Reimbursement Analyst - Staff at Rochester Regional Health

, , United States -

Full Time

Start Date

Immediate

Expiry Date

18 Jul, 26

Salary

70000.0

Posted On

19 Apr, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Finance, Accounting, Data analysis, Cost reporting, Regulatory compliance, Microsoft Office, Word, Excel, Access, PowerPoint, Database administration, Problem solving, Communication, Teamwork, Documentation

Industry

Hospitals and Health Care

Description

Job Title: Reimbursement Analyst - Staff Department: Hospital Reimbursement Location: Hybrid (Onsite & Remote), Riedman Campus, 100 Kings Highway, Rochester, NY 14610-0757 Hours Per Week: 40 Schedule: Full-Time, Day Shift, Monday - Friday Position Summary: The Reimbursement Analyst - Staff, as a member of the Finance Department at Rochester Regional Health provides general level expertise and support for government and other payor activities. The Reimbursement Analyst - Staff provides maintenance, analysis, documentation, and reviews of third party reimbursements and preparation of various cost reports. Key Responsibilities: • Prepares acute and other federal and state cost reports and maintains all related documentation. • Assists with cost report audits and settlements. • Maintains current knowledge of regulatory changes and communicates changes as needed. • Monitors third party payments for legal, regulatory, and contractual compliance. • Works with Patient Financial Services to ensure proper reimbursement rates are loaded accurately and timely. • Develops and maintains appropriate documentation for wage index and occupational mix reporting to the Medicare program. • Assists in monthly third party accruals and annual third party financial statement audit • Performs other job related duties as assigned. Minimum Qualifications: Bachelors degree in Finance, Accounting, Business/Health Administration, Statistics or related field At least 1 – 3 years of prior relevant experience including experience collecting and analyzing data • Exceptional organizational skills; using systematic methods to perform work and creativity to recommend or create new work methods or procedures. High level of computer and software competency; proficient with database administration and infrastructure. Proficient in Microsoft Office Word, Excel, Access and PowerPoint. Analytical, proactive problem solving skills; techniques to identify and resolve issues in a timely manner, gathers and analyzes information skillfully. Proven written and oral communication skills along with the ability to work both independently and in a team environment are also essential. Rochester Regional Health System is an Equal Opportunity / Affirmative Action Employer. Minority/Female/Disability/Veteran EDUCATION: LICENSES / CERTIFICATIONS: PHYSICAL REQUIREMENTS: S - Sedentary Work - Exerting up to 10 pounds of force occasionally Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met. For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements. Any physical requirements reported by a prospective employee and/or employee’s physician or delegate will be considered for accommodations. PAY RANGE: $62,400.00 - $70,000.00 CITY: Rochester POSTAL CODE: 14617 The listed base pay range is a good faith representation of current potential base pay for a successful full time applicant. It may be modified in the future and eligible for additional pay components. Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts. Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, military or veteran status, citizenship or immigration status, or any other characteristic protected by federal, state, or local law. Rochester Regional Health is an integrated health services organization serving the people of Western New York, the Finger Lakes, St. Lawrence County, and beyond. The system includes nine hospitals; primary and specialty practices, rehabilitation centers, ambulatory campuses and immediate care facilities; innovative senior services, facilities and independent housing; a wide range of behavioral health services; and Rochester Regional Health Laboratories and ACM Global Laboratories, a global leader in patient and clinical trials. It’s vision is to lead the evolution of healthcare to enable every member of the communities it serves to enjoy a better, healthier life.

Responsibilities

The Reimbursement Analyst prepares federal and state cost reports while maintaining documentation for third-party reimbursements. They also monitor payments for regulatory compliance and assist with audits and financial statement accruals.