Comrise · 1 week ago
Financial Analyst (Healthcare Reimbursement)
Comrise is seeking a Financial Analyst to work with the Financial Services team in supporting healthcare reimbursement processes. The role involves preparing Medicare DSH claims and conducting analyses for cost report filings, as well as assisting with audits and documentation for reimbursement calculations.
Responsibilities
Medicare DSH Reimbursement
Accumulate Medicaid eligible days for the Disproportionate Share Reimbursement Calculation on the Filed Cost Report
Assist in supporting all DSH Audits
Completing Appeal Package for DSH related appeals
Performing Medicaid eligibility rematches as needed on a hospital by hospital basis
Compile all documentation to support the DSH related protest calculations on the filed cost report
Complete S-10 Charity/Uninsured Analysis for the filed cost report based upon the current regulations, by performing the steps in the Access model as required
Complete the Bad Debt GL Reconciliation between S-10 and the hospital’s general ledger
Assist with supporting all S-10 audits
Compile the 1115 waiver protest days for the states in which this protest applies
Assist the Financial Services team with supporting the Dodeca tools used by the reimbursement stafff
Compile the CR statistics Dodeca tool for each hospital
Performs other duties as assigned
Qualification
Required
Bachelor's degree in finance, accounting, or related field
5 years of experience in healthcare reimbursement, demonstrating a working understanding of Medicare regulations and reimbursement principles
Highly proficient in Microsoft Office (strong analytical skills using Excel and Access – using tables, queries, and forms) with the ability to efficiently process and interpret significant amount of patient related data
Knowledge of patient accounting systems
Must have an expert command of Microsoft Office (tables, queries, and forms) and the ability to interpret large volumes of patient-related data
Must have strong knowledge of Medicare third-party billing, reimbursement, and regulatory compliance