Regulatory and Reimbursement Coordinator

Emploi pas sur LinkedIn

🕒 il y a 7 jours

🌽 Illinois – Distant

🌽 Illinois – Remote

💵 $76 061 - $117 895 / an

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

🚔 Conformité

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Mercyhealth Wisconsin and Illinois

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5001 - 10000 employés

Fondée en 1889

⚕️ Assurance santé

📚 Éducation

Healthcare Insurance • Education

Mercyhealth Wisconsin et Illinois est un système de santé régional intégré offrant des hôpitaux, des cliniques externes, des soins d'urgence, des soins spécialisés (cardiologie, oncologie, orthopédie, neurochirurgie, etc. ), des pharmacies, des services de santé à domicile et de soins palliatifs à travers le nord de l'Illinois et le sud du Wisconsin. Elle exploite MercyCare Health Plans (assurance santé commerciale), propose des formations médicales pour diplômés ainsi que des programmes de bourses/résidences, gère une fondation et des initiatives de santé communautaire, et fournit des ressources pour les patients telles que MyChart, la planification en ligne et des programmes de bien-être.

Description

• 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

🎯 Exigences

• 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

🏖️ Avantages

• 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