Regulatory and Reimbursement Coordinator

Job not on LinkedIn

🕒 4 days ago

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $76.1k - $117.9k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🚔 Compliance

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Mercyhealth Wisconsin and Illinois

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 1889

🛡️ Insurance

💼 Consulting

🏨 Hospitality

Insurance • Consulting • Hospitality

Mercyhealth Wisconsin and Illinois is a regional integrated health system providing hospitals, outpatient clinics, urgent care, specialty care (cardiology, oncology, orthopedics, neurosurgery, etc. ), pharmacies, home health and hospice services across northern Illinois and southern Wisconsin. It operates MercyCare Health Plans (commercial health insurance), offers graduate medical education and fellowship/residency programs, runs a foundation and community health initiatives, and provides patient-facing resources such as MyChart, online scheduling, and wellness programs.

📋 Description

• 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

🎯 Requirements

• 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

🏖️ Benefits

• 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