Senior Financial Reimbursement Analyst

: Overview: Join Emory Healthcare if you're looking for an opportunity with one of the largest private employers in Atlanta where those around you are dedicated to the power of teamwork, foster an environment where you can learn, grow and innovate with similarly passionate professionals. Work with us to improve the quality of life throughout Georgia through partnerships with Grady Memorial Hospital, the U.S. Centers for Disease Control and Prevention, the Georgia Institute of Technology, and other organizations and make a bigger, greater impact than you ever thought possible. Our Finance team is leading the way in shaping the future of health care. We unite to improve lives through innovation, compassion, and an unwavering commitment to achieving unparalleled excellence in patient care. APPLY TODAY! Preferred qualifications:

• Healthcare experience
• Payer reimbursement experience
• Hospital reimbursement experience

Description: The Senior Financial Reimbursement Analyst will work independently with managerial oversight to gather documents and coordinate the filing of Medicare/Medicaid/Tricare cost reports. Will also assist in the filing of the Georgia Department of Community Health (DCH) Indigent Care Trust Fund (ICTF) Survey. The Senior Financial Analyst will review and provide support for any information or data required for the settlement of Medicare bad debt, disproportionate share, medical education and other components. Monitor DCH and CMS reimbursement correspondence to communicate information and coordinate resolution of requested information, as needed. Support the Reimbursement Manager with the review and analysis of both Centers Medicare and Medicaid Services (CMS) regulations and Georgia Department of Community Health (DCH) policies, ensuring accuracy of reimbursement rates and modeling of financial impact.

• Responsible for the preparation of the Medicare/Medicaid/Tricare cost reports, audits and appeals.
• Gather data and complete the filing of all cost reports for the hospitals.
• Work with decision support team on the development and review of operational statistics.
• Help to develop a workplan for the completion of the annual cost reports.
• Work on the preparation and reporting of all Medicare bad debt list and related information, transplant, DSH, medical education, ESRD, paramedical and other critical components filed with the Medicare cost report as well as assist in the compiling and filing of the ICTF survey.
• Ensures all third-party pass thru payments and lump sum adjustments are received as communicated by the Medicare Administrative Contractor (MAC) and are accurate versus expected reimbursement.
• Assists with the preparation of the Wage Index and Occupational Mix Survey filings and reviews DRG and APC reporting/benchmarking and other reimbursement pattern analysis.
• Work with the reimbursement team to develop and report DRG and APC payment updates.
• Work on the annual analysis of the DRG and APC impact analysis.
• Work with the Reimbursement Manager to issue a payment update bulletins on Federal and State regulations.
• Provides documentation for use in calculating monthly Medicare/Medicaid/Tricare reserve requirements.

MINIMUM QUALIFICATIONS:

• Bachelor's Degree BS/BA Degree in Accounting or Business Required.
• Minimum 5 years in accounting/finance.
• Minimum 3 years in an analyst role, preferably experience with a Medicare Administrative Contractor.
• Experience in the preparation and analysis of Medicare and Medicaid cost reports and DCH regulatory surveys is highly desirable
• Analytical skills, computer skills with intermediate excel for data extraction, presentation skills, accounting skills, government programs reimbursement knowledge, good communication skills, ability to interact professionally with multiple departments including financial accounting, patient financial services, and managed care.
• Able to handle multiple tasks.