[Remote] SR REIMBURSEMENT ANALYST / REMOTE / Medicare Medicaid Cost Reports

Note: The job is a remote job and is open to candidates in USA. Premier Health Partners is seeking a Sr. Reimbursement Analyst to handle Medicare and Medicaid cost reports. The role involves collecting and analyzing data, preparing various cost reports, and ensuring compliance with federal and state regulations.ResponsibilitiesCollects, analyzes all underlying data and prepares supporting documentation for:The Medicare cost report Worksheet S-10. Reviews outside consultant logs and schedules. Reviews audit adjustments for accuracyThe Medicare cost report Medicaid DSH eligibility. Prepares additional provider research files and reviews outside consultant logsThe Medicare cost reports Traditional Medicare Bad Debt and Dual Eligible logsThe Medicare cost report Wage Index. Reviews audit adjustments for accuracyPrepares the calculation of accounts receivable and third-party reserves including the timely submission of the monthly journal entry along with additional analyses as neededCollects and analyzes all underlying data and prepares the Medicaid pending conversion calculationsPrepares 340 B trial balances for inclusion with the annual HRSA submissionsPrepares Medicare gain/loss analysis for Schedule H of Form 990Assists in the annual net revenue budget and three-year forecasting process. Research and completion of all governmental modeling is the primary focusAssists with the preparation of E&Y audit workpapersReviews CMS/MAC rate reviews and audit adjustments for accuracyPrepares amended Medicare and Medicaid cost reports and Tricare capital and direct medical education reports and supporting schedules as neededReviews tentative cost report settlements and final cost report settlements including audit adjustments for accuracyPrepares Medicare and Medicaid reimbursement factors and reimbursement calculators for Inpatient, Outpatient, Psych, and RehabCollects and analyzes all underlying data in conjunction with the Rehab Unit and prepares the submission for the Inpatient Rehab Unit 75% compliance report for exemption from the Inpatient Prospective Payment SystemCollects and analyzes all underlying data, prepares all supporting documentation, and submits in a timely and accurate manner the Medicare occupational mix surveys. Reviews audit adjustments for accuracyPrepares HCAP logs and obtains supporting documentation for independent consultant review. Also, prepares the matching data in the formats used for the Medicaid cost reportPrepares Myers & Stauffer logs for the federal DSH audits that match the Medicaid cost report in the required format in a timely and accurate mannerSubmits documentation for the Kentucky Workers’ Compensation Hospital Fee Schedule cost-to-charge ratio calculationCollects all underlying data, prepares detail and summary invoices, and payment reconciliations for the Montgomery County Indigent Ill Levy submissionsActs as a liaison between Reimbursement and the report writing team to assist in regulatory data revisionsPrepares detailed analysis of regulatory changes to determine the reimbursement impact to PHPEnsures compliance with Federal and State laws when using PHP provider numbers, including Provider Based Status rulesMaintains current working knowledge of Medicare, Medicaid, and other regulations. Assists in providing education with Federal rules and regulationsSkillsBachelor's Degree in Business Administration majoring in Accounting, Finance or related business field required3-5 years of job-related experience requiredHospital reimbursement required, including Medicare and Medicaid cost report experience requiredCurrent working knowledge of the financial statement process, running ad-hoc patient financial system and/or general ledger financial reports, and strong financial skills requiredExperience in Medicare medical education reimbursement (IME/DGME) and Medicare provider enrollment system (PECOS)Company OverviewPremier Health Partners is a partner of Catholic Health Initiatives at their Good Samaritan facilities. It was founded in 1995, and is headquartered in Columbia, South Carolina, USA, with a workforce of 10001+ employees. Its website is http://www.premierhealth.com.