Senior Reimbursement Analyst

Compensation

: $79,300.00 - $122,880.00 /year *

Employment Type

: Full-Time

Industry

: Accounting



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Position Type: Regular
Scheduled Hours per 2 week Pay Period: 80
Primary Location: CO > ENGLEWOOD > DENVER INVERNESS

The Senior Reimbursement Analyst is responsible for providing cost report preparation, cost report appeals, audit preparation and other duties related to the regulatory reimbursement services. The position maintains current knowledge of Medicare, Medicaid and other State and Federal regulations. The Sr. Reimbursement Analyst interacts with customers and ensures value is delivered and customer satisfaction is achieved. The Sr. Reimbursement Analyst also assists in the improvement of internal business processes and meeting future reimbursement service needs.

Accountabilities:

  • Prepares interim and annual cost reports for Medicare, Medicaid and other State or Federal agencies for internal facilities and regions
  • Calculates periodic adjustments for deductions from revenue, revenue reserves, bad debt and other revenue adjustments related to regulatory reimbursement for all internal facilities and regions in accordance with our policies and procedures
  • Assist the Reimbursement Managers and/or Directors with recommendations for internal strategy by evaluating current growth, anticipating future needs, and assessing impact of services delivered
  • Assists in the maintenance of standardized policies and procedures and third-party settlement methodologies
  • Reviews operational reports, identifies opportunities/problems, and makes recommendations for improving processes
  • Assesses the impact of new products, technology, and processes on the existing organization and makes recommendations for improvement

Required Non-Technical Competencies:

  • Analytical Thinking
  • Continuous Improvement
  • Problem Solving
  • Customer Orientation
  • Team Orientation
  • Flexibility
  • Communication Ability
  • Reasoning

Required Technical Competencies:

  • Medicare
  • Medicare Regulatory Reporting
  • Medicaid (Medi-Cal)
  • Medicaid (Medi-Cal) Regulatory Reporting
  • Accounts Receivable and Cash Collection
  • Capital and Fixed Assets
  • Reimbursement Monthly Analysis Process
  • Decision Support
  • General Accounting

Minimum Qualifications:

  • Minimum of five (5) years of experience with all aspects of Medicare and Medicaid (Medi-Cal) regulations monitoring and report processes required
  • Experience as hospital Reimbursement staff or auditing experiences with Fiscal Intermediary required
  • Minimum of five (5) years of experience and excellent working knowledge of general accounting, government reimbursement, appeals and audits in a complex organization, and maintaining relationships with internal and external entities such as general accounting, patient accounting, and fiscal intermediaries required
  • Experience and knowledge of current reimbursement regulations and applications in a complex healthcare environment required
  • Bachelor s degree in Business Administration, Accounting or equivalent work experience required
  • Travel required at times but very limited

Additional Information

Associated topics: ambulatory, care unit, department of health, electrophysiology, hematology, hospitalist, licensed practical nurse, malaria free, medical, nurse * The salary listed in the header is an estimate based on salary data for similar jobs in the same area. Salary or compensation data found in the job description is accurate.

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