Reimbursement Analyst Senior

Hours: M-F Days

Full Time: 40 Hours/Week

General Summary

Responsible for calculations and analyses of monthly reserves entries using the Crowe RCA tool. Assists in preparation and filing of Medicare and Medicaid cost reports, therefore, must stay abreast of current governmental reimbursement regulations. Contributes to ensuring the overall continued financial success of the System in the continuous pursuit of the fulfillment of its Mission.

Duties and Responsibilities

• Prepares monthly reserves estimates within the Crowe RCA software and book journal entries to the general ledger. Reconciles related balance sheet and income statement accounts.
• Compiles and analyzes monthly RCA net revenue reports and develops explanations of results to be communicated to the regional and corporate finance teams. Develops templates to streamline processes. Serve as a subject matter expert of Crowe RCA software to ensure standardization of accounts receivable and net revenue accounting.
• Coordinates, prepares, and submits Medicare and Medicaid cost reports using data from company general ledger and patient accounting systems.
• Acts as the lead in cost report audits as well as external financial audits surrounding third-party settlements and accounts receivable hindsight analyses.
• Performs and reviews reimbursement impact analyses when updated regulations are published.
• Communicates with Hospital and Corporate Finance staff to collect and compile data for cost reports, State surveys, and financial audits.
• Stays abreast of current governmental reimbursement regulation. Assists in reimbursement-related adhoc projects and provides technical support as necessary.
• Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise.

Qualifications

Minimum Education:

• Bachelors Degree In Accounting or Finance. Required

Work Experience:

• 3-5 years' experience with Medicare and Medicaid(government) cost reporting. Required
• Healthcare experience. Preferred

Courses and Training:

• CPA, HFMA, and/or Crowe CNRA Upon Hire Preferred

Knowledge, Skills, and Abilities:

• Crowe RCA experience preferred.
• HFS Medicare cost report software experience preferred.
• Excellent communication, interpersonal, managerial and computer skills.
• Able to work well in a team environment as a member and/or leader.
• Able to accept responsibility.
• Thorough knowledge of relevant specialty areas.
• Analytical and logical approach to solving problems.