Sparks Group has partnered with a leading healthcare research hospital and is seeking a SR Reimbursement Analyst, who will be responsible for filing the annual Medicare and Medicaid cost reports, audit support, third party settlement analysis, institution reporting, and other month end financial reporting assignments. Responsibilities also include compilation and analysis of data relevant to various reimbursement departments functions. If you're seeking a new opportunity with a reputable organization, apply now!
Responsibilities:
Prepare assigned detailed schedules, working documents and other applicable data for Revenues and Expenses for the applicable cost reports
Work with internal and external auditors; respond to the annual Medicare cost report desk review and Institution's review
Assist in the preparation of all appeals (Medicare/Medicaid Cost Reports and others) as directed by the Reimbursement Manager
Support data mining and analytics of all annual cost report
Disseminate, track, report progress and summarize Physician Time Studies on a quarterly basis for inclusion in the institution's cost report
Prepare the annual SHPDA report and various financial surveys
Monthly analysis of third - party general ledger settlement accounts
Qualifications/Background Profile:
Bachelor's Degree Business, health care or related field (Required)
Minimum of three (3) years relevant experience in the healthcare industry
Strong knowledge of Medicare and Medicaid reimbursement regulations for hospitals and/or physician payment mechanisms; net patient revenue valuation is a plus.
Experience in Medicare/Medicaid Cost Report preparation and review.
Knowledge of how to research Centers for Medicare & Medicaid Services (CMS) regulations
Demonstrated strong analytical skills and attention to detail
Excellent communication and interpersonal skills.
Proficient in Microsoft office products, primarily Excel, Access, Word and Power Point.