Financial Reimbursement Specialist - On Site

Financial Reimbursement Specialist - On Site

Job Summary :

This position will prepare accounts receivable valuations monthly, assist with annual operating and capital budget, and aid the Manager of Financial Planning and the Director of Budget & Reimbursement in third party analysis and preparation of internal and external reports, cost reports, CFR’s etc. This position will assist in decision support and providing data to department managers, finance professionals, as well as executives as needed.

Responsibilities :

• Responsible for monthly and annual allowance calculations for the hospitals and the nursing home.
• Assist in preparation, review and analysis of multiple monthly and annual financial statements.
• Prepare special analysis and reports on an as needed basis.
• Prepares surveys and reports to external agencies.
• Gathers data in preparation of Annual Medicare & Medicaid Cost Reports.
• Aid in the preparation of the hospital’s annual financial, ICR audit and DOH DSH audits. Responsible for the preparation of the facility’s annual cost reports, CFR`s, etc., annual Tricare (Champus) filing, annual DOH capital budgets and 3 year occupational mix data. Responsible for research and compliance with cost reporting requirements.
• Performs other duties as required to meet the needs of the department.
• Aid in the annual budget process.
• Help prepare data related to CON requests as needed.
• Gathers, compiles and analyzes case mix data monthly in order to establish operational and reimbursement trends.
• Gathers monthly statistical data.
• Lead in setting up a data analytical system that can help with timely data requests from department managers, finance, and executives. Also lead in maintaining that system and running reports as needed.
• Develops, compiles, and analyzes various reports related to the various reimbursement methodologies and other reimbursement activities.

Qualifications / Requirements :

Experience : 3 years or more preferred

Education : Bachelor’s Degree required, accounting or finance preferred. Excellent computer skills, knowledge of and experience with Microsoft Office Suite. Microsoft Access experience preferred.

Licenses / Certifications :

Other : Ability to identify, gather and compile pertinent information used to prepare detailed financial, statistical and narrative reports; ability to perform analytical reviews; ability to deal effectively with a wide range of professional, administrative, technical and clerical personnel; ability to communicate effectively both orally and in writing; ability to effectively use computer applications such as spreadsheets, word processing, calendar, email and database software; ability to read, write, speak, understand and communicate in English sufficiently to perform the essential duties of the position; sound and mature judgment; resourcefulness; initiative; tact; physical condition commensurate with the requirements of the position.

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