Senior Reimbursement Analyst

Full-time, 40 Hours/Week

Monday - Friday, 8am-4:30pm

Hybrid (Onsite 6 days/month)

Summary:

The Senior Reimbursement Analyst is responsible for completing higher level work than the reimbursement analysts and assisting the Director in fulfilling all reimbursement and other financial needs of the health system.

Responsibilities:
1. 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 & Re-openings.

2. Maintains current knowledge base of CHGME Regulations and report requirements; Coordinates the completion of all CHGME reports; maintains registration of all federal databases.

3. 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.

4. Participates in the review of the monthly and annual financial statement preparation related to net revenue and supports annual public accounting audit of same.


5. Develops and maintains CSA models and their application as part of the monthly financial statement preparation.


6. Interacts with internal and external data sources; performs additional report maintenance.

7. 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.

8. Maintains current knowledge base of Medicaid & CMS regulations pertaining to Meaningful Use attestation; coordinates all processes to insure timely completion of MPIP attestation submissions.

9. Other duties as required.

Other information:
Technical Expertise
1. Experience in Medicare/Medicaid regulations and cost report preparation is required of at least 3 to 5 years.

2. Experience in healthcare accounting is required.

3. Experience in healthcare reimbursement is required.

4. Experience working with all levels within an organization is required.

5. Proficiency in MS Office [Outlook, Excel, Word] or similar software is required. Enterprise Resource Planning (ERP) software is required.

Education and Experience
1. Education: Bachelor's degree in Accounting is required. Advanced degree preferred.

2. Certification: None.

3. Years of relevant experience: 5 to 7 years is preferred.

4. Years of experience supervising: None

Full Time