Regulatory & Reimbursement Coordinator

Mercyhealth Wisconsin and Illinois•Remote-Illinois, IL

3d•$76,061 - $117,895•Remote

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 governmental payer rules and regulations, and managing data support for annual 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, analyzing complex financial processes, and recommending improvements to enhance system financial performance. The role requires working under tight deadlines and performing other assigned duties.

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 at least four 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

Some independent judgment is required, but alternatives are limited by standard practices or procedures.

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.
Collaboration with external consultants and governmental auditors.
Preparation of budgets for multiple entities and responding to related questions.
Preparation of pro forma financial analyses of new or changed services.
Analysis of complex financial processes and recommendation of improvements.
Performing other duties as assigned.