Reimbursement Analyst

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

Essential Functions:

• Assists in preparation of 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.
• Supports development of annual net revenue budgets and forecasting tool for net revenue projections.
• Assists in coordination, preparation, and submission of Medicare and Medicaid cost reports using data from company general ledger and patient accounting systems.
• Assists in performing reimbursement 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.

Common Expectations:

• Provides financial orientation, training and education of both operations and finance department staff.
• Ensures compliance with all applicable federal and state regulations.
• Provides ad-hoc financial analysis and reports to Senior Management as requested.
• Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.
• 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 years Experience with Medicare and Medicaid cost reporting. Required
• Healthcare experience. Preferred and

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.