Reimbursement Coordinator

6 days ago


District Heights, Maryland, United States Office of the Chief Financial Officer Full time

Office of the Chief Financial Officer is seeking a highly skilled Financial Claims Specialist to join our team.

About the Role:

The Financial Claims Specialist will be responsible for coordinating, monitoring, and performing various functions related to the analysis, identification, interpretation, reporting, and resolution of provider reimbursement information and claims.

Key Responsibilities:

  • Monitor and review cost reports and supporting documentation to ensure accuracy and compliance with federal and local rules and Medicaid policies.
  • Research and provide interpretation on federal and local rules and Medicaid policies to ensure compliance and accuracy.
  • Review and provide information to audit contractors on policies and procedures related to cost reports and reimbursement claims.
  • Search for variances from prior periods and identify trends in cost reporting data to ensure accurate reimbursement.
  • Review and respond to questions regarding cost reports and reimbursement claims.
  • Provide documentation and explanations to assist with appeals and testimony before the Office of Administrative Hearings and the District courts.
  • Communicate and respond to questions regarding healthcare provider taxes and reimbursement claims.
  • Prepare and provide schedules, analysis, work papers, and explanations for the Medicaid Year End Accrual.
  • Perform other duties as assigned by management.

Requirements:

The ideal candidate will have four (4) years of progressive experience performing related duties and responsibilities, such as reviewing, analyzing, and auditing cost reports and financial statements. Healthcare industry experience is preferred.

Vaccination Requirement: The Office of the Chief Financial Officer values the safety of our employees, residents, and visitors. As a condition of employment, you must be fully vaccinated against COVID-19, except when vaccination is not medically advised or violates your sincerely held religious beliefs.

Benefits: The Office of the Chief Financial Officer offers a competitive salary and benefits package, including medical, dental, retirement, and educational assistance.

Equal Opportunity Employer: The Office of the Chief Financial Officer is an equal opportunity employer and welcomes applications from diverse candidates.



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