Reimbursement Specialist II

Responsibilities

• Preparation of the Medicare, Chapter 160 and Champus cost reports for select hospitals.
• Cordination and accumulation of information needed for the Home Health Agency and Home Office cost reports.
• Cordination and accumulation of statistical data.
• Cordination and support of the Wage Index submission to CMS including acting as the point person for the Wage Index audits.
• Assistance in the completion of the NJ DSH and Occupational Mix Surveys as needed.
• Coordination and support of the bad debt audits by effectively working with Patient Accounting.
• Research as needed via Internet, relevant publications, reimbursement manuals, etc. to ensure compliance and maximize reimbursement strategies within regulations.
• Support with select Medicare and Medicaid audits as needed including acting as the point person.
• Review of audit adjustments including effective communication with outside auditors in resolving any issues as needed.
• Software input of the cost report data as needed.
• Performance of financial analysis of relevant reimbursement issues as they arise.
• Assistance with completion of Form 990, schedule H, as needed.
• Maintenance of the hospitals IACS access in order to generate PS&R settlement data as requested or needed.
• Special projects and other duties as assigned by Management.

Qualifications

• Bachelor's Degree or equivalent experience in Finance, Accounting, and /or Economics.
• 2-3 years hospital reimbursement experience including preparation of cost reports.
• Demonstrated proficiency in Microsoft Excel and Word.
• Excellent analytical skills including ability to complete detailed workpapers for an audit trail.
• Effective written and verbal communication skills.
• Ability to establish effective working relationships with all levels of the Hackensack Meridian Health organization as needed.