Reimbursement Specialist
Aya Healthcare
Join Us At Encompass Health
Join us on the heart-warming journey with a team that is a top leader in the rehabilitation industry. Encompass Health is the leader in the inpatient rehabilitation industry, you'll feel the Encompass Health difference as soon as you join. We collaborate and provide high-quality, compassionate, individualized care for our patients, allowing us time to get to know them and help them achieve their goals during their rehabilitation journey.
Position Purpose
The Reimbursement Accountant is responsible, with assistance, for cost reporting, hospital support, and audit support for assigned hospitals, along with assigned functional areas such as top downs, bad debts, LIP, Home Office, DTDF, LIP, and CRIP/Propapers. Prioritizing work and resources.
Responsibilities And Tasks
Completes timely & accurate Medicare and Medicaid cost reports with supervision.
Develops ability to handle more complex areas of the cost report.
Completes work within expected timeframes.
Participates in audit/reviews done by external organizations to protect the Company's interests.
Ensures audit impacts are calculated and accounted for while contesting disputed adjustments.
Supports customers in identifying and resolving reimbursement issues.
Monitors compliance with Medicare regulations and company policies on reimbursement and HIH.
Communicates and works to resolve concerns.
Takes a major role in the completion of functional and special projects.
Accomplishes goals within productivity standards.
Understands key cost report drivers and operational impacts.
Develops the ability to communicate technical information upstream.
Possesses detailed working knowledge of all software applications and reports.
Uses technology applications to accomplish Department goals.
Conducts independent research accurately and efficiently.
Analyzes and reconciles data and to complete assigned cost reports and projects.
Requires minimal direction in performing day-to-day responsibilities.
Identifies, analyzes, and resolves problems.
Follows chain of command.
Develops industry, organizational and position knowledge and skills.
Stays current in job knowledge through departmental regulation summaries/ CMS/State/Hospital Association websites, MediRegs and other industry related materials.
Maintains working knowledge of areas not in direct scope of assigned work duties including DSH surveys, state payment methodologies, CMS-13, 437B, revenue recognition, and Medicare payment systems.
Uses company resources where appropriate and shares information and resources with peers.
Minimum Qualifications:
Bachelor's Degree in Accounting (preferred) or Finance.
18 months of hospital Reimbursement experience or equivalent healthcare experience.
A Little About Us
We're confident you'll see the difference the moment you join our team. Working at Encompass Health means working with a growing national inpatient rehabilitation leader. We're proud of our career growth opportunities and how our team members work together for the greater good of our patients. We've been named one of the "World's Most Admired Companies" and a Fortune 100 Best Companies to Work For Award, among others, which is pretty amazing.
Our Benefits Start Day One
Affordable medical, dental and vision plans for full-time and part-time employees and their families.
Generous paid time off that accrues over time.
Tuition reimbursement and continuing education opportunities.
Company-matching 401(k) and employee stock purchase plans.
Flexible spending and health savings accounts.
A community of people who love what they do. Yes, we see that as a benefit.
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