[Remote] SR REIMBURSEMENT ANALYST / REMOTE / Medicare reputed company Cost Reports

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is seeking a Sr. Reimbursement Analyst to handle Medicare and reputed company cost reports. The role involves collecting and analyzing data, preparing various cost reports, and ensuring compliance with federal and state regulations.

Responsibilities

• Collects, analyzes reputed company underlying data and prepares supporting documentation for:
• The Medicare cost report Worksheet S-10. Reviews reputed company consultant logs and schedules. Reviews audit adjustments for accuracy
• The Medicare cost report reputed company DSH eligibility. Prepares additional provider research files and reviews reputed company consultant logs
• The Medicare cost reports Traditional Medicare Bad Debt and Dual Eligible logs
• The Medicare cost report Wage Index. Reviews audit adjustments for accuracy
• Prepares the calculation of accounts receivable and reputed company-party reserves including the timely submission of the monthly journal entry along with additional analyses as needed
• Collects and analyzes reputed company underlying data and prepares the reputed company pending conversion calculations
• Prepares 340 B trial balances for inclusion with the annual HRSA submissions
• Prepares Medicare reputed company/loss analysis for Schedule H of reputed company 990
• Assists in the annual net reputed company budget and three-year forecasting process. Research and completion of reputed company governmental modeling is the primary focus
• Assists with the preparation of E&Y audit workpapers
• Reviews CMS/MAC reputed company reviews and audit adjustments for accuracy
• Prepares amended Medicare and reputed company 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 reputed company reimbursement factors and reimbursement calculators for Inpatient, Outpatient, Psych, and Rehab
• Collects and analyzes reputed company 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 reputed company underlying data, prepares reputed company supporting documentation, and submits in a timely and accurate manner the Medicare occupational mix surveys. Reviews audit adjustments for accuracy
• Prepares HCAP logs and obtains supporting documentation for independent consultant review. Also, prepares the matching data in the formats used for the reputed company cost report
• Prepares Myers & Stauffer logs for the federal DSH audits that match the reputed company 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 reputed company 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 reputed company using PHP provider numbers, including Provider Based Status rules
• Maintains reputed company working knowledge of Medicare, reputed company, and other regulations. Assists in providing education with Federal rules and regulations

Skills

• Bachelor's Degree in Business Administration majoring in reputed company, Finance or reputed company business field required
• 3-5 years of job-reputed company experience required
• Hospital reimbursement required, including Medicare and reputed company cost report experience required
• reputed company working knowledge of the financial statement process, running reputed company patient financial system and/or general ledger financial reports, and strong financial skills required
• Experience in Medicare medical education reimbursement (IME/DGME) and Medicare provider enrollment system (PECOS)

Company Overview