Sr. Reimbursement Specialist

4 weeks ago

Cincinnati, United States UC Health Full time

Job Description

UC Health is hiring a Full Time Sr. Reimbursement Specialist.

This position will provide support to the Governmental Reimbursement function for UC Health, including support to the Director of System Governmental Reimbursement, as well as system and facility finance leaders, including Chief Financial Officers. The Sr Reimbursement Specialist will report directly to the Director, System Governmental Reimbursement.

Primary areas of focus will include governmental cost report preparation for all UC Health facilities, HCAP filings, monthly net revenue analysis and audit resolution. This position will also serve as a key player in development of standardized processes and automation for bad debt reporting, disproportionate share reporting and cost report documentation. The Sr Reimbursement Specialist will serve as one of the subject matter experts in Medicare and Medicaid program evaluations, regulations, and interpretations.

About UC Health

UC Health is an integrated academic health system serving Greater Cincinnati and Northern Kentucky. In partnership with the University of Cincinnati, UC Health combines clinical expertise and compassion with research and teaching-a combination that provides patients with options for even the most complex situations. Members of UC Health include: UC Medical Center, West Chester Hospital, Daniel Drake Center for Post-Acute Care, Bridgeway Pointe Assisted Living, University of Cincinnati Physicians and UC Health Ambulatory Services (with more than 900 board-certified clinicians and surgeons), Lindner Center of HOPE and several specialized institutes including: UC Gardner Neuroscience Institute and the University of Cincinnati Cancer Center. Many UC Health locations have received national recognition for outstanding quality and patient satisfaction. Learn more at uchealth.com.

Responsibilities

  • Develops and documents standardized and automated processes for annual reimbursement projects including, but not limited to, disproportionate share reporting, bad debts, HCAP filings and cost reports.
  • Manages HCAP filings and audits with education and support for internal resources, external consultants and statewide auditors.
  • Acts as an independent consultant for finance leadership from assigned UC Health entities.
  • Works independently to review and interpret legislative and other programmatic changes to Medicare and Medicaid programs, and advise management and service line teams of financial impact of these changes.
  • Prepares analysis of contractual allowances and third party liabilities.
  • Responsible for working with outside auditors and consultants to resolve reimbursement issues.
  • Other ad hoc items.

Qualifications

  • Minimum Required: Bachelor's Degree in Business Administration (Accounting/Finance-Preferred), or in Reimbursement
  • Minimum Required: 7 - 9 Years equivalent experience
  • Preferred: MBA or/and HFMA's Certified Healthcare Financial Professional (CHFP)
  • Preferred: 8 - 10 Years equivalent experience
  • Knowledgeable of cost reporting software packages is required.
  • Expertise and extensive experience with Excel, including pivot tables, vlookups, conditional formatting, functional knowledge and filtering is required.
  • Experience with Access, EPSi, and Oracle G/L software tools are preferred.
  • The ability to research reimbursement topics via the CMS website, Code of Federal Regulations (CFR), and Provider Reimbursement Manuals (PRM) is preferred.
  • Experience in Medicare cost report preparation involving bad debts, graduate medical education (GME), indirect medical education (IME), organ acquisition, disproportionate share hospital (DSH), and paramedical education programs.

Join our team to BE UC Health. Be Extraordinary. Be Supported. Be Hope. Apply Today

At UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering.

As the region's adult academic health system, we strive for innovation and provide world-class care for not only our community, but patients from all over the world. Join our team and you'll be able to develop your skills, grow your career, build relationships with your peers and patients, and help us be a source of hope for our friends and neighbors. UC Health is committed to providing an inclusive, equitable and diverse place of employment.

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