Government Reimbursement Analyst

Job Summary

Government Reimbursement Analyst will be responsible for completing cost report working papers, financial analysis, and preparing month-end journal entries and other miscellaneous financial reports for multiple hospitals. This individual will report to the Manager of Reimbursement.

Education & Experience

• Required: Degree (Associate's or Bachelor's) and one (1) year of financial analysis, healthcare compliance, or revenue experience required.
• Certifications, Licenses, Or Registrations Required: None

Knowledge, Skills & Abilities

• Computer skills, including but not limited to Microsoft office products, database software, analytical skills, communication skills, and organizational skills.

Responsibilities

• Compile financial and statistical data necessary to prepare the annual Medicare, Medicaid cost reports, and Tricare cost reports for all hospital facilities and Rural Health Clinics.
• Monitor and assist the Transplant billing team with proper routing of organ acquisition charge capture for the Medicare cost report.
• Aids in the compilation of data for annual Medicaid disproportionate share hospital surveys and audits.
• Prepares monthly journal entries necessary to ensure reimbursement estimates, and settlement activities are properly accrued and reported.
• Coincides and maintains the physician time study database to ensure participation compliance as well as updates for terminations and additions.
• Aids reimbursement auditors in the accumulation of information requested as part of cost report audits/reviews.
• Prepares necessary documentation to support filings with Medicare and Medicaid.
• Compiles and submits annual wage index reviews and occupational mix reviews as directed by CMS.
• Keeps abreast of cost report standards to ensure compliance with directives issued by CMS.
• Enhances professional growth and development through CMS bulletins, conferences and seminars.

Physical And Environmental Demands

• Requires occasional working hours significantly beyond regularly scheduled hours,
• Occasional travelling to offsite locations,
• Occasional activities subject to significant volume changes of a seasonal/clinical nature,
• Frequent work produced subject to precise measures of quantity and quality,
• Occasional bending,
• Occasional lifting and carrying up to 75 pounds,
• Occasional climbing,
• Occasional crouching/stooping,
• Occasional driving,
• Occasional kneeling,
• Occasional pushing/pulling,
• Occasional reaching,
• Occasional sitting,
• Occasional standing,
• Occasional twisting,
• Occasional walking.