Senior Reimbursement Analyst

2 days ago

Silver Spring, Maryland, United States Children's National Hospital Full time
Job Summary

At Children's National Hospital, we are seeking a highly skilled Senior Reimbursement Analyst to join our Reimbursement Department. The successful candidate will be responsible for preparing and filing the annual Medicare and Medicaid cost reports, audit support, third-party settlement analysis, CHGME reporting, and other month-end financial reporting assignments.

Key Responsibilities
  • Prepare detailed schedules, working documents, and other applicable data for Revenues and Expenses for the applicable cost reports.
  • Compile annual Hospital statistics for inclusion in cost report, including Square Feet, Meals Served, Pounds of Laundry, etc.
  • Work with internal and external auditors, respond to the annual Medicare cost report desk review and CHGME review.
  • Assist in the preparation of all appeals (Medicare/Medicaid Cost Reports and others) as directed by the Reimbursement Manager.
  • Support data mining and analytics of all annual cost reports.
Requirements
  • Bachelor's Degree in Business, Healthcare, or related field (Required)
  • Minimum of three (3) years relevant experience in the healthcare industry
  • Strong knowledge of Medicare and Medicaid reimbursement regulations for hospitals and/or physician payment mechanisms
  • Experience in Medicare/Medicaid Cost Report preparation and review
  • Knowledge of how to research CMS regulations
  • Must demonstrate strong analytical skills and attention to detail
  • Excellent communication and interpersonal skills
  • Strong in Microsoft Office products, primarily Excel, Access, Word, and PowerPoint
Organizational Commitment/Identification
  • Partner in the mission and uphold the core principles of the organization
  • Committed to diversity and recognizes the value of cultural ethnic differences
  • Demonstrate personal and professional integrity
  • Maintain confidentiality at all times
Teamwork/Communication
  • Demonstrate collaborative and respectful behavior
  • Partner with all team members to achieve goals
  • Receptive to others' ideas and opinions
Performance Improvement/Problem-solving
  • Contribute to a positive work environment
  • Demonstrate flexibility and willingness to change
  • Identify opportunities to improve clinical and administrative processes
  • Make appropriate decisions, using sound judgment

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