Regulatory and Reimbursement Coordinator

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đź•’ vor 1 Monat

🌽 Illinois – Remote

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đź’µ $76.061 - $117.894 / Jahr

⏰ Vollzeit

🟡 Mittelstufe

đźź  Senior

đźš” Compliance

đź‘» Geisterscore 19%

infoinfo

🗣️🇺🇸🇬🇧 Englisch erforderlich

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Logo of Mercyhealth Wisconsin and Illinois

Mercyhealth Wisconsin and Illinois

5001 - 10000 Mitarbeiter

GegrĂĽndet 1889

🛡️ Versicherung

đź’Ľ Beratung

🏨 Gastgewerbe

Insurance • Consulting • Hospitality

Mercyhealth Wisconsin und Illinois ist ein regionales, integriertes Gesundheitssystem, das Krankenhäuser, ambulante Kliniken, Notfallversorgung, Facharztversorgung (Kardiologie, Onkologie, Orthopädie, Neurochirurgie usw. ), Apotheken sowie häusliche Gesundheits- und Hospizdienste in Nord-Illinois und Süd-Wisconsin anbietet. Es betreibt MercyCare Health Plans (kommerzielle Krankenversicherung), bietet medizinische Weiterbildung und Programme für Stipendiaten/Residencies an, führt eine Stiftung und Gesundheitsinitiativen für die Gemeinschaft durch und stellt patientenorientierte Ressourcen wie MyChart, Online-Terminplanung und Wellness-Programme zur Verfügung.

Beschreibung

• 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

🎯 Anforderungen

• 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

🏖️ Vorteile

• 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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