Reimbursement Analyst
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Job Location:
Sioux Falls, SD - USA
Monthly Salary:
$ 67080 - 100880
Posted on:
9 days ago
Vacancies:
1 Vacancy
Job Summary
Location:
Worker Type:
RegularWork Shift:
Day Shift (United States of America)Pay Range:
The pay range for this position is listed below. Actual pay rate dependent upon experience.
$67080.00 - $100880.00Position Highlights
You Belong at Avera
Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter.
A Brief Overview
Accountable for assisting with the preparation of Medicare Medicaid and Tricare cost reports for Avera hospitals rural health clinics and nursing homes. The Analyst assists with net revenue analysis including the calculation and reconciliation of contractual allowances and uncompensated care reserves for all Avera Health hospitals clinics and nursing homes where the AR data is uploaded into the Crowe Revenue Cycle Analytics software (RCA). Assist with the preparation of Medicare and Medicaid 3rd Party Settlement Reserves analysis for all Avera Health PPS and CAH Hospitals RHCs and nursing homes. Assists with ad hoc analysis and similar projects for the Avera Network.
What you will do
- Prepare and provide analysis of the Avera Health Medicare Medicaid and Tricare hospital RHC and nursing home annual cost reports and audits.
- Assists with the Medicare and Medicaid audits for the Avera Health.
- Assemble Medicare and Medicaid 3rd Party Settlement Reserves analysis for all Avera Health PPS and CAH Hospitals RHCs and nursing homes.
- Assists with the monthly contractual reserve calculation for all Avera Health Hospitals clinics and nursing homes within RCA and the AR reserve calculation for all other Avera Health operating units not included in RCA.
- Assist with the completion of the annual net revenue budget calculation for all Avera Health Hospitals clinics and nursing homes within RCA and the budget calculation for all other Avera Health operating units not included in RCA.
- Assist in the monitoring and interpreting state and federal regulatory publications and announcements providing notification and reimbursement impact analysis for Avera Health facilities.
- Assists with annual wage index audits for Avera Health.
- Responsible for the daily reconciling the data uploads into RCA and the liaison for reconciling the contractual allowances per the general ledger.
Essential Qualifications
The individual must be able to work the hours specified. To perform this job successfully an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others hear understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge skills and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions as long as the accommodations do not cause undue hardship to the employer.
Required Education License/Certification or Work Experience:
- Bachelors in Accounting Business or related field
Preferred Education License/Certification or Work Experience:
- 1-3 years Experience of working in the healthcare environment with regulatory and cost reporting experience. Knowledge of clinic reimbursement rules and practices.
Expectations and Standards
- Commitment to the daily application of Averas mission vision core values and social principles to serve patients their families and our community.
- Promote Averas values of compassion hospitality and stewardship.
- Uphold Averas standards of Communication Attitude Responsiveness and Engagement (CARE) with enthusiasm and sincerity.
- Maintain confidentiality.
- Work effectively in a team environment coordinating work flow with other team members and ensuring a productive and efficient environment.
- Comply with safety principles laws regulations and standards associated with but not limited to CMS The Joint Commission DHHS and OSHA if applicable.
Benefits You Need & Then Some
Avera is proud to offer a wide range of benefits to qualifying part-time and full-time employees. We support you with opportunities to help live balanced healthy lives. Benefits are designed to meet needs of today and into the future.
PTO available day 1 for eligible hires.
Up to 5% employer matching contribution for retirement
Career development guided by hands-on training and mentorship
Avera is an Equal Opportunity Employer - Qualified applicants will receive consideration for employment without regard to race color religion sex national origin disability Veteran Status or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application please call 1- or send an email to .
Required Experience:
IC
