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Reimbursement Analyst I
4 months ago
CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the . from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four . residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.
Responsibilities
Position Summary:
The Reimbursement Analyst is responsible for providing cost report preparation, cost report appeals, audit preparation and other duties related to the regulatory reimbursement services of Dignity Health. The position maintains current knowledge of Medicare, Medicaid and other State and Federal regulations. The Reimbursement Analyst interacts with customers and ensures value is delivered and customer satisfaction is achieved. The Reimbursement Analyst also assists in the improvement of internal business processes and meeting future reimbursement service needs.
The Reimbursement Analyst carries out his/her duties by adhering to the highest standards of ethical and moral conduct, acts in the best interest of Dignity Health and fully supports Dignity Health’s Mission, Philosophy and core values of Collaboration, Dignity, Excellence, Justice, and Stewardship. The Reimbursement Analyst reports to the Reimbursement Managers and/or Directors.
Accountabilities:
Required Technical Competencies:
Medicare Medicare Regulatory Reporting Medicaid (Medi-Cal) Medicaid (Medi-Cal) Regulatory Reporting Accounts Receivable and Cash Collection Capital and Fixed Assets Reimbursement – Monthly Analysis Process Decision Support General AccountingQualifications
Minimum Qualifications:
Minimum of one (1) years of experience with all aspects of Medicare and Medicaid (Medi-Cal) regulations monitoring and report processes required Experience as hospital Reimbursement staff or auditing experiences with Fiscal Intermediary required Minimum of one (1) years of experience and excellent working knowledge of general accounting, government reimbursement, appeals and audits in a complex organization, and maintaining relationships with internal and external entities such as general accounting, patient accounting, and fiscal intermediaries required Experience and knowledge of current reimbursement regulations and applications in a complex healthcare environment required Bachelor’s degree in Business Administration, Accounting or equivalent work experience required