Senior Financial Reimbursement Analyst

Emory

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profile Job Location:

Atlanta, GA - USA

profile Monthly Salary: Not Disclosed
Posted on: 3 hours ago
Vacancies: 1 Vacancy

Job Summary

Overview

Be inspired. Be rewarded. Belong. At Emory Healthcare.

At Emory Healthcare we fuel your professional journey with better benefits valuable resources ongoing mentorship and leadership programs for all types of jobs and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide:

  • Comprehensive health benefits that start day 1
  • Student Loan Repayment Assistance & Reimbursement Programs
  • Family-focused benefits
  • Wellness incentives
  • Ongoing mentorship development and leadership programs
  • And more

Description

The Senior Financial Reimbursement Analyst will work independently with managerial oversight to gather documents and coordinate the filing of Medicare/Medicaid/Tricare cost reports. They will also assist in the filing of the Georgia Department of Community Health (DCH) Indigent Care Trust Fund (ICTF) Survey. The Senior Financial Analyst will review and provide support for any information or data required for the settlement of Medicare bad debt disproportionate share medical education and other components. They will monitor DCH and CMS reimbursement correspondence to communicate information and coordinate resolution of requested information as needed. They will support the Reimbursement Manager with the review and analysis of both Centers Medicare and Medicaid Services (CMS) regulations and Georgia Department of Community Health (DCH) policies ensuring accuracy of reimbursement rates and modeling of financial impact.

RESPONSIBILITIES:

  • Be responsible for the preparation of the Medicare/Medicaid/Tricare cost reports audits and appeals.
  • Gather data and complete the filing of all cost reports for the hospitals.
  • Work with decision support team on the development and review of operational statistics.
  • Help to develop a workplan for the completion of the annual cost reports.
  • Work on the preparation and reporting of all Medicare bad debt list and related information transplant DSH medical education ESRD paramedical and other critical components filed with the Medicare cost report as well as assist in the compiling and filing of the ICTF survey Ensures all third-party pass thru payments and lump sum adjustments are received as communicated by the Medicare Administrative Contractor (MAC) and are accurate versus expected reimbursement
  • Assists with the preparation of the Wage Index and Occupational Mix Survey filings and reviews
  • Also DRG and APC reporting/benchmarking and other reimbursement pattern analysis.
  • Work with the reimbursement team to develop and report DRG and APC payment updates.
  • Work on the annual analysis of the DRG and APC impact analysis.
  • Work with the Reimbursement Manager to issue a payment update bulletins on Federal and State regulations.
  • Provides documentation for use in calculating monthly Medicare/Medicaid/Tricare reserve requirements

Requirements:

  • Bachelors Degree BS/BA Degree in Accounting or Business
  • Required Minimum 5 years in accounting/finance
  • Minimum 3 years in an analyst role preferably experience with a Medicare Administrative Contractor Experience in the preparation and analysis of Medicare and Medicaid cost reports and DCH regulatory surveys is highly desirable Analytical skills
  • Computer skills with intermediate excel for data extraction presentation skills accounting skills government programs reimbursement knowledge good communication skills ability to interact professionally with multiple departments including financial accounting patient financial services and managed care.
  • Able to handle multiple tasks.

Additional Details

Emory is an equal opportunity employer and qualified applicants will receive consideration for employment without regard to race color religion sex national origin disability protected veteran status or other characteristics protected by state or federal law.

Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcares Human Resources at . Please note that one weeks advance notice is preferred.


Required Experience:

Senior IC

OverviewBe inspired. Be rewarded. Belong. At Emory Healthcare.At Emory Healthcare we fuel your professional journey with better benefits valuable resources ongoing mentorship and leadership programs for all types of jobs and a supportive environment that enables you to reach new heights in your care...
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Key Skills

  • Cognos
  • Forecasting
  • Hyperion
  • Financial Concepts
  • Pivot tables
  • Accounting
  • Analysis Skills
  • Microsoft Excel
  • Financial Analysis
  • Financial Modeling
  • Budgeting
  • Financial Planning

About Company

"Have a Coke and a smile" means more to Emory University than it does to the rest of the world. The school, which has some 13,300 students and about 12,500 staff and faculty members, has a very low student-teacher ratio of about 7:1. It changed from Emory College to Emory University i ... View more

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