OhioHealth
Healthcare Insurance • Wellness • Education
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.
Senior Medicaid & Medicare Reimbursement Consultant
Job not on LinkedIn
October 28
OhioHealth
Healthcare Insurance • Wellness • Education
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.
📋 Description
• Preparing and reviewing the Medicare and Medicaid cost reports for all OhioHealth entities • Ensuring appropriate governmental (Medicare and Medicaid) reimbursement is received for OhioHealth • 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 • 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 • 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 • Acts as a subject matter expert in areas such as S-10, Wage Index, Bad Debts, Medicare Audits, Disproportionate Share, Indirect Medical Education, Graduate Medical Education, and Governmental Logs • Leads, advises and consults on various reimbursement financial projects • Collaborates across management levels at OhioHealth
🎯 Requirements
• Bachelor's Degree: Finance (Required) • BS or BA in 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 delegations 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 (Desired) • Experience with Medicare/Medicaid cost reporting 4 - 6 years as a Sr. Reimbursement Analyst or similar position(s).
🏖️ Benefits
• Health insurance • Retirement plans • Paid time off • Flexible work arrangements • Professional development
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