Senior Reimbursement Specialist – Financial Reporting
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Job Description
Reimbursement Specialist Sr handling financial reporting for INTEGRIS Health. Preparation and submission of Medicare and third-party cost reports, working with the financial reporting team.
Responsibilities:
- Responsible for collecting, recording and reviewing all documentation required by CMS for submission in several key areas: Organ Acquisition, Bad Debts and DSH
- Responsible for collecting, recording, reviewing, and reconciling all Physician Time Studies
- Actively participate in and contribute to ad hoc revenue analysis projects
- Preparation and submission of accurate and timely Medicare and other third-party cost reports in compliance with CMS regulations
- Manages and coordinates Medicare cost report audits including wage index, EHR and other special audits including review of proposed audit adjustments
- Assists with the identification of Medicare issues that should be appealed or reopened
- Reviews the reasonableness and accuracy of interim reimbursement rates and special payments from Medicare and third-party payors and follow up with the MAC as appropriate
- Prepares monthly contractual allowances for Medicare and Medicaid
- Prepares monthly cost report reserves schedules
- Prepares and submits annual Medicaid DSH surveys and participates in the annual Medicaid DSH audits and year end Cost Report filings
- Monitors proposed and final changes in Medicare regulations and reimbursement and provide updated schedules for the reimbursement department
Requirements:
- 3-5 years of experience in hospital third party reimbursement
- Bachelors degree in Accounting/Finance or business-related field or five years equivalent work experience
- Experience with the Medicare Administrative Contractor is highly preferred
- Experience with PeopleSoft and Epic is highly preferred
Benefits:
- front-loaded PTO
- 100% INTEGRIS Health paid short-term disability
- increased retirement match
- paid family leave
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