Senior Analyst - Reimbursement and Revenue Integrity - FT - Days - MHS

Senior Reimbursement Analyst

Location: Fort Lauderdale, Florida

At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience.

Summary

The Senior Reimbursement Analyst plays a key role in supporting the financial sustainability and regulatory compliance of Memorial Healthcare System through expert preparation and analysis of Medicare and Medicaid cost reports, and other governmental filings. This position is responsible for ensuring the accuracy and timeliness of complex regulatory submissions, analyzing the financial impact of state and federal regulatory changes, and supporting audits and strategic reimbursement initiatives.

Responsibilities

Other duties, as assigned. Obtaining supporting materials from other MHS departments and external sources. Maintains registration for access to all state and federal databases. Participate in the preparation of the annual Medicare, Medicaid and Champus cost reports. Compile data and supporting schedules for the cost reports. Monitor and maintain various cost report statistics such as time studies, meal count and square footage. Provide key information to other MHS departments to enable business support systems to operate properly.

Support department leadership with both external and internal reporting needs.

Maintains roll forward schedule of third-party settlement balances and their application as part of the monthly close process and annual financial audit. Extracts required data from MHS systems and prepares schedules supporting reimbursement activities. Participate in the monthly close and annual financial statement preparation related to net revenue and supports annual accounting audit of same. Function as primary backup to the Directors in the monthly close process. Compile data for Medicaid DSH and Low Income Pool (LIP) supporting schedules.

Competencies

ACCOUNTABILITY, ACCOUNTING - COST REPORTS, ACCURACY, ANALYSIS OF FINANCIALS, CUSTOMER SERVICE, HEALTHCARE REGULATORY ENVIRONMENT, MANAGING WORKLOADS, REGULATORY COMPLIANCE, RESPONDING TO CHANGE, STANDARDS OF BEHAVIOR

Education and Certification Requirements

Bachelors (Required)

Working Conditions and Physical Requirements

• Bending and Stooping = 40%
• Climbing = 0%
• Keyboard Entry = 80%
• Kneeling = 0%
• Lifting/Carrying Patients 35 Pounds or Greater = 0%
• Lifting or Carrying 0 - 25 lbs Non-Patient = 40%
• Lifting or Carrying 2501 lbs - 75 lbs Non-Patient = 20%
• Lifting or Carrying > 75 lbs Non-Patient = 0%
• Pushing or Pulling 0 - 25 lbs Non-Patient = 40%
• Pushing or Pulling 26 - 75 lbs Non-Patient = 20%
• Pushing or Pulling > 75 lbs Non-Patient = 20%
• Reaching = 20%
• Repetitive Movement Foot/Leg = 0%
• Repetitive Movement Hand/Arm = 0%
• Running = 0%
• Sitting = 60%
• Squatting = 0%
• Standing = 60%
• Walking = 60%
• Audible Speech = 60%
• Hearing Acuity = 60%
• Smelling Acuity = 0%
• Taste Discrimination = 0%
• Depth Perception = 60%
• Distinguish Color = 60%
• Seeing - Far = 60%
• Seeing - Near = 60%
• Bio hazardous Waste = 0%
• Biological Hazards - Respiratory = 0%
• Biological Hazards - Skin or Ingestion = 0%
• Blood and/or Bodily Fluids = 0%
• Communicable Diseases and/or Pathogens = 0%
• Asbestos = 0%
• Cytotoxic Chemicals = 0%
• Dust = 0%
• Gas/Vapors/Fumes = 0%
• Hazardous Chemicals = 0%
• Hazardous Medication = 0%
• Latex = 0%
• Computer Monitor = 80%
• Domestic Animals = 0%
• Extreme Heat/Cold = 0%
• Fire Risk = 0%
• Hazardous Noise = 0%
• Heating Devices = 0%
• Hypoxia = 0%
• Laser/High Intensity Lights = 0%
• Magnetic Fields = 0%
• Moving Mechanical Parts = 0%
• Needles/Sharp Objects = 0%
• Potential Electric Shock = 0%
• Potential for Physical Assault = 0%
• Radiation = 0%
• Sudden Decompression During Flights = 0%
• Unprotected Heights = 0%
• Wet or Slippery Surfaces = 0%