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Senior Reimbursement Analyst jobs in United States
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Akron Children's · 1 day ago

Senior Reimbursement Analyst

Akron Children's Hospital is seeking a Senior Reimbursement Analyst responsible for higher-level reimbursement tasks and assisting the Director with financial needs of the health system. The role involves maintaining knowledge of Medicare and Medicaid regulations, coordinating cost reports, and supporting financial statement preparation.
Health Care

Responsibilities

Maintains current knowledge base of Medicare Regulations and changing report requirements; coordinates the completion of the Medicare and Medicaid Cost Reports; works with Medicare Fiscal intermediary and Medicaid auditors on Interim Settlements, final cost report settlements, Rate Reviews & Re-openings
Maintains current knowledge base of CHGME Regulations and report requirements; Coordinates the completion of all CHGME reports; maintains registration of all federal databases
Maintains current knowledge base of HCAP, UPL, Franchise Fees, Enhanced Reimbursement and other reimbursement programs established by the State of Ohio and all other government programs
Participates in the review of the monthly and annual financial statement preparation related to net revenue and supports annual public accounting audit of same
Develops and maintains CSA models and their application as part of the monthly financial statement preparation
Interacts with internal and external data sources; performs additional report maintenance
Maintains current knowledge base of IRS Community Benefit Regulations; Work with External Affairs Department to maintain current Community Benefit Program; insure an accurate and timely filing of the IRS 990H and Children's Community Benefit Report
Maintains current knowledge base of Medicaid & CMS regulations pertaining to Meaningful Use attestation; coordinates all processes to insure timely completion of MPIP attestation submissions
Other duties as required

Qualification

Medicare/Medicaid regulationsHealthcare accountingHealthcare reimbursementMS Office proficiencyERP softwareAnalytical skillsInterpersonal skills

Required

Experience in Medicare/Medicaid regulations and cost report preparation is required of at least 3 to 5 years
Experience in healthcare accounting is required
Experience in healthcare reimbursement is required
Experience working with all levels within an organization is required
Proficiency in MS Office [Outlook, Excel, Word] or similar software is required
Enterprise Resource Planning (ERP) software is required
Education: Bachelor's degree in Accounting is required

Preferred

Advanced degree preferred
Years of relevant experience: 5 to 7 years is preferred

Company

Akron Children's

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More Than a Job. It’s loving what you do - and why you do it. Akron Children’s Hospital is ranked among the best pediatric hospitals by U.S.

Funding

Current Stage
Late Stage
Total Funding
$3.2M
Key Investors
Youngstown FoundationKeyBankNational Institute of Nursing Research
2024-12-12Grant· $0.1M
2024-01-24Grant· $0.75M
2023-04-05Grant· $1.3M

Leadership Team

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Lisa Aurilio
Chief Operating Officer
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Recent News

Business Journal Daily | The Youngstown Publishing Company
Business Journal Daily | The Youngstown Publishing Company
Company data provided by crunchbase