Senior Reimbursement Analyst – Revenue Management

Job not on LinkedIn

🔥 12 hours ago

🇺🇸 United States – Remote

⏰ Full Time

🟠 Senior

💰 Pricing Analyst

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Bon Secours Mercy Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 2018

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

Bon Secours Mercy Health is a leading health care organization committed to transforming health care delivery and services through strategic innovation and compassionate care. Operating hospitals and clinical sites in the U. S. and Ireland, the organization focuses on extending health care access, improving patient outcomes, and enhancing value through emerging technologies and strategic partnerships. With a commitment to service and stewardship, Bon Secours Mercy Health also prioritizes enhancing the quality of life for underserved communities while advocating for sustainability. The organization’s initiatives include digital innovation, diversified growth through investments and partnerships, and providing high-value care across its core clinical operations.

📋 Description

• Provide critical analytical and reimbursement support for Medicare, Medicaid, and other third-party cost reports, related audits, appeals, DSH, 340B, and CPT/HCPCS code changes for assigned entities • Prepare workpapers and review and submit annual Medicare and Medicaid cost reports and other required regulatory filings • Coordinate Medicare and Medicaid cost report reviews and audits, including overall cost report, wage index, bad debt, S-10, Medicaid log, and Medicaid eligible days • Prepare monthly settlement reserve entries • Research reimbursement and regulatory issues and provide analyses to the System Director and other stakeholders • Review net revenue analytics and identify areas requiring additional analysis • Assist in the annual net revenue budgeting process • Produce reports, analyze and integrate data, and complete other projects accurately and efficiently • Prepare reimbursement-related reports and analyses for reimbursement leadership • Summarize reimbursement data for market and local finance leadership

🎯 Requirements

• Bachelor’s degree in Accounting or Finance required • Graduate (Master’s) degree in Accounting or Finance preferred • Minimum 3 years experience in consulting or a multi-hospital acute-care health system regarding Medicare and Medicaid reimbursement and cost report preparation • Experience with Ohio, Kentucky, Virginia, and/or South Carolina Medicaid reimbursement, Medicare medical education reimbursement, Medicare wage index, and/or Medicare critical access hospital reimbursement preferred • Ability to research reimbursement issues and provide practical and concise interpretations • Strong organizational skills and ability to use critical thinking to query appropriate data for projects • Excellent analytical and computer skills • Ability to effectively communicate and interact with regional and corporate office associates • Excellent oral and written skills and strong interpersonal skills • Ability to work independently and proactively with limited supervision

🏖️ Benefits

• Competitive pay • Incentives • Referral bonuses • 403(b) with employer contributions (when eligible) • Medical, dental, vision, and prescription coverage • HSA/FSA options • Life insurance • Mental health resources and discounts • Paid time off • Parental and FMLA leave • Short- and long-term disability • Backup care for children and elders • Tuition assistance • Professional development and continuing education support