SR Reimbursement Analyst

Methodist Health System•Dallas, TX

About The Position

The Senior Reimbursement (Medicare) Analyst assists Methodist Health System leaders with governmental accounting and reimbursement reporting. The role supports preparation and timely filing of Medicare and Medicaid cost reports, related applications and statements, and assistance with audits, amended reports, reopenings, and wage index reviews. It also monitors changes in federal and state regulations and evaluates their impact on program payments and accounting.

Requirements

Four-year college degree in accounting, with demonstrated knowledge of accounting theory, particularly financial systems, financial analysis techniques, and managerial accounting.
Extensive knowledge of governmental programs, including Medicare and Medicaid.
Good written and oral communication skills.
Good interpersonal skills.
Ability to manage time and meet concurrent deadlines.
Ability to maintain and exhibit professionalism.
Advanced Excel skills.
Four years of experience in a hospital or intermediary setting.

Nice To Haves

Graduate degree in relevant healthcare or business studies.
CPA.
Experience using HFS software.

Responsibilities

Assist with preparing and timely filing annual hospital Medicare and Medicaid cost reports and the home office cost statement in accordance with applicable federal and state regulations and policies.
Assist with amended reports, reopened reports, Medicare and Medicaid settlement audits, and wage index reviews.
Prepare and timely file required Champus reports for all hospitals after annual Medicare cost reports to obtain payment for capital and medical education costs.
Prepare and timely file Medicaid UC/DSH applications and reconciliations for each hospital under State of Texas guidelines.
Prepare and timely file required Trauma applications for each trauma-designated hospital according to state guidelines.
Prepare departmental components of the annual Community Benefits and AHA Surveys and submit them to the hospital liaison for timely filing.
Provide information for special projects as requested by the Director of Reimbursement and Manager of Regulatory Compliance.
Keep informed about changing Medicare and Medicaid regulations and cost-reporting instructions.
Monitor state and federal regulations related to State Directed Programs and 1115 Waiver Programs.
Analyze the impact of regulatory changes on system program payments.
Prepare monthly accounting entries and annual settlement analyses and entries for Medicaid Supplemental Programs, along with related accounting reconciliations.