Senior Reimbursement Analyst - Texas Health Resources

Texas Health Resources•Arlington, TX

20d•Remote

About The Position

The Senior Reimbursement Analyst coordinates Medicare and Medicaid reimbursement activities for assigned hospitals. The role prepares and submits cost reports, monitors related contractuals and accounts, coordinates audits and appeals, and provides reimbursement consulting and financial analysis to facility leadership. It also manages Medicare and Medicaid enrollment activities, prepares CHAMPUS/TRICARE reimbursement filings, supports wage index and occupational mix submissions, and researches regulatory and cost-reporting changes and their financial impact. 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 position is an individual contributor role.

Requirements

Bachelor’s degree in Accounting.
Seven years of accounting experience.
Knowledge of Medicare/Medicaid regulations and general accounting principles.

Nice To Haves

Two years of cost-reporting experience in either a hospital or intermediary setting.

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 and cost-reporting instruction changes and assess their financial impact.