Reimbursement Analyst - System Wide

At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence.

This is a remote/work from home position. Hire must be living in the continental US and able to work eastern time zone hours.

SUMMARY

This position is responsible for providing critical analytical and reimbursement support for reimbursement functions including Medicare, Medicaid, or other third party cost report, related audits, appeals, disproportionate share hospital (DSH), drug discount program (340B) CPT/HCPCS codes changes for assigned 4-6 entities. The analyst completes the monthly and year end entries for third party reserves and summarizes data on reimbursement functions for market and local finance leadership.

ADDITIONAL RESPONSIBILITIES

• Prepares workpapers, reviews and submits annual Medicare and Medicaid cost reports and various other regulatory filings that may be required on behalf of System.

• Coordinates Medicare and Medicaid cost report reviews and audits. Audits and reviews include overall cost report, wage index, bad debt, S-10, Medicaid log and Medicaid eligible days.

• Prepares monthly settlement reserve entries.

• Researches reimbursement and regulatory issues and provides analyses to System Director or other stakeholders.

• Reviews net revenue analytics and identifies areas where additional analysis is required.

• Assist in the annual budgeting process for net revenue

• Produce reports, analyzes and integrates data and completes other projects accurately and efficiently.

• Prepares reimbursement related reports or analyses as needed to serve reimbursement leadership.

EMPLOYMENT QUALIFICATIONS

Education:

• Bachelors Degree (Required)

• Specialty/Major: Accounting, Business or Finance

• Masters Degree (Preferred)

• Specialty/Major: Accounting Business or Finance

Minimum Years and Type of Experience Required:

• 1-3 years experience in healthcare consulting, governmental intermediary, or multi-hospital health system or other relevant accounting/finance experience

• Ability to research reimbursement or net revenue issues and provide practical interpretations and solutions

• Strong organizational skills and use of critical thinking to query appropriate data for projects

Licensure/Certification:

CPA, FHFMA, CNRA or CRCR (Preferred)

Many of our opportunities reward* your hard work with:

Comprehensive, affordable medical, dental and vision plans
Prescription drug coverage
Flexible spending accounts
Life insurance w/AD&D
Employer contributions to retirement savings plan when eligible
Paid time off
Educational Assistance
And much more

• Benefits offerings vary according to employment status

All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Mercy Health – Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email recruitment@mercy.com. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at recruitment@mercy.com