SR REIMBURSEMENT ANALYST / REMOTE / Medicare Medicaid Cost Reports

This is a 100% remote work-from-home position Title Sr. Reimbursement Analyst / Medicare Medicaid Cost Reports Department Reimbursement Shift Days-Remote Essential Duties & Functions Collects, analyzes all underlying data and prepares supporting documentation for: the Medicare cost report Worksheet S-10. Reviews outside consultant logs and schedules. Reviews audit adjustments for accuracy. Prepares the calculation of accounts receivable and third‑party reserves including the timely submission of the monthly journal entry along with additional analyses as needed. Collects and analyzes all underlying data and prepares the Medicaid pending conversion calculations. Prepares 340b trial balances for inclusion with the annual HRSA submissions. Prepares Medicare gain/loss analysis for Schedule H of Form 990. Assists in the annual net revenue budget and three‑year forecasting process. Research and completion of all governmental modeling is the primary focus. Assists with the preparation of E&Y audit workpapers. Reviews CMS/MAC rate reviews and audit adjustments for accuracy. Prepares amended Medicare and Medicaid cost reports and Tricare capital and direct medical education reports and supporting schedules as needed. Reviews tentative cost report settlements and final cost report settlements including audit adjustments for accuracy. Prepares Medicare and Medicaid reimbursement factors and reimbursement calculators for Inpatient, Outpatient, Psych, and Rehab. Collects and analyzes all underlying data in conjunction with the Rehab Unit and prepares the submission for the Inpatient Rehab Unit 75% compliance report for exemption from the Inpatient Prospective Payment System. Collects and analyzes all underlying data, prepares all supporting documentation, and submits in a timely and accurate manner the Medicare occupational mix surveys. Reviews audit adjustments for accuracy. Prepares HCAP logs and obtains supporting documentation for independent consultant review. Also, prepares the matching data in the formats used for the Medicaid cost report. Prepares Myers & Stauffer logs for the federal DSH audits that match the Medicaid cost report in the required format in a timely and accurate manner. Submits documentation for the Kentucky Workers’ Compensation Hospital Fee Schedule cost‑to‑charge ratio calculation. Collects all underlying data, prepares detail and summary invoices, and payment reconciliations for the Montgomery County Indigent Ill Levy submissions. Acts as a liaison between Reimbursement and the report writing team to assist in regulatory data revisions. Prepares detailed analysis of regulatory changes to determine the reimbursement impact to PHP. Ensures compliance with Federal and State laws when using PHP provider numbers, including Provider Based Status rules. Maintains current working knowledge of Medicare, Medicaid, and other regulations. Assists in providing education with Federal rules and regulations. Education Minimum Level of Education Required: Bachelor’s Degree in Business Administration majoring in Accounting, Finance or related business field required. Experience Minimum Level of Experience Required: 3‑5 years of job‑related experience required. Hospital reimbursement required, including Medicare and Medicaid cost report experience required. Current working knowledge of the financial statement process, running ad‑hoc patient financial system and/or general ledger financial reports, and strong financial skills required. Preferred Experience Experience in Medicare medical education reimbursement (IME/DGME) and Medicare provider enrollment system (PECOS). #J-18808-Ljbffr