Reimbursement Consultant

SAINT LUKE's CONSTRUCTION LIMITEDKansas City, MO
171d

About The Position

This position will serve as an internal consultant specializing in governmental reimbursement programs applicable to Saint Luke's Health System. This individual must demonstrate knowledge and understanding of high impact reimbursement topics including, but not limited to, PPS hospitals, critical access hospitals, disproportionate share and uncompensated care, graduate medical education, organ transplants, wage index, bad debts, and state Medicaid provider tax programs.

Requirements

  • Bachelor's degree in accounting
  • 3 years of experience in hospital reimbursement
  • Experience with government audit, reimbursement consulting, or public accounting will be considered relevant.

Responsibilities

  • Timely and accurate completion of the annual Medicare, Medicaid, and Tricare cost reports assigned, including the preparation and self-review of high quality supporting workpapers.
  • Responds to cost report audit inquiries and clearly articulate defensible positions utilizing the appropriate federal and state regulations.
  • Prepares state Medicaid disproportionate share surveys as assigned and serves as the primary point of contact throughout the associated audit process.
  • Works with outside consultants as needed to ensure the efficient flow of information and timely project completion.
  • Maintains federal and state provider enrollment records.
  • Performs review and analysis to identify reimbursement opportunities and evaluate the impact of regulatory changes.
  • Works with large sets of data from multiple sources to prepare support for regulatory filings and to complete analysis.

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Industry

Hospitals

Education Level

Bachelor's degree

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