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UHS · 3 weeks ago

Reimbursement Analyst

United States

Full-time

Remote

Mid Level

UHS is a leader in acute care and behavioral health, providing high-quality care to over 3 million patients annually. They are seeking a Program Manager - Reimbursement to oversee Medicare and Medicaid reimbursement functions for multiple hospitals, ensuring compliance and accuracy in financial reporting and consulting services.

Health CareHospitalMedicalPersonal Health

Hiring Manager

Dan Noll

Responsibilities

Support completing Medicare and Medicaid cost report submissions for assigned hospitals or other UHS entities and related desk review and audit activity (including wage index reviews or other Medicare/Medicaid reimbursement activity) for multiple facilities with complex reimbursement environments and that have a high level of financial statement impact

Provide independent on-going hospital reimbursement consulting services (e.g. compliance, billing, financial pro forma analysis) to UHS corporate business office, regional finance and to hospital executive staff and other UHS entities. Independently handles reimbursement projects and assignments

Provide applicable Medicare and Medicaid contractual models, related reimbursement factors and other necessary data. Review these models for compliance and accuracy

Support Medicare graduate medical education (resident) program and related GME/IME reimbursement activity

Completes monthly cost report journal entries (for rate reviews, tentatives and NPRs). Also maintain the exposure log monthly

Participate in the oversight, development and maintenance of Medicaid supplemental payment (SDP and UPL) and state Medicaid DSH programs for assigned facilities

Qualification

Cost reporting applicationsMedicare payment systemsMedicaid supplemental paymentsMicrosoft ExcelHFS cost report softwareAnalytical skillsCommunication skillsInterpersonal skills

Required

Bachelor's degree with a proficient knowledge of cost reporting applications and concepts for short term acute care hospitals

Well versed on Medicare prospective payment systems including Inpatient Acute DRGs, Outpatient APCs, Rehabilitation CMGs and Psychiatric IPF-PPS plus in-depth knowledge of GME/IME payment concepts

Understanding of Medicare statutes, regulations and administrative rules and their related legislative and regulatory processes

Understands Medicaid supplemental payment concepts included related provider taxes and IGT's

Intermediate-to-Advanced level knowledge of Microsoft Excel

Familiarity with Mckesson G/L and Siemens Invision

Proficiency in HFS cost report software (or its equivalent)

Strong analytical, communication, and interpersonal skills