Regulatory and Reimbursement Coordinator

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🕒 4 dias atrás

🌽 Illinois – Remoto

🌽 Illinois – Remote

💵 $76.061 - $117.895 / ano

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

🚔 Conformidade

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Mercyhealth Wisconsin and Illinois

SiteLinkedInTodas as Vagas

5001 - 10000 funcionários

Fundada em 1889

⚕️ Seguro de Saúde

📚 Educação

Healthcare Insurance • Education

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

• Responsibility for coordination of 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 as well as perform research relative to Medicare and other governmental payer rules and regulations • Manage and provide data support for the annual Medicare/Medicaid/BlueCross cost report submission to ensure accurate, timely, and proper reimbursements are received • Work with external consultants and governmental auditors on a routine basis to provide supporting information • Prepare budgets for multiple entities and respond to questions from managers on budget issues and complex projects • Prepare pro forma financial analyses of new or changed services within the system as needed • Analyze complex financial processes and recommend opportunities to improve system financial performance

🎯 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, four of which must be in health care finance • High level of Medicare experience that includes experiences in preparation of Medicare/Medicaid cost reports • Accounting and budgeting of patient revenue • Medicare Medicaid regulations and the analysis, modeling and reporting of other third party payers • Computer experience • Strong accuracy • Excellent interpretive/analytical skills

🏖️ 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