Senior Reimbursement Analyst
OhioHealth
full-time
Posted on:
Location Type: Hybrid
Location: Ohio • United States
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Job Level
About the role
- Prepare, review and file the Medicare and Medicaid cost reports for all OhioHealth entities.
- Ensure the appropriate governmental Medicare and Medicaid reimbursement that is received for all of OhioHealth’s entities.
- Proactive calculations and modeling of new regulatory changes and impacts as well as variance analysis of third-party liability accounts.
- Provide supporting work papers and documentation for third-party inquiries.
- Supervisory oversight of the Reimbursement Analyst daily work schedule including flow of information, teaching of reimbursement fundamentals and principals, review of work and setting daily priorities.
- Support and work with the Sr. Reimbursement Consultant, Reimbursement Advisor and Manager of Reimbursement as needed on projects and processes.
- Learn to become a subject matter expert over time in S-10, Wage Index, Bad Debts, Medicare Audits, Disproportionate Share, Indirect Medical Education, Graduate Medical Education, and Governmental Logs (HCAP, UPL and Franchise Fee programs in Ohio).
- Engage in ongoing learning of Medicare and Medicaid cost reporting and reimbursement regulatory requirements, both federal and state.
- Extensive interpersonal skills in communicating with all reimbursement department levels and outside departmental contacts at OhioHealth.
- Function in a heavily matrixed environment requiring strong prioritization, communication and planning skills.
- Reports directly to the Manager of Reimbursement and also to the Sr. Reimbursement Consultant, Reimbursement Advisor and Director of Revenue Reimbursement.
Requirements
- Bachelor's Degree: Finance (Required)
- BS or BA in Accounting or Finance.
- Hospital and/or healthcare industry experience.
- Understanding of the CMS prospective payment system and State of Ohio regulations.
- Minimum of 2 years’ experience in the healthcare industry.
- Strong team development and delegations skills.
- Excellent communication and presentation skills.
- CPA, MHA or MBA (Specialized Knowledge).
- Experience with Medicare/Medicaid cost reporting 2-4 years as a Reimbursement Analyst or similar position(s).
Benefits
- Health insurance
- 401(k) matching
- Flexible work hours
- Paid time off
- Professional development opportunities
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Medicare cost reportingMedicaid cost reportingvariance analysisregulatory changes modelingfinancial calculationsS-10Wage IndexBad DebtsMedicare AuditsGraduate Medical Education
Soft Skills
interpersonal skillscommunication skillsplanning skillsprioritization skillsteam development skillsdelegation skillssupervisory skillsteaching skillspresentation skills
Certifications
CPAMHAMBA