Providence is calling a Senior Reimbursement Analyst to Providence Health & Services in Renton, WA.
The Senior Reimbursement Analyst is
responsible for execution of various reimbursement activities for the system
that include evaluation, planning, coordination, and follow through to
completion of such activities that include but are not limited to: Preparation of Medicare, Medicaid, and other
regulatory reports; wage index reviews; Medicaid Eligible Days reviews;
implementation of various cost based reimbursement strategies; preparation of
DSH Surveys and Applications and working within any reimbursement methodology
related to Medicare and Medicaid that have reimbursement implications. This position works independently in daily
tasks without significant supervision and provides oversight to the other
Reimbursement Analysts in their daily tasks.
The Senior Reimbursement Analyst is
responsible for working within all government reimbursement regulations in
assigned work. The Senior Reimbursement Analyst is also responsible for
assisting in meeting the needs of the functional team through preparing
supporting schedules and financial analysis under the direction of the
Reimbursement Manager and their designees.
In this position you will:
Prepare Medicare and Medicaid cost reports and other regulatory filings, and the related work papers in accordance with all applicable regulations and PSJH policies under the guidance of the Manager.
Prepare and analyze proposed audit adjustment impacts and submit additional documentation as required by the MAC or regulatory agency.
Prepare monthly workbooks and resultant journal entries to record third party settlements, and provider taxes payable and supplemental payments receivable.Assist the Manger/Director in validating that workbooks stay current with regulatory changes.
Perform basic financial analysis and provide technical support for Reimbursement leadership, as requested.
Continuously monitor workload and methodologies used to achieve results, making recommendations to improve efficiency and/or achieve cost savings whenever possible.
Ensure that all assigned statutory filings are timely and accurate.
Assist the manager with the mentoring of other analysts.
Assist the manager with the detail work paper review of the other analysts.
Required qualifications for this position include:
Minimum of a Bachelors degree in Accounting, Finance, orMathematics/Statistics is required, or an equivalent combination of educationand/or experience.
Minimum of 3yrs experience preparing Medicare and Medicaid costreports for acute care, skilled nursing, home health, hospice, and homeoffice
Minimum 5yrs demonstrated experience in the reimbursementfield is required and working knowledge of current reimbursement and reportingrules and regulations.
Technical knowledge for contractual allowance reporting
Preferredqualifications for this position include:
Previous work experience in consulting, in a multi-hospitalsystem or MAC
CPA or CHFP preferred.
About the department you will serve.
Providence Strategic and Management Services provides a variety of functional and system support services for all eight regions of Providence Health & Services from Alaska to California. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.
We offer a full comprehensive range of benefits - see our website for details
As expressions of Gods healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.
Providence Health & Services is a not-for-profit Catholic network of hospitals, care centers, health plans, physicians, clinics, home health care and services guided by a Mission of caring the Sisters of Providence began over 160 years ago. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
Job Category: Reimbursement