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University of Missouri Health Care · 7 hours ago

Government Reimbursement Analyst II

Columbia, MO

Full-time

Onsite

Mid Level

$79K/yr - $128K/yr

3+ years exp

University of Missouri Health Care is committed to saving and improving lives through a collaborative environment. The Government Reimbursement Analyst II role involves ensuring accurate Medicare and Medicaid reimbursement processes, addressing compliance issues, and overseeing the appeal process while coordinating audits and mentoring junior analysts.

Health CareHospitalMedical

Responsibilities

Assist in the identification of Medicare and Medicaid reimbursement and compliance issues that should be reported and/or appealed, recommend appropriate outside resources for pursuing appeals, monitor the process to ensure that appeals or exception requests are filed promptly, and follow up to ensure timely resolution

Review, interpret, and implement new or revised regulations that affect reimbursement planning for MU Health Care and its affiliates

Coordinate the Medicare, Medicaid, S-10, and Ground Emergency Medical Transport (GEMT) audits of filed cost reports and Medicaid Disproportionate Share Hospital (DSH) program. Liaison with auditors to provide accurate explanatory information, retrieve and verify data as requested, review audit adjustments, and coordinate necessary responses. Data may include, but is not limited to, financial and patient accounting documents, payroll information, and asset and transaction records

Oversee the maintenance and development of contracting modules. Mentor and train Reimbursement Analysts on the expected payment modeling process in the financial decision support system for Medicare and Tricare by analyzing CMS regulations and Tricare payment methodologies, respectively. Project lead on any decision support contracting upgrades

Participate in the performance of special data accumulations, studies, and projects requested by internal management, CMS, or other external sources, as necessary

Coordinate the annual Medicare cost report, wage index review, and occupational mix survey. Liaison between the hospital and outside vendors

Analyze data trends, identifying opportunities for process improvement, standardization, and automation

Collaborate with internal and external partners to gather information and resolve issues or discrepancies

Develop and maintain relationships with key governmental stakeholders (Federal and State) to facilitate proper governmental reimbursement

May complete unit/department-specific duties as outlined in department documents

Qualification

Medicare reimbursementMedicaid reimbursementCost report preparationData analysisContracting modules developmentMentoringCollaborationCommunication

Required

Bachelor's degree in accounting, business administration or related field, or an equivalent combination of education and experience from which comparable knowledge and abilities can be acquired

Three (3) years of experience in a healthcare reimbursement setting with experience in Medicare and Medicaid cost report preparation and submission

Preferred

Experience in preparing and understanding the following sections of the Medicare and Medicaid cost reports:

DSH (Disproportionate Share Hospital) calculations

Medicare Bad Debt submissions and audits

Wage Index

S-10 reporting for uncompensated care cost and audits

Preparing the Intern and Resident Information System (IRIS) disk. Knowledge with New Innovations is a plus

Benefits

Health, vision and dental insurance coverage starting day one

Generous paid leave and paid time off, including nine holidays

Multiple retirement options, including 100% matching up to 8% and full vesting in three years

Tuition assistance for employees (75%) and immediate family members (50%)

Discounts on cell phone plans, rental cars, gyms, hotels and more

Company

University of Missouri Health Care

As part of the state’s premier academic medical center, University of Missouri Health Care offers a full spectrum of care, ranging from primary care to highly specialized, multidisciplinary treatment for patients with the most severe illnesses and injuries.

Founded in 1839

Columbia, Missouri, USA

5001-10000 employees