Senior Finance Medicare Reimbursement Analyst
2 weeks ago
AdventHealth Corporate is seeking a highly skilled Senior Finance Medicare Reimbursement Analyst to join our team. As a key member of our finance department, you will be responsible for preparing and filing annual Medicare, Medicaid, and Champus/Tricare cost reports, as well as coordinating audits and responding to audit findings.
Key Responsibilities- Prepare and submit accurate and timely cost reports as required by Medicare, Medicaid, and other State or Federal agencies for AdventHealth's 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.
- Bachelor's degree in Accounting or Finance.
- Minimum of 4 years of relevant experience in healthcare reimbursement, including Medicare, Medicaid reimbursement, and regulatory cost reporting.
- Proficient using Health Financial Systems (HFS) cost reporting software.
- Certified Public Accountant (CPA).
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