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The Senior Reimbursement Analyst plays a key role in supporting the financial sustainability and regulatory compliance of Memorial Healthcare System through expert preparation and analysis of Medicare and Medicaid cost reports, and other governmental filings. This position is responsible for ensuring the accuracy and timeliness of complex regulatory submissions, analyzing the financial impact of state and federal regulatory changes, and supporting audits and strategic reimbursement initiatives.
Job Responsibility:
Extracts required data from MHS systems and prepares schedules supporting reimbursement activities
Participate in the monthly close and annual financial statement preparation related to net revenue and supports annual accounting audit of same
Function as primary backup to the Directors in the monthly close process
Compile data for Medicaid DSH and Low Income Pool (LIP) supporting schedules
Other duties, as assigned
Obtaining supporting materials from other MHS departments and external sources
Maintains registration for access to all state and federal databases
Participate in the preparation of the annual Medicare, Medicaid and Champus cost reports
Compile data and supporting schedules for the cost reports
Monitor and maintain various cost report statistics such as time studies, meal count and square footage
Provide key information to other MHS departments to enable business support systems to operate properly
Support department leadership with both external and internal reporting needs
Maintains roll forward schedule of third-party settlement balances and their application as part of the monthly close process and annual financial audit
Requirements:
Bachelors (Required)
Minimum of five (5) years of progressively responsible experience overseeing reimbursement operations, audit, or consulting projects related to reimbursement
Bachelor's degree in Accounting, Finance, Business Administration, or related field required
Essential to have thorough knowledge of Medicare, Medicaid and Champus rules and regulations and third party audit techniques
Strong command of regulatory reporting requirements
Proficient in Microsoft Office products and Cost Reporting Software
Exceptional analytical skills
Ability to collaborate across departments to drive operational excellence and maximize reimbursement opportunities
Requires critical thinking skills, effective communication skills, decisive judgment and the ability to work with minimal supervision
Must be able to work in a stressful environment and take appropriate timely action
Nice to have:
Knowledge of Hospital systems (Epic, Workday) preferred
Experience with Florida Medicaid and supplemental programs is highly desirable