Regulatory and Reimbursement Coordinator

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🌽 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

⚕️ Healthcare Insurance

📚 Education

Healthcare Insurance • Education

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

• 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

🎯 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, 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

🏖️ 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