Senior Reimbursement Specialist – Financial Reporting

🕒 May 2

🌪️ Oklahoma – Remote

🌪️ Oklahoma – Remote

⏰ Full Time

🟠 Senior

💸 Financial Planning and Analysis (FP&A)

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INTEGRIS Health

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10,000+ employees

INTEGRIS Health is the state’s largest Oklahoma-owned health system and one of the state’s largest private employers, with hospitals, rehabilitation centers, physician clinics, mental health facilities, fitness centers, independent living centers, home health agencies and urgent cares throughout much of the state.

📋 Description

• 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