Senior Reimbursement Specialist

2 days ago


Clearwater, Florida, United States BayCare Health System Full time
About the Role

At BayCare Health System, we are seeking a highly skilled Senior Reimbursement Analyst to join our team. As a key member of our Revenue Management department, you will play a critical role in ensuring accurate and timely reimbursement from government payers, including Medicare, Medicaid, and TRICARE/CHAMPUS.

Responsibilities
  • Develop and implement strategies to optimize reimbursement from government payers, ensuring compliance with regulatory requirements and maximizing revenue.
  • Prepare and submit annual Medicare Cost Report filings and audits, as well as stay up-to-date on government regulatory changes and CMS/Federal and State proposals to change reimbursement methodologies and payment systems.
  • Collaborate with cross-functional teams to ensure accurate and timely reimbursement, including working with the MAC on audits and resolving any issues that may arise.
  • Develop leadership skills by participating in or leading projects within the Revenue Management department, contributing to the growth and development of the team.
Requirements
  • Five or more years of progressive, successful experience in healthcare reimbursement, with at least two years direct preparation of the Medicare Cost Report working papers and filing of the reports via HFS software program (or equivalent) as well as working with the MAC on audits.
  • Experience in several areas, including Medicare bad debts, DSH (Disproportionate Share), Graduate Medical Education and Interns and Residents Information System (IRIS) software, Allied Health reporting and reimbursement, Waged index and Occupational Mix surveys.
  • Ability to multi-task, provide excellent customer service, and work independently while developing leadership skills.
What We Offer

BayCare Health System offers a competitive total reward package, including benefits, paid time off, tuition reimbursement, 401k match and additional yearly contribution, yearly performance appraisals with merit increases, yearly team award bonus, community discounts, and the chance to be part of an amazing team and a great place to work.

Location: Clearwater, FL

Status: Full Time, Exempt: Yes

Shift Hours: 8:00 am - 5:00 pm

Weekend Work: None

On Call: No

How often will this team member be working remotely? Hybrid

Equal Opportunity Employer Veterans/Disabled



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