Staff Accountant
JLM HR Consulting, LLC
Senior Reimbursement Analyst
McLeod Health
full-time
Posted on:
Origin: • 🇺🇸 United States • South Carolina
Visit company websiteJob Level
Senior
Tech Stack
Invision
About the role
- Maintain a professional image and exhibit excellent customer service to patients, visitors, physicians, and co-workers.
- Assist in the preparation of the Medicare & Medicaid cost reports for all McLeod entities including hospitals, home office, rural health clinics, home health, hospice and other facilities as required.
- Research and interpret regulations for proper compliance; develop and maintain all documentation required to prepare accurate, timely cost reports.
- Prepare work-papers and identify opportunities to improve cost report accuracy and enhance the efficiency and effectiveness of the hospital reimbursement function.
- Assist with the preparation of the SC annual DSH submission and proper 3rd party reserve reporting.
- Prepare and complete the Medicare Bad Debt Log and Medicare DSH Log working with consultants and/or third-party platforms.
- Prepare Medicare wage index information including wages, wage related costs, contract labor and other purchased services.
- Assist the Manager of Reimbursement with square footage/site reviews utilizing AerieHub software.
- Assist with financial compilation and preparation of schedules/analysis required by the annual financial audit.
- Build and maintain relationships with revenue cycle key contacts, 3rd party vendors and CMS/MAC representatives.
- Prepare A/R reserve and third party liability balance sheet reconciliation schedules to support audit balances.
- Respond to Medicare and Medicaid cost report audits under the direction of the Manager of Reimbursement.
- Provide assistance to Hospital Administrators and other parties on Medicare and Medicaid enrollment/licensing requirements, census data and other statistics.
- Responsible for monthly close via the Crowe Revenue Cycle Analytics (RCA) software including maintaining rates, hindsight’s, ZBA’s and reserve calculations.
- Use Lawson general ledger platform for running reports, entering journal entries and monitoring account balances.
- Assist in the preparation of the annual revenue budget using the Kaufman Hall Axiom EPM platform.
- Assist the Administrator of the McLeod GME program with schedules/reports for the annual supplemental teaching program filing.
- Serve as a resource/trainer for the Reimbursement Analyst and perform other duties as requested by the Director of Reimbursement.
- Demonstrate commitment to service, confidentiality, safety standards, teamwork, and exceptional customer service.
Requirements
- Government reimbursement audit experience and/or cost report consulting experience required.
- Experience relating to 3rd party reserves, audit discrepancies, and regulatory filings.
- Knowledge of Medicare/Medicaid laws and regulations; experience in cost report preparation, preferably in an acute care teaching environment.
- Knowledgeable in pulling large amounts of data via information systems technology found within revenue cycle and finance.
- Candidate should be savvy at Medicare and Medicaid cost reporting software.
- Experience with Hospital A/R billing platforms such as Invision, Cerner, EPIC and Crowe RCA.
- Experience with the Kaufman Hall Axiom EPM platform utilized for the annual budget.
- Strong Microsoft Excel knowledge and ability to manage complex data base functionality.
- Ability to juggle multiple assignments with multiple deadlines concurrently.
- Minimum of a Bachelors degree in finance, accounting or related from an accredited school.
- Work Schedule: 80 hours bi-weekly.
