Senior Government Reimbursement Analyst at CentraCare Clinic

Saint Cloud, Minnesota, United States -

Full Time

Start Date

Immediate

Expiry Date

06 May, 26

Salary

130890.14

Posted On

05 Feb, 26

Experience

10 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Medicare Cost Reporting, Government Reimbursement, Financial Analysis, Communication Skills, Spreadsheet Proficiency, Cost Report Software, Medicare Audits, Variance Analysis, Regulatory Knowledge, Project Leadership, Data Gathering, Professional Development, Decision Making, Tact and Diplomacy, Healthcare Finance, Analytical Services

Industry

Hospitals and Health Care

Description

Find your purpose with CentraCare as a Senior Government Reimbursement Analyst. This position is responsible for ensuring the needs of governmental and internal customer needs are met in a timely manner through preparation of Medicare cost reports (both annual and interim), and analytical services. Schedule: Full-time 80 hours every 2 weeks Mon-Fri Days Majority work from home; onsite requirements for meeting and trainings Pay & Benefits: Starting pay begins at $87,208.98 per year and increases with experience Salary range: $87,208.98 - $130,890.14 per year Salary range is based on a 1.0 FTE, reduced FTE will result in a prorated offer rate We offer a generous benefits package that includes medical, dental, flexible spending accounts, PTO, 401(k) retirement plan & match, LTD and STD, tuition reimbursement, discounts at local and national businesses and so much more! Qualifications: Bachelor's Degree in accounting or other related field of business or an Associate's degree in accounting or related field along with 10 years of finance experience required. 6 years or more years of experience in the health care field specializing in government reimbursement or related work. Work experience must include in depth knowledge of Medicare cost reporting software and experience with Medicare audits and appeals. CHFP designation by Healthcare Financial Management Association preferred. Knowledge of IME, GME and PPS preferred. Excellent communication skills required. Experience in all reimbursement settings such as, Prospective Payment Hospitals (PPS), Sole Community Hospitals (SCH), Critical Access Hospital (CAH), Rural Health Clinics (RHC) desired. Experience with IME, GME, DSH, and Wage Index is a plus. Knowledge and/or training in Cost Report software, preferably HFS. Experience with spreadsheets, including pivot tables, advanced filtering and lookups functions needed to be successful. Core Functions: Maintains current knowledge of government payer regulations and actions in order to provide the highest level of expertise in the preparation of Medicare cost reports for multiple entities within CentraCare. Works with Manager of Government Reimbursement to monitor regulatory changes and implement new regulations. Independently prepares annual Medicare Cost Reports, to include gathering data from sources such as finance personnel, revenue cycle, supply chain and required governmental reports, and performing variance analysis on final report prior to review. Independently coordinates NGS audits and obtains information and reports from the individuals and areas needed in order to see audit through from beginning to end. Independently prepares interim cost reports to ensure Medicare reserves are reported accurately on entities’ income statement throughout the year. Provides leadership with high level analysis of “what-if scenarios” and other organizational analysis requiring a reimbursement impact study. Serves as an expert resource for reviewing of cost reports, Hospital Annual Reports and other projects performed by the team. Independently prepares the Hospital Annual Report for various hospitals to include gathering data from sources such as finance personnel, revenue cycle, supply chain and manage the audits. Must routinely exercise independent judgment in decision making, utilizing professional knowledge and insight with guidance and council received from Leadership. Must effectively communicate with and coordinate with all levels of management throughout CentraCare. Notifies appropriate levels of management regarding changes in governmental rules and regulations, how they impact CentraCare and makes recommendations regarding actions to be taken. Requires verbal and written contact with persons dealing with financial information from within and outside the hospital, requiring professionalism, tact, and diplomacy. Patient confidentiality must be maintained at all times. Leads projects as needed. Assumes responsibility for professional development and continuing education. CentraCare has made a commitment to diversity in its workforce. All individuals including, but not limited to, individuals with disabilities, are encouraged to apply. CentraCare is an EEO/AA employer.

Responsibilities

The Senior Government Reimbursement Analyst prepares Medicare cost reports and provides analytical services to meet governmental and internal customer needs. This role involves coordinating audits, preparing reports, and ensuring compliance with regulatory changes.