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Trilogy Health Services, LLC · 3 days ago

Senior Financial Reimbursement

Louisville, KY

Full-time

Onsite

Mid, Senior Level

3+ years exp

Trilogy Health Services, LLC is seeking a Senior Financial/Reimbursement Analyst responsible for the preparation of Medicaid/Medicare cost reports and analyses. The role involves ensuring accuracy and maximization of reimbursement while coordinating audits and training others in reimbursement tasks.

Assisted LivingHealth CareNursing and Residential CareRehabilitation

Growth Opportunities

Hiring Manager

Lauren Becher Mitchell

Responsibilities

Prepares annual Medicare and Medicaid cost reports

Communicates directly with accounting firms to supply Medicare and Medicaid cost report data by completing all necessary schedules and analysis utilizing Oracle, Matrix Care, and ADP

Maintains electronic files of all data used in preparation of cost reports for audit purposes

Prepares Medicare and Medicaid interim rate reviews as necessary

Reviews rate calculations for accuracy and maximization of revenue

Coordinates audits of cost reports and responds to proposed audit adjustments

Prepares appeals of audit adjustments and rates as necessary

Reconciles all reimbursement settlement accounts

Prepares and reviews monthly revenue accruals and or contractual bookings

Assists AVP in development of policies, procedures, reports and other tools to improve work product

Participates in budgeting for Medicare/Medicaid rates

Prepares journal entries, financial or statistical analyses, reconciliations, or research activities

Researches and stays current on third party rules and regulations

Trains others as needed in all core reimbursement tasks and oversees the day to day of workflow to ensure the most efficient use of time and resources

Other duties as assigned

Qualification

Medicaid cost reportsMedicare cost reportsOracleFinancial analysisReimbursement policiesTraining others

Required

Bachelor Degree

3-5 years of experience

Sitting, standing, bending, reaching, stretching, stooping, walking, and moving intermittently during working hours

Must be able to lift at least 50lbs

Must be able to maintain verbal and written communication with co-workers, supervisors, residents, family members, visitors, vendors, and all business associates outside of the health campus