Sr Reimbursement Analyst

Overview

This is a 100% remote work-from-home position.

Premier Health is seeking a Senior Reimbursement Analyst with a passion for financial accuracy and a drive to make a meaningful impact in the healthcare sector. Premier Health is a well-regarded employer with a track record of supporting employee growth and a collaborative workplace focused on delivering exceptional care to the community. This role offers the opportunity to enhance your skills, work on challenging projects, and contribute to our mission.

• Prepare Medicare and Medicaid cost reports and Tricare capital and direct medical education reports.
• Collect and analyze data for government cost report schedules, including but not limited to Medicare cost report Worksheet S-10, Medicaid DSH eligibility, Medicare bad debt, and wage index.
• Collaborate with external auditors to validate financial statement information and third-party cost reports.
• Calculate monthly accounts receivable and third-party reserves, including submission of monthly journal entries.
• Assist in annual net revenue budgeting and three-year forecasting processes.
• Review CMS/MAC rate reviews and cost report settlements.
• Prepare and submit reports, logs, and documentation for federal and state compliance requirements.
• Prepare detailed reimbursement impact analyses.
• Act as liaison between Reimbursement and the IT report writing teams.
• Maintain up-to-date knowledge of Medicare, Medicaid, and other regulations, and promote PHP's financial stability.

• Bachelor’s Degree in Accounting, Business Administration, Finance, or related field.
• 3-5 years of job-related experience in hospital reimbursement, including Medicare and Medicaid cost report experience.
• Preferred experience in Medicare medical education reimbursement (IME/DGME).
• Current working knowledge of the financial statement process, ad-hoc patient financial system and/or general ledger financial reports, and strong financial skills.
• Expertise in Windows, Microsoft Excel, Microsoft Word, and HFS.
• Strong written and verbal communication skills.
• Ability to prioritize and manage multiple projects simultaneously.
• Proactive and independent work style, with the ability to also work effectively in a team.
• Compliance with the organization’s policies and regulatory standards.

• Remote – flexible working arrangements
• Comprehensive health, vision, and dental insurance
• Generous Time-Off-Program (TOP) paid vacation and holiday schedule
• Professional development and continuing education opportunities
• Employee wellness programs
• Retirement plan options – 401(k) and pension

• Collects and analyzes data, prepares supporting documentation, and submits government cost report schedules including Medicare and Medicaid cost reports and Tricare capital and direct medical education reports; requires knowledge of IME and DGME reimbursement.
• Prepare supporting documentation for the Medicare cost report Worksheet S-10, review outside consultant logs, and review audit adjustments.
• Prepare and analyze Medicare cost reports, Medicaid DSH eligibility, and related employer research files; review logs.
• Prepare and review Traditional Medicare Bad Debt and Dual Eligible logs and Wage Index, including review of audit adjustments for accuracy.
• Compute accounts receivable and third-party reserves, including timely journal entries and additional analyses as needed.
• Prepare the Medicaid pending conversion calculations and 340B trial balances for HRSA submissions.
• Prepare Medicare gain/loss analysis for Schedule H of Form 990.
• Assist in the annual net revenue budget and three-year forecasting; conduct governmental modeling as needed.
• Assist with E&Y audit work papers; review CMS/MAC rate reviews and audit adjustments for accuracy.
• Prepare amended Medicare and Medicaid cost reports and related schedules as needed; review tentative and final cost report settlements.
• Prepare Medicare and Medicaid reimbursement factors and calculators for Inpatient, Outpatient, Psychiatric, and Rehab services.
• Coordinate data for inpatient rehab unit reports and compliance submissions; handle related audit adjustments for accuracy.
• Prepare occupational mix…