Reimbursement Specialist - Medicare & Medicaid Specialty Programs

Phoebe Putney Health System•Albany, GA

5d•Onsite

About The Position

Description: Responsible for all reimbursement issues and reporting any changes in reimbursement regulations. Must be able to prepare supporting documentation and worksheets to support the preparation and completion of the Medicare and Medicaid Cost Reports. Must stay abreast of current Medicare /Medicaid regulation changes and incorporate those into the Cost Reporting. Responsible for providing assistance to related departments regarding reimbursement-related issues. Qualifications Bachelor’s degree in accounting, business administration or closely related field. Required Bachelor’s degree in accounting, business administration or closely related field. Preferred Work Experience 3 or more years of Hospital reimbursement or accounting experience. Required 1 or more years of experience with preparing hospital cost reports. Preferred Licenses and Certifications Certified Public Accountant (CPA) Preferred Essential Functions Ensures all cost reports (Medicare, Medicaid, TRICARE, etc. al) are completed accurately and that corresponding revenue is maximized from both a reporting and programmatic perspective. Supplies supporting documentation for cost report during audit. Keeps knowledge current on all Medicare and Medicaid regulations and identifies and implements processes to comply with rules and regulations as well as maximizing revenue from such programs. Analyzes impact of changes to Medicare / Medicaid reimbursement regulations and reports estimates to upper management. Understands and assists in organizational compliance with all ICTF, DSH, 340b rules and regulations while maximizing organizational revenue from these programs Coordinates the entire ICTF process. Determines ICTF intergovernmental transfer amount and coordinates appropriate filings for receipt of funds. Prepares annual hospital financial survey. Knowledge base, in regulatory reimbursement/accounting, utilized to analyze and develop financial data for profitability studies, budgeted deductions, and other data analysis. Accurately and timely completes requests for reimbursement information from both internal and external customers. Works with individual departments to maximize Medicare/Medicaid reimbursement. Accurately computes and analyzes budgeted deductions from revenue. Completes month-end and year-end reimbursement journal entries. Provides assistance in analyzing managed care contracts. Completes and files government payor provider applications. Completes and files government payor provider applications. All Career Site links will be transferred to new URLs on January 31st, increasing performance and enhancing security. Your application data will be saved, but any bookmarked links will need to be replaced. All candidates with active applications will receive a notification with the new link once the URLs are live. Thank you for your patience! Phoebe Putney Health System is southwest Georgia’s preferred career choice for professionals who want to improve the community’s health by joining a respected, cutting-edge team. We offer you the opportunity to collaborate with the best colleagues in a friendly, close-knit setting that feels like family. Your career at Phoebe will allow you to apply learned skills, explore new paths and advance into greater opportunities. There's more for you at Phoebe. Phoebe is simply the best, most advanced healthcare provider in the region. If you want to work in the medical field, we are the preferred choice, with the best technology, the most specialists and the area’s top talent. If you are searching for a non-clinical career that allows you to serve the community and grow, you’ll also find us ideal. We’re one of the area’s premier employers, offering a close-knit culture, outstanding benefits and many ways to develop your career.

Requirements

Bachelor’s degree in accounting, business administration or closely related field.
3 or more years of Hospital reimbursement or accounting experience.

Nice To Haves

Bachelor’s degree in accounting, business administration or closely related field.
1 or more years of experience with preparing hospital cost reports.
Certified Public Accountant (CPA)

Responsibilities

Responsible for all reimbursement issues and reporting any changes in reimbursement regulations.
Prepare supporting documentation and worksheets to support the preparation and completion of the Medicare and Medicaid Cost Reports.
Stay abreast of current Medicare /Medicaid regulation changes and incorporate those into the Cost Reporting.
Responsible for providing assistance to related departments regarding reimbursement-related issues.
Ensures all cost reports (Medicare, Medicaid, TRICARE, etc. al) are completed accurately and that corresponding revenue is maximized from both a reporting and programmatic perspective.
Supplies supporting documentation for cost report during audit.
Keeps knowledge current on all Medicare and Medicaid regulations and identifies and implements processes to comply with rules and regulations as well as maximizing revenue from such programs.
Analyzes impact of changes to Medicare / Medicaid reimbursement regulations and reports estimates to upper management.
Understands and assists in organizational compliance with all ICTF, DSH, 340b rules and regulations while maximizing organizational revenue from these programs
Coordinates the entire ICTF process.
Determines ICTF intergovernmental transfer amount and coordinates appropriate filings for receipt of funds.
Prepares annual hospital financial survey.
Knowledge base, in regulatory reimbursement/accounting, utilized to analyze and develop financial data for profitability studies, budgeted deductions, and other data analysis.
Accurately and timely completes requests for reimbursement information from both internal and external customers.
Works with individual departments to maximize Medicare/Medicaid reimbursement.
Accurately computes and analyzes budgeted deductions from revenue.
Completes month-end and year-end reimbursement journal entries.
Provides assistance in analyzing managed care contracts.
Completes and files government payor provider applications.
Completes and files government payor provider applications.