Regulatory and Reimbursement Coordinator

Mercy Health System Corporation•Janesville, WI

2d•Onsite

About The Position

This position is responsible for the coordination of Medicare and other governmental payment policies, compliance, and reporting for all hospital and clinic entities across the Mercy Health System. The role involves analyzing internal and external data, performing research on Medicare and governmental payer rules, and managing data support for annual Medicare/Medicaid/BlueCross cost report submissions to ensure accurate reimbursements. The coordinator will work with external consultants and governmental auditors, prepare budgets for multiple entities, and respond to budget-related inquiries. Additionally, the position involves preparing pro forma financial analyses for new or changed services and analyzing complex financial processes to recommend improvements.

Requirements

Bachelor's degree in accounting from a four-year college or university or a master's degree in a related field.
Five to ten years of experience, with four of those years in health care finance.
High level of Medicare experience, including preparation of Medicare/Medicaid cost reports.
Experience in accounting and budgeting of patient revenue.
Knowledge of Medicare Medicaid regulations.
Experience in the analysis, modeling, and reporting of other third-party payers.
Computer experience.
Strong accuracy.
Excellent interpretive/analytical skills.
Ability to use computer, keyboard, and other office equipment.
Ability to occasionally lift and/or move up to 25 pounds.
Specific vision abilities required: close vision, color vision, and ability to adjust focus.

Nice To Haves

Experience working under tight deadlines.

Responsibilities

Coordination of Medicare and other governmental payment policies, compliance, and reporting for all hospital and clinic entities.
Analysis of internal and external data and information requests.
Research relative to Medicare and other governmental payer rules and regulations.
Management and provision of data support for the annual Medicare/Medicaid/BlueCross cost report submission.
Working with external consultants and governmental auditors to provide supporting information.
Working with outside consultants to complete accurate tax-related documents.
Preparation of budgets for multiple entities.
Responding to questions from managers on budget issues and complex projects.
Preparation of pro forma financial analyses of new or changed services.
Analysis of complex financial processes and recommendation of opportunities to improve system financial performance.
Performing other duties as assigned.