Senior Reimbursement Analyst - Texas Health Resources

Texas Health•Arlington, TX

19d•Remote

About The Position

The Senior Reimbursement Analyst coordinates Medicare and Medicaid cost reporting and related reimbursement activities for assigned hospitals. The role prepares and submits cost reports and other required filings, monitors reimbursement-related contractuals and accounts, supports audits and appeals, and provides consulting, financial analysis, and regulatory guidance to facility leadership. The position also manages Medicare and Medicaid enrollment activities, supports wage index and occupational mix submissions, and evaluates the financial impact of changes in regulations and cost reporting instructions. This is a full-time, day-shift position based at Texas Health Corporate in Arlington, Texas. Remote work is allowed at the manager's discretion. The role is an individual contributor and involves sedentary physical demands. The posting describes exposure to various environmental and workplace hazards at 1–33% and indoor work at 67% or more.

Requirements

Bachelor's degree in Accounting.
Seven years of accounting experience.
Two years of cost reporting experience in either a hospital or intermediary setting.

Nice To Haves

Knowledge of Medicare/Medicaid regulations and general accounting principles.

Responsibilities

Coordinate, prepare, and submit timely and accurate Medicare and Medicaid cost reports for assigned hospitals.
Coordinate and submit annual Waiver-related UC Tools.
Monitor Medicare and Medicaid contractuals monthly in relation to cost report filings and maintain accurate cost report-related liability and reserve accounts.
Coordinate Medicare cost report audits, desk reviews, reopenings, and appeals.
Lead and support Medicaid, Disproportionate Share Hospital (DSH), Uncompensated Care (UC), and Worksheet S-10 audits, and assist with financial audits as needed.
Provide reimbursement consulting, financial analysis, and regulatory guidance to facility leadership on Medicare and Medicaid reimbursement matters.
Manage Medicare enrollment activities, including CMS-855A applications for new hospitals, revalidations, and updates to organizational and facility information.
Prepare and submit CHAMPUS/TRICARE medical education and capital reimbursement filings.
Coordinate Medicaid provider enrollments, revalidations, and related program participation requirements.
Perform annual Medicare wage index reviews and support occupational mix survey submissions.
Research, interpret, and communicate Medicare/Medicaid regulatory changes and changes to cost reporting instructions, and assess their financial impact.