Sr Reimbursement Analyst
Sr Reimbursement Analyst
Employer Active
Job Alert
You will be updated with latest job alerts via email
Share
Job Alert
You will be updated with latest job alerts via email
Job Description
Description
Summary:
Responsible for all thirdparty reporting with special emphasis on cost reporting Government filings and reserve levels.
Responsibilities:
1.Prepares all thirdparty cost reports with the goal of optimizing allowable reimbursement in compliance with state and federal regulations as well as assists with the preparation of the states OHS filing.
2.Performs detailed reviews of thirdparty settlements making appropriate adjustments and properly recording reserves.
3.Participate in third party audits providing work papers and further support to applicable audit teams
4.Prepares organizes and presents all arguments and appeals to the Fiscal Intermediary the Provider Reimbursement Review Board NYS OHS and the OIG.
5.Reviews Medicare audit reports to seek opportunities for adjustments or appeals.
6.Works with Medicaid auditors to clear annual audit questions.
7.Prepares and reviews surveys from federal and state agencies.
8.Prepares all necessary analysis and backup for yearend audit.
9.Maintains knowledge of changing healthcare issues and regulations regarding revenue enhancement.
10.Assists in preparation analysis and filing of quarterly and yearly reports to the state and regulatory agencies. Assists with any questions.
11.Supports the finance area with special projects as required.
12.Fulfills all compliance responsibilities related to the position.
13.Performs other duties as assigned
Minimum Experience: Reimbursement experience Hospital Finance experience Excel
Desired: Medicare Audit experience
Working Conditions:
Manual: Some manual skills/motor coord & finger dexterity
Occupational: Little or no potential for occupational risk
Physical Effort: Sedentary/light effort. May exert up to 10 lbs. force
Physical Environment: Generally pleasant working conditions
Company: Nuvance Health
Org Unit: 1779
Department: Corporate Finance
Exempt: Yes
Salary Range: $33.66 $67.05 Hourly
Required Experience:
Senior IC
Employment Type
Full Time
