Demo

Senior Reimbursement Analyst

TALENT Software Services
Charlotte, NC Full Time
POSTED ON 1/13/2025
AVAILABLE BEFORE 3/10/2025
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; can 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.

Education:

  • Bachelor's degree in accounting, Finance or related field is required.
  • Minimum of 7 years of experience in healthcare reimbursement preferred.

Additional Information:

Specialty/Unit:
Accounting - Reimbursement

Schedule: 8:00am - 5:00pm (May worker extra hours during Jan - May)

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.

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