Senior Reimbursement Analyst

Under direction of the Reimbursement Manager, The Senior Reimbursement Analyst will be responsible for preparing and filing the annual Medicare and Medicaid cost reports, audit support, third party settlement analysis, CHGME reporting, and other month end financial reporting assignments. Responsibilities also include compilation and analysis of data relevant to various reimbursement departments functions.

Qualifications : Minimum Education

Bachelor's Degree Business, health care or related field (Required)

Minimum Work Experience

Minimum of three (3) years relevant experience in the healthcare industry

Required Skills / Knowledge

Strong knowledge of Medicare and Medicaid reimbursement regulations for hospitals and / or physician payment mechanisms; net patient revenue valuation is a plus.

Experience in Medicare / Medicaid Cost Report preparation and review.

Knowledge of how to research CMS regulations.

Must demonstrate strong analytical skills and attention to detail.

Excellent communication and interpersonal skills.

Strong in Microsoft office products, primarily Excel, Access, Word and Power Point.

Functional Accountabilities

Cost Reporting and Audit Function

• Prepare assigned detailed schedules, working documents and other applicable data for Revenues and Expenses for the applicable cost reports.
• Compile annual Hospital statistics for inclusion in cost report to include Square Feet, Meals Served, Pounds of Laundry etc.
• Work with internal and external auditors; respond to the annual Medicare cost report desk review and CHGME review.
• Assist in the preparation of all appeals (Medicare / Medicaid Cost Reports and others) as directed by the Reimbursement Manager.
• Support data mining and analytics of all annual cost reports.

Reimbursement Functions

Reimbursement Report / Analysis

Organizational Accountabilities

Organizational Commitment / Identification

Teamwork / Communication

Performance Improvement / Problem-solving