Reimbursement Analyst
2 weeks ago
The Reimbursement Analyst works as part of a review and compliance team responsible for reviewing provider contract documentation to validate those provider costs and state/federal reimbursements adhere to federal and state regulations. He/she is the first line of communication between providers and the client staff in developing their federal and state reimbursements. The Reimbursement Analyst is responsible for calculating provider per diems and reimbursement rates, assisting with training and bulletin issuance preparation, updating the team with progress and tracking provider per diem documentation, among other tasks. He/she provides education, information, and technical assistance to county office personnel, providers and state employees.
Specific Responsibilities
Learn and apply Pennsylvania's policy and procedures for Title IV-E allowable claiming for foster care providers for both direct and indirect costs.
Understand federal regulations well enough to apply to each unique service provider.
Independently think critically when analyzing documentation and providing technical assistance.
Apply both federal and state regulations for financial reporting.
Understand the relationship between activity and financial accountability.
Gather, review and analyze complicated financial reports and data sets for compliance with state and federal standards.
Potentially travel within the Commonwealth if required.
Maintain consistent communication with providers, counties and OCYF.
Provide technical assistance as required.
Identify trends in compliance issues and business practices.
Required Skills
Detail oriented with strong analytical skills.
Quick learner and well organized.
Effective oral and written communication skills.
Experience with Microsoft Office applications, specifically Excel, Word, and Outlook.
Excellent communications skills; ability to communicate effectively with various parties to identify and correct compliance errors as well as recognize and promulgate best practice.
Ability to work well independently and within a team.
Adept at multitasking concurrent assignments.
Proficient in integrating new processes or techniques into current procedures seamlessly
Required Experience
Bachelor degree or higher, preferably in business, business administration, accounting, social work, public policy, or other closely related fields;
-OR
A minimum of three years relevant work experience in the fields of child welfare and Title IV-E eligibility, policy, or invoicing;
-OR
A minimum of five years work experience in financial management and invoicing for federal and state funds.
No C2C.
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