Regulatory and Reimbursement Coordinator

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🕒 Agosto 6

🌽 Illinois – Remoto

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💵 $76.061 - $117.894 / ano

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

🚔 Conformidade

👻 Score fantasma 24%

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🗣️🇺🇸🇬🇧 Inglês obrigatório

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Logo of Mercyhealth Wisconsin and Illinois

Mercyhealth Wisconsin and Illinois

5001 - 10000 funcionários

Fundada em 1889

🛡️ Seguros

💼 Consultoria

🏨 Hospitalidade

Insurance • Consulting • Hospitality

A Mercyhealth Wisconsin e Illinois é um sistema de saúde regional integrado que fornece hospitais, clínicas ambulatoriais, atendimento de urgência, cuidados especializados (cardiologia, oncologia, ortopedia, neurocirurgia, etc. ), farmácias, serviços de saúde domiciliar e cuidados paliativos no norte de Illinois e sul de Wisconsin. Ela opera os planos de saúde MercyCare (seguros de saúde comerciais), oferece programas de educação médica de pós-graduação e de bolsas/residências, gerencia uma fundação e iniciativas de saúde comunitária, e disponibiliza recursos voltados para o paciente, como o MyChart, agendamento online e programas de bem-estar.

Descrição

• Coordinate Medicare and other governmental payment policies, compliance, and reporting for all hospital and clinic entities across the Mercy Health System • Analyze internal and external data and information requests and research Medicare and other governmental payer rules and regulations • Manage and provide data support for annual Medicare/Medicaid/BlueCross cost report submissions to ensure accurate, timely, and proper reimbursements • Work routinely with external consultants and governmental auditors to provide supporting information • Work with outside consultants to complete accurate tax-related documents • Prepare budgets for multiple entities and respond to managers' questions on budget issues and complex projects • Prepare pro forma financial analyses of new or changed services within the system • Analyze complex financial processes and recommend opportunities to improve system financial performance • Perform other duties as assigned

🎯 Requisitos

• Bachelor's degree in accounting from four-year college or university or master's degree in a related field • Five to ten years of experience, including four years in health care finance • High level of Medicare experience, including preparation of Medicare/Medicaid cost reports • Experience with accounting and budgeting of patient revenue • Knowledge of Medicare and Medicaid regulations • Experience analyzing, modeling, and reporting on other third-party payers • Computer experience • Strong accuracy • Excellent interpretive/analytical skills • Ability to stand and talk or hear, potentially for extended periods • Ability to walk and use hands to finger, handle, or feel and reach with hands and arms • Ability to use a computer, keyboard, and other office equipment • Ability to occasionally lift and/or move up to 25 pounds

🏖️ Benefícios

• Medical, Dental, Vision • Life & Disability Insurance • FSA/HSA Options • Generous, accruing paid time off • Paid Parental and caregiver leave • Career advancement and educational opportunities • Tuition and certification reimbursement • Certification Reimbursement • Well-being Programs • Employee Discounts • On-Demand Pay • Financial Education • Annual recognition/awards events • Partner appreciation days • Family entertainment/attractions discount • Community service/improvement opportunities

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