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Reimbursement Analyst/Accounta

extra holidays - extra parental leave

Remote:

Full Remote

Contract:

Full time

Experience:

Mid-level (2-5 years)

Work from:

Kentucky (USA), United States

Offer summary

Qualifications:

B.S. Degree in Accounting, Minimum 2 years experience in Medicare/Medicaid cost reports.

Key responsabilities:

Files Medicare, Medicaid and third party cost reports.
Reviews regulations and develops submissions for compliance.
Maintains statistical systems to support cost reports.
Analyzes operations to maximize reimbursement metrics.
Monitors audits and prepares financial statements.

Appalachian Regional Healthcare (ARH) XLarge https://www.arh.org/

5001 - 10000 Employees

See more Appalachian Regional Healthcare (ARH) offers

Job description

Overview:

The Reimbursement Analyst/Accountant is responsible for the effective filing of Medicare/Medicaid and other Third Party Cost Reports to maximize the cash flow through the interim rates and final settlement.

Special Instructions: Remote position with substantial opportunity to assist with governmental reporting compliance, apply analytical and computer skills. Responsibilities:

Files Medicare, Medicaid and other third party cost reports to determine interim rate and periodic interim payments and monitors adequacy of interim rate and recommend alternate arrangements that will improve reimbursement.

Reviews Federal Register and CCH updates regarding impact of proposed and newly activated regulations; develop and submit comments to appropriate agency and advise administration of exposure and alternative action available.

Maintain and monitor statistical system to support cost reports.

Review and revise as necessary, systems used for monthly estimates of allowances and periodically prepares interim cost reports to support the reasonableness of monthly estimates.

Reviews operation and organization of individual hospitals and corporate structure to determine statistics, billing and other systems resulting in maximum reimbursement.

Reviews contractual arrangements with physicians and others such as insurance companies and assesses reimbursement impact and recommends alternate arrangements that will improve reimbursement.

Assists ARH units that are developing and implementing new and revised programs by determining reimbursement impact.

Monitors the audits performed by intermediaries; assesses the impact of adjustments and determines the reasonableness and acceptability of same; and proposes necessary appeals relating to unacceptable adjustments.

Participates in the preparation of the monthly financial statement, related exhibits and accompanying memorandums in accordance with generally acceptable accounting principles.

Participates in the preparation of schedules used by various auditors in their determination of the accuracy of accounting records.

Participates in the preparation of various tax returns and financial surveys.

Performs other related duties as assigned

Qualifications:

This position requires a B.S. Degree in accounting with minimum of 2 years experience in preparation of Medicare/Medicaid cost reports.