Senior Reimbursement Analyst (on-site)

About the role

The Senior Reimbursement Analyst is primarily responsible for the preparation and filing of system cost reports including the home office cost reports, long-term care cost reports and all other similar federal and state reports that are required.

Responsibilities

• Prepare work papers, enter data and file the cost reports for the Health System.
• Ensure reports are prepared in advance for a thorough review and that all reports are filed timely with governing authorities.
• Understand basic accounting principles and how to prepare journal entries associated with cost reports and other accounting processes within the department.
• Maintain proficiency in using the Federal Register and maintain a thorough working knowledge of all payer reimbursement principles and regulations.
• Identify and assist with the implementation of strategic reimbursement initiatives.
• Aid in financial analysis of new and existing programs related to governmental reimbursement calculations, issues and projections.
• Accurately prepare the System Home Office cost report and files within stated deadlines.
• Prepare and respond to audits with management oversight from federal or state intermediaries and agencies on open cost reports.
• Completes the Medicare Intern and Resident Information System (IRIS) file.
• Aid in the preparation of the IME GME filings.
• Administers DocTime log software that tracks both physician medical director and other administrative hours.
• Sets up new physician users and provides training.
• Computes monthly receivables/payables and prepares journal entries to record the adjustments.
• Reconciles Medicare periodic interim payments (PIP) to the general ledger and the monthly Medicare receivable/payable schedule.
• Computes reimbursement rates for all payers including those for Medicare IPPS, Medicare SNF, Medicare Inpatient Rehab, and Medicare Inpatient Psych.
• Assists with financial analysis of new and existing programs related to governmental reimbursement calculations, issues and projections.
• Compiles the annual workman's compensation data request used for the annual rate setting.
• Performs quarterly cash audits.
• Performs monthly operating reviews with department heads and assists in budget completion with assigned departments.
• Prepares business pro formas for new strategic objectives and service line reviews.
• Prepares wage index projections when CMS releases its proposed and final rules.
• Prepares reconciliation of UCP from Final Notice to Cost Report Reconciliation.
• Works with vendors on special reimbursement initiatives.
• Completed Medicaid Assister program reporting.
• Analyze DRG and APC impact changes.
• Prepares low-volume adjustments.
• Basic understanding of cost accounting and the method in which costs are allocated in the cost accounting system.

Qualifications

• Bachelor’s Degree in Accounting, Business, Finance or Healthcare Administration.
• Master’s Degree or CPA preferred.
• Two to Four Years of Accounting or Finance Experience preferred.
• Two years in an analyst role is preferred.
• Prior experience completing cost reports for government programs is preferred.
• Must be able to work independently.
• Must be able to read, write legibly, speak, and comprehend English.
• Must have a passion for change and identifying better ways to do things.
• Must be an effective communicator and independent worker who will be an industry leader in changing how data and analytics is configured, delivered, and supported.