): • Certification/Licensure/Experience Requirements: Bachelor's Degree in Accounting, Finance or related field is required. Hospital Medicare cost report experience including IME/GME – Medical Education, DSH (Disproportionate share), wage index reviews, cost report audit, Medicare bad debt, etc. - preparing Medicare cost reports and an understanding of the reimbursement components that encompass that.