Senior Financial Reimbursement Analyst

Overview

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Wellness incentives

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And more

Description

The Senior Financial Reimbursement Analyst will work independently with managerial oversight to gather documents and coordinate the filing of Medicare / Medicaid / Tricare cost reports. They will also assist in the filing of the Georgia Department of Community Health (DCH) Indigent Care Trust Fund (ICTF) Survey. The Senior Financial Analyst will review and provide support for any information or data required for the settlement of Medicare bad debt, disproportionate share, medical education and other components. They will monitor DCH and CMS reimbursement correspondence to communicate information and coordinate resolution of requested information, as needed. They will support the Reimbursement Manager with the review and analysis of both Centers Medicare and Medicaid Services (CMS) regulations and Georgia Department of Community Health (DCH) policies, ensuring accuracy of reimbursement rates and modeling of financial impact.

RESPONSIBILITIES :

Be responsible for the preparation of the Medicare / Medicaid / Tricare cost reports, audits and appeals.

Gather data and complete the filing of all cost reports for the hospitals.

Work with decision support team on the development and review of operational statistics.

Help to develop a workplan for the completion of the annual cost reports.

Work on the preparation and reporting of all Medicare bad debt list and related information, transplant, DSH, medical education, ESRD, paramedical and other critical components filed with the Medicare cost report as well as assist in the compiling and filing of the ICTF survey Ensures all third-party pass thru payments and lump sum adjustments are received as communicated by the Medicare Administrative Contractor (MAC) and are accurate versus expected reimbursement

Assists with the preparation of the Wage Index and Occupational Mix Survey filings and reviews

Also, DRG and APC reporting / benchmarking and other reimbursement pattern analysis.

Work with the reimbursement team to develop and report DRG and APC payment updates.

Work on the annual analysis of the DRG and APC impact analysis.

Work with the Reimbursement Manager to issue a payment update bulletins on Federal and State regulations.

Provides documentation for use in calculating monthly Medicare / Medicaid / Tricare reserve requirements

Requirements :

Bachelor's Degree BS / BA Degree in Accounting or Business

Required Minimum 5 years in accounting / finance

Minimum 3 years in an analyst role, preferably experience with a Medicare Administrative Contractor Experience in the preparation and analysis of Medicare and Medicaid cost reports and DCH regulatory surveys is highly desirable Analytical skills,

Computer skills with intermediate excel for data extraction, presentation skills, accounting skills, government programs reimbursement knowledge, good communication skills, ability to interact professionally with multiple departments including financial accounting, patient financial services, and managed care.

Able to handle multiple tasks.

Additional Details

Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.

Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcare's Human Resources at careers@emoryhealthcare.org . Please note that one week's advance notice is preferred.

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Division Emory Healthcare Inc.

Campus Location Atlanta, GA, 30345

Campus Location US-GA-Atlanta

Department EHI Hospitals Finance

Job Type Regular Full-Time

Job Number 157083

Job Category Business Operations

Schedule 8a-4 : 30p

Standard Hours 40 Hours

Hourly Minimum USD $38.34 / Hr.

Hourly Midpoint USD $46.71 / Hr.

Emory Healthcare is an Equal Employment Opportunity employer committed to providing equal opportunity in all of its employment practices and decisions. Emory Healthcare prohibits discrimination, harassment, and retaliation in employment based on race, color, religion, national origin, sex, sexual orientation, gender identity or expression, pregnancy, age (40 and over), disability, citizenship, genetic information, service in the uniformed services, veteran status or any other classification protected by applicable federal, state, or local law.