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Premier Health

Are you a tech enthusiast looking to make a difference in the healthcare industry? Premier Health is seeking a dynamic ServiceNow Programmer Analyst to join our team. Embrace the opportunity to innovate, collaborate, and thrive in a remote work environment. Apply now and take the next step in your career with a company that values your skills and dedication.

Senior Reimbursement Analyst

Location

United States

Posted

3 days ago

Salary

0

Seniority

Senior

No structured requirement data.

Job Description

Senior Reimbursement Analyst

Premier Health

Role Description This is a 100% remote work-from-home position. TITLE: Sr. Reimbursement Analyst / Medicare Medicaid Cost Reports DEPT: Reimbursement SHIFT: Days-Remote Essential Duties & Functions: - Collects, analyzes all underlying data and prepares supporting documentation for: - the Medicare cost report Worksheet S-10. - the Medicare cost report Medicaid DSH eligibility. - the Medicare cost reports Traditional Medicare Bad Debt and Dual Eligible logs. - the Medicare cost report Wage Index. - 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 340 B 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. - Prepares HCAP logs and obtains supporting documentation for independent consultant review. - 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. Qualifications - Bachelor's Degree in Business Administration majoring in Accounting, Finance or related business field required. Requirements - 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).

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