Sr. Reimbursement Specialist

4 weeks ago


Fairfax, United States Inova Health System Full time

The Sr. Reimbursement Specialist directs development & illustrates the impact of proposed & final Federal/State regulations to staff and senior Management. Directs the development of contractual allowances for budget projections & monthly & year-end financial statements. Manages and directs the preparation and/or review of preliminary & filed Medicare/Medicaid cost reports.

Job Responsibilities:

  • Directs development & illustrates the impact of proposed & final Federal/State regulations to staff and senior Management.
  • Directs the preparation of reimbursement studies as needed by senior management.
  • Researches regulations related to the implementation of new programs, services, & ventures.
  • Directs the development of contractual allowances for budget projections & monthly & year-end financial statements.
  • Directs the evaluation of interim payments from third-party payors for accuracy & adequate cash flow.
  • Coordinates with Information Systems the production of reports for cost reporting/cost analysis purposes.
  • Develops & conducts reimbursement seminars for staff of IHS operating units.
  • Manages & directs the preparation and/or review of preliminary & filed Medicare/Medicaid cost reports.
  • Reviews of Medicare/Medicaid settlements for accuracy & impact on reimbursement for all IHS entities.
  • Coordinates the support & documentation needed by independent & Medicare & Medicaid auditors.

Requirements:

  • Education: Bachelors Degree in Business Administration or Accounting.
  • Experience: Four years of reimbursement experience in a healthcare setting with comprehensive knowledge of Medicare/Medicaid reimbursement

This position is eligible for remote work for candidates residing in the following states - AL, AZ, DC, DE, FL, GA, KY, ME, MD, MO, NC, OH, PA, SC, TN, TX, UT, VA, WV.


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