Senior Reimbursement Analyst - Revenue Management

Senior Reimbursement Analyst - Revenue Management

SUMMARY

This position is responsible for providing critical analytical and reimbursement support for reimbursement functions including Medicare, Medicaid, or other third party cost report, related audits, appeals, disproportionate share hospital (DSH), drug discount program (340B) CPT/HCPCS codes changes for assigned 4-6 entities. The analyst completes the monthly and year end entries for third party reserves and summarizes data on reimbursement functions for market and local finance leadership.

RESPONSIBILITIES

• Prepares workpapers, reviews and submits annual Medicare and Medicaid cost reports and various other regulatory filings that may be required on behalf of System.

• Coordinates Medicare and Medicaid cost report reviews and audits. Audits and reviews include overall cost report, wage index, bad debt, S-10, Medicaid log and Medicaid eligible days.

• Prepares monthly settlement reserve entries.

• Researches reimbursement and regulatory issues and provides analyses to System Director or other stakeholders.

• Reviews net revenue analytics and identifies areas where additional analysis is required.

• Assist in the annual budgeting process for net revenue

• Produce reports, analyzes and integrates data and completes other projects accurately and efficiently.

• Prepares reimbursement related reports or analyses as needed to serve reimbursement leadership.

REQUIREMENTS

• Bachelor’s degree in Accounting or Finance required. Graduate (Master’s) degree in Accounting or Finance preferred.

• Minimum 3 years experience in consulting or multi-hospital acute-care health system regarding Medicare and Medicaid reimbursement and cost report preparation .

• Experience with Ohio, Kentucky, Virginia, and/or South Carolina Medicaid reimbursement, Medicare medical education reimbursement, Medicare wage index and/or Medicare critical access hospital reimbursement preferred.

• Ability to research reimbursement issues and provide practical and concise interpretations.

• Strong organizational skills and uses critical thinking to query appropriate data for projects.

• Excellent analytical and computer skills.

• Ability to effectively communicate and interact with regional and corporate office associates.

• Excellent oral and written skills as well as strong interpersonal skills.

• Ability to work independently and proactively with limited supervision.

As a Bon Secours Mercy Health associate, you're part of a Mission that matters. We support your well-being—personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way.

What we offer

• Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)

• Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts

• Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders

• Tuition assistance, professional development and continuing education support

Benefits may vary based on the market and employment status.

All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Bon secours Mercy Health – Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email [email protected] . If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at [email protected]