Senior Medicaid & Medicare Reimbursement Consultant

May 6

🏈 Ohio – Remote

Although this job is listed in Ohio, this company may be open to hiring remote in other states.

⏰ Full Time

🟠 Senior

💼 Consultant

🦅 H1B Visa Sponsor

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OhioHealth

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OhioHealth is a not-for-profit healthcare system headquartered in Columbus, Ohio, dedicated to providing exceptional patient care and a wide range of medical services. With facilities spread across multiple locations, OhioHealth offers comprehensive healthcare services including cancer care, maternity, midlife clinics for women, virtual health appointments, and specialized care for transgender and LGBTQ patients. They also focus on patient education with health and wellness classes, support groups, and health quizzes. OhioHealth is committed to improving community health through various community relations and health initiatives. They provide resources such as price transparency, financial assistance, and patient rights information to enhance the healthcare experience for all patients.

Healthcare • Home Care • Rehabilitation • Sports Medicine • Outpatient

10,000+ employees

Founded 1891

⚕️ Healthcare Insurance

🧘 Wellness

📚 Education

📋 Description

• This position is responsible for preparing and reviewing the Medicare and Medicaid cost reports for all OhioHealth entities. • This position will be responsible for ensuring the appropriate governmental (Medicare and Medicaid) reimbursement is received for OhioHealth. • This position is primarily responsible for the proactive calculations and modeling of new regulatory changes and impacts as well as variance analysis of third-party liability accounts. • Provides supporting work papers and documentation for third-party inquiries. • This position has supervisory oversight of the Reimbursement Analyst daily work schedule including flow of information, teaching of reimbursement fundamentals and principles, review of work and setting daily priorities. • This position supports the Director of Revenue and Reimbursement and Manager of Reimbursement with many special analyses throughout the year associated with revenue cycle, charge analysis, regulatory and financial reporting. • The Senior Reimbursement Consultant will be a subject matter expert in the following areas, S-10, Wage Index, Bad Debts, Medicare Audits, Disproportionate Share, Indirect Medical Education, Graduate Medical Education, and Governmental Logs, (HCAP, UPL and Franchise Fee programs in the state of Ohio) as well as special projects as assigned. • Extensive knowledge of Medicare and Medicaid cost reporting and reimbursement and remaining up to date with all regulatory requirements, both federal and state is required. • The Reimbursement Consultant position leads, advises and consults various reimbursement financial projects, as well as special projects throughout the year and needs to be able to delegate direct reports assigned to the project or process while staying connected to both the pertinent details as well as the high level strategic purpose. • The Senior Reimbursement Consultant is required to use extensive interpersonal skills in communicating with all management levels at OhioHealth. • This role functions in a heavily matrixed environment and requires strong prioritization, communication and planning skills.

🎯 Requirements

• Bachelor's Degree: Finance (Required) • Additional Job Description: Accounting or Finance. • Hospital and/or healthcare industry experience. • Understanding of the CMS prospective payment system and State of Ohio regulations. • Minimum of 4 years’ experience in the healthcare industry. • Strong team development and delegation skills. • Excellent communication and presentation skills. • Proficiency in Microsoft applications, knowledge of clinical & financial patient management systems, demonstrated ability in financial analysis and cost reporting. • CPA, MHA or MBA preferred. • Experience with Medicare/Medicaid cost reporting 4 - 6 years as a Sr. Reimbursement Analyst or similar position(s).

🏖️ Benefits

• Equal Employment Opportunity OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. • OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. • Equal employment is extended to all persons in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment.