Senior Reimbursement Analyst

Responsibilities

• Maintains current knowledge base of Medicare Regulations and changing report requirements; coordinates the completion of the Medicare and Medicaid Cost Reports; works with Medicare Fiscal intermediary and Medicaid auditors on Interim Settlements, final cost report settlements, Rate Reviews & Reopenings.
• Maintains current knowledge base of CHGME Regulations and report requirements; Coordinates the completion of all CHGME reports; maintains registration of all federal databases.
• Maintains current knowledge base of HCAP, UPL, Franchise Fees, Enhanced Reimbursement and other reimbursement programs established by the State of Ohio and all other government programs.
• Participates in the review of the monthly and annual financial statement preparation related to net revenue and supports annual public accounting audit of same.
• Develops and maintains CSA models and their application as part of the monthly financial statement preparation.
• Interacts with internal and external data sources; performs additional report maintenance.
• Maintains current knowledge base of IRS Community Benefit Regulations; Work with External Affairs Department to maintain current Community Benefit Program; insure an accurate and timely filing of the IRS 990H and Children's Community Benefit Report.
• Maintains current knowledge base of Medicaid & CMS regulations pertaining to Meaningful Use attestation; coordinates all processes to insure timely completion of MPIP attestation submissions.
• Other duties as required.

Requirements

• Experience in Medicare/Medicaid regulations and cost report preparation is required of at least 3 to 5 years.
• Experience in healthcare accounting is required.
• Experience in healthcare reimbursement is required.
• Experience working with all levels within an organization is required.
• Proficiency in MS Office [Outlook, Excel, Word] or similar software is required. Enterprise Resource Planning (ERP) software is required.

Qualifications

• Education: Bachelor's degree in Accounting is required. Advanced degree preferred.
• Certification: None.
• Years of relevant experience: 5 to 7 years is preferred.
• Years of experience supervising: None