SR Reimbursement Analyst

Methodist Health System•Dallas, TX

About The Position

The Senior Reimbursement Analyst assists the Manager of Regulatory Compliance, Manager of Governmental Accounting, Director of Government Programs, and Vice President/Controller with governmental accounting reporting for Methodist Health System. The role supports Medicare and Medicaid cost reporting, reimbursement applications and reconciliations, regulatory monitoring, analysis of payment impacts, and related accounting entries.

Requirements

Four-year college accounting degree 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.
Working knowledge of hospital Medicare reimbursement areas, including Wage Index, Medical Education, Organ Transplant, 10, Medicare and Medicaid DSH, Charity Care, and Bad Debts.

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/Medicaid cost reports and the home office cost statement in accordance with applicable federal and state regulations and policies.
Assist with amended and reopened reports, Medicare/Medicaid settlement audits, and wage index reviews.
Prepare and timely file required Champus reports for all hospitals after completion of annual hospital 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 in accordance with 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.
Monitor changes to Medicare and Medicaid regulations and cost-reporting instructions.
Monitor state and federal regulations related to State Directed Programs and 1115 Waiver Programs.
Analyze the effects of regulatory changes on system program payments.
Prepare monthly accounting entries and annual settlement analyses and entries for Medicaid Supplemental Programs, including related accounting reconciliations.