Reimbursement Analyst Senior

Assist the Director of Reimbursement in ensuring appropriate reimbursement from all government payor sources, preparing required governmental reimbursement reporting, including cost reports and HCAP reporting, and analyzing data for preparation of monthly third party A/R payor estimates.  

Assist in the preparation of the Medicare, Medicaid, and Tri-Care annual cost reports

 

Accumulate and analyze patient related information for annual HCAP reporting

 

Assist in the tracking, billing, and reporting of the Interns and Residents associated with Graduate Medical Education (GME) 

 

Prepare month-end estimates related to third party A/R balances

 

Analyze impact of changes to the government payor regulations

 

Provide reimbursement and regulatory updates to Executive team

 

Assist in the Budget process and determination of budgeted Net Patient Revenue

 

Coordinate and communicate with external regulatory agencies including cost report audit resolution

 

Assist Director of Reimbursement in development of department policies and procedures

KNOWLEDGE AND SKILLS:

Please describe any specialized knowledge or skills, which are REQUIRED to perform the position duties.  Do not personalize the job description, credentials, or knowledge and skills based on the current associate.  List any special education required for this position.

 

EDUCATION: Bachelor’s degree in Business Administration or Finance

          

YEARS OF EXPERIENCE: 5-8 years experience in Hospital reimbursement and possess extensive knowledge of Medicare and Ohio Medicaid reimbursement rules and regulations

          

REQUIRED SKILLS AND KNOWLEDGE: Excel, Word, Access, Medicare cost report software

 

 

LICENSES & CERTIFICATIONS:

CPA preferred

For more than 130 years, The Christ Hospital been the beacon for exceptional healthcare in the Greater Cincinnati community. We're industry pioneers, always pushing the boundaries and reimagining the future of healthcare.

Our culture promotes collaboration, diversity and innovation. Together, as a team, we work tirelessly to enhance healthcare quality, accessibility and safety.