Senior Reimbursement Analyst – Revenue Management

🔥 16 hours ago

🏈 Ohio – Remote

🏈 Ohio – Remote

⏰ Full Time

🟠 Senior

💰 Pricing Analyst

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Mercy Health

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

🤝 Non-profit

Healthcare • Non-profit

Mercy Health is a mission-driven healthcare organization that provides direct patient care, community health services and a range of support and administrative roles. The organization emphasizes the human side of health care, compassionate, values-based service tied to a ministry mission, workforce development for bedside and support staff, flexible benefits and community outreach. Mercy Health positions itself as both an employer and community health provider focused on dignity, unity and social service.

📋 Description

• Provide analytical and reimbursement support for Medicare, Medicaid, and other third-party cost reports, related audits, appeals, disproportionate share hospital (DSH), 340B drug discount program, and CPT/HCPCS code changes for assigned 4–6 entities • Prepare workpapers and review and submit annual Medicare and Medicaid cost reports and 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 budgeting process for net revenue • Produce reports, analyze and integrate data, and complete other projects accurately and efficiently • Prepare reimbursement-related reports and analyses for reimbursement leadership

🎯 Requirements

• Bachelor’s degree in Accounting or Finance required • Minimum 3 years experience in consulting or 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 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 coverage • Dental coverage • Vision coverage • Prescription coverage • HSA/FSA options • Life insurance • Mental health resources and discounts • Paid time off • Parental leave • FMLA leave • Short-term disability • Long-term disability • Backup care for children and elders • Tuition assistance • Professional development • Continuing education support