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Memorial Healthcare System · 3 weeks ago

Senior Reimbursement Analyst

Hollywood, FL

Full-time

Onsite

Senior Level

5+ years exp

Memorial Healthcare System is focused on financial sustainability and regulatory compliance, and they are seeking a Senior Reimbursement Analyst to support these efforts. The role involves preparing and analyzing Medicare and Medicaid cost reports, ensuring accuracy in regulatory submissions, and analyzing financial impacts of regulatory changes.

Health Care

Hiring Manager

Marlin Decembert, RACS

Responsibilities

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

Qualification

Medicare regulationsMedicaid regulationsCost Reporting SoftwareFinancial analysisMicrosoft OfficeDecisive judgmentAnalytical skillsEpicWorkdayFlorida MedicaidCritical thinkingEffective communicationCollaboration

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

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