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Senior Finance Medicare Reimbursement Analyst

4 months ago

Altamonte Springs, United States AdventHealth Corporate Full time

AdventHealth Corporate

All the benefits and perks you need for you and your family:

  • Benefits from Day One
  • Career Development
  • Whole Person Wellbeing Resources
  • Mental Health Resources and Support

Our promise to you:

Joining AdventHealth is about being part of something bigger. Its about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

Shift : Monday-Friday

Job Location : Hybrid; Altamonte Springs, FL

The role youll contribute:

The Senior Reimbursement Analyst is responsible for preparing and filing the annual Medicare, Medicaid, and Champus/Tricare cost reports; preparation of reopening and appeal papers, audit preparation and other cost report settlement activity and related analysis for third party financial statement reporting for AdventHealth. Additionally, this position collaborates with management in the reimbursement regulations and regulatory, operational, and financial impacts of proposed operational decisions. Duties assigned are performed under the oversight of the Reimbursement Manager.

The value that you bring to the team:

  • Prepare and submit accurate and timely cost reports as required by Medicare, Medicaid and other State or Federal agencies for AdventHealths hospitals
  • Coordinate the Medicare, Medicaid and other State or Federal agency cost report audits, providing supporting documentation, reviewing audit adjustments, and responding to audit findings in a timely and efficient manner
  • Communicate technical positions/arguments effectively to Medicare, Medicaid and other State or Federal agencies auditors to support positions taken on the hospital cost report, or other required reporting
  • Update, review, and maintain supporting documentation for the Medicare and Medicaid third party settlement of each AdventHealth hospital according to standardized policies and procedures to properly reflect the financial reporting of third party balances of AdventHealth
  • Review the reasonableness of hospital interim reimbursement rates and special payments received from Medicare and Medicaid and follow-up as appropriate
  • Discuss hospital third party settlement results with hospitals financial leadership
  • Maintain a working knowledge of current laws and regulations of the Federal Medicare and State Medicaid programs, including changes affecting hospital reimbursement of Medicare bad debt, graduate medical education, disproportionate share hospital adjustment, and uncompensated care payments
  • Complete special projects assigned by the department manager or director within the time frame requested

The expertise and experiences youll need to succeed:

Minimum qualifications :

  • Bachelors degree in Accounting or Finance
  • Minimum of 4 years of relevant experience in healthcare reimbursement including Medicare, Medicaid reimbursement and regulatory cost reporting

Preferred qualifications:

  • Proficient using Health Financial Systems (HFS) cost reporting software
  • Certified Public Accountant (CPA)

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.

Category: Accounting/Finance

Organization: AdventHealth Corporate

Schedule: Full-time

Shift: 1 - Day

Req ID: 23007379

We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.