Analyst, Reimbursement III
About The Position
HealthPartners is hiring a Reimbursement Analyst III. The Reimbursement Analyst III is responsible for the preparation of hospital, hospice, home health agency, home office and skilled nursing facility cost reports, support for annual external audit related to net revenue valuation, net accounts receivable valuation, and pay or settlement liabilities. This position is also responsible for maintaining decision support system reimbursement modeling and auditing of same to ensure that calculated net revenues reasonably match actual payments. Other special analysis related to patient services, government regulatory issues and general accounting as assigned.
Requirements
- Preparation of hospital, hospice, home health agency, home office and skilled nursing facility cost reports
- Support for annual external audit related to net revenue valuation, net accounts receivable valuation, and pay or settlement liabilities
- Maintaining decision support system reimbursement modeling and auditing of same to ensure that calculated net revenues reasonably match actual payments
- Other special analysis related to patient services, government regulatory issues and general accounting as assigned
Responsibilities
- Monthly analysis and valuation of net patient services revenue
- Interim updating of Medicare and third party settlement liabilities
- Quarterly evaluation of net patient accounts receivable and adjustments
- External Audit resource for documentation needed to audit net patient revenue and net patient accounts receivable valuation
- Prepare cost reports for Regions and HealthPartners affiliates
- Assist the Reimbursement Manager with Medicare audit support as needed
- Assist the Reimbursement Manager with the preparation of Medicare appeal
- Documentation and position paper preparation as needed
- Modeling of Net Revenue Reimbursement for Medicare & Medicaid
- Auditing of Decision Support System reimbursement and costing
- Analysis of regulatory and program changes using decision support system
- Filing of annual Department of Health Hospital Annual Report based on existing State of Minnesota regulations
- Filing of annual Department of Health Medical Education and Research Cost grant application based on existing State of Minnesota regulations
- Completion of trade association survey data related to patient services revenue and statistical data available from regular analytical records
- Preparation of assumption driven inpatient and outpatient gross revenue, contractual allowance and net patient services revenue budget based on historical data and business volume changes as communicated by management direction
- Prepare analysis for mid year forecasting of net revenue
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
