Sr Fin Reimbursement Analyst at Emory Healthcare

Tucker, Georgia, United States -

Full Time

Start Date

Immediate

Expiry Date

05 Mar, 26

Salary

0.0

Posted On

05 Dec, 25

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Accounting, Finance, Analytical Skills, Communication Skills, Data Extraction, Presentation Skills, Government Programs Reimbursement, Intermediate Excel, Medicare, Medicaid, Tricare, Cost Reports, Regulatory Surveys, Operational Statistics, Reimbursement Analysis, Documentation

Industry

Hospitals and Health Care

Description

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: Bachelor's 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 Healthcare’s Human Resources at careers@emoryhealthcare.org. Please note that one week's advance notice is preferred.

Responsibilities

The Senior Financial Reimbursement Analyst will prepare and file Medicare/Medicaid/Tricare cost reports and assist with the Georgia DCH Indigent Care Trust Fund Survey. They will also review and analyze CMS regulations and DCH policies to ensure accurate reimbursement rates.