Regulatory & Reimbursement Coordinator

Role Description

Applies principles of accounting to analyze financial information.

• Responsibility for coordination of Medicare and other governmental payment policies, compliance, and reporting for all hospital and clinic entities across the Mercy Health System.
• This position will analyze internal and external data and information requests as well as perform research relative to Medicare and other governmental payer rules and regulations.
• Manages and provides data support for the annual Medicare/Medicaid/BlueCross cost report submission to ensure accurate, timely, and proper reimbursements are received.
• Works with external consultants and governmental auditors on a routine basis to provide supporting information. Also, works with outside consultants to complete accurate tax related documents. Often works under tight deadlines.
• Works with other departmental staff and managers to prepare budgets for multiple entities and responds to questions from managers on budget issues and complex projects.
• Prepares pro forma financial analyses of new or changed services within the system as needed.
• Analyzes complex financial processes and recommends opportunities to improve system financial performance.
• Performs other duties as assigned.

Qualifications

• Bachelor's degree in accounting from four-year college or university or master's degree in a related field.
• Five to ten years of experience, four of which must be in health care finance.
• Must have high level of Medicare experience that includes experiences in preparation of Medicare/Medicaid cost reports, accounting and budgeting of patient revenue, Medicare Medicaid regulations and the analysis, modeling and reporting of other third party payers.

Requirements

• Computer experience.
• Strong accuracy.
• Excellent interpretive/analytical skills.

Special Physical Demands

• Regularly required to stand and talk or hear, may be for extended periods.
• Frequently required to walk; use hands to finger, handle, or feel and reach with hands and arms.
• Ability to use computer, keyboard, and other office equipment.
• Occasionally lift and/or move up to 25 pounds.
• Specific vision abilities required include close vision, color vision, and ability to adjust focus.

Benefits

• Medical, Dental, Vision.
• Life & Disability Insurance.
• FSA/HSA Options.
• Generous, accruing paid time off.
• Paid Parental and caregiver leave.
• Career advancement and educational opportunities.
• Tuition and certification reimbursement.
• Well-being Programs.
• Employee Discounts.
• On-Demand Pay.
• Financial Education.
• Annual recognition/awards events.
• Partner appreciation days.
• Family entertainment/attractions discount.
• Community service/improvement opportunities.