Logo for Mercyhealth Wisconsin and Illinois

Regulatory and Reimbursement Coordinator - Remote

Role overview

Qualifications

  • Bachelor's degree in accounting or master's degree in a related field
  • Five to ten years of experience in healthcare finance
  • High level of Medicare experience including preparation of Medicare/Medicaid cost reports
  • Strong accuracy and excellent interpretive/analytical skills

Responsibilities

  • Coordination of Medicare and other governmental payment policies, compliance, and reporting
  • Analyze internal and external data and perform research relative to Medicare rules and regulations
  • Manage data support for annual Medicare/Medicaid/BlueCross cost report submission
  • Prepare budgets and respond to questions from managers on budget issues and complex projects

Key facts

Other skills

  • Budgeting
  • Detail Oriented
  • Analytical Skills

About the company

Mercyhealth Wisconsin and Illinois logo

Mercyhealth Wisconsin and Illinois

At Mercyhealth, our doctors, nurses and staff are committed to making lives better for our patients and their families. They bring knowledge and innovation to ensure that our patients receive world-class health care, close to home. As an integrated health system, we provide exceptional, coordinated health care for almost every need. Integration improves access to services, technology and treatments, and leads to better outcomes. To best serve our patients, our integration centers around four core service areas: hospital-based services, clinic-based services, post-acute and retail services (home health, hospice, pharmacies, etc.), and a wholly owned and operated insurance company. At the heart of our organization are more than 7,000 doctors, nurses, staff and volunteers who live the Mercyhealth mission of providing exceptional health care services with a passion for making lives better. We’re committed to working together to make lives better for our patients and their families. Our passion drives and inspires us to do our very best, and we continuously look for ways to make each life better with the utmost care and professionalism. This can be as complex as a cutting-edge procedure or as simple as a smile. Nothing is ever too small or taken for granted. Everything matters.

Company details

Company size5001 - 10000

Your match analysis

See how your profile stacks up against this role.

We compared the job requirements to your profile to show where you're strong and where you fall short.

Job description

OVERVIEW
Applies principles of accounting to analyze financial information. Strong experience with Medicare and Medicaid in a healthcare organization.

SCHEDULE: 40-hours per week, salaried

SHIFT: Days, hours may vary based on need

LOCATION: Remote position. Mercyhealth supports remote workers that reside in the contiguous United States, including Alaska and Hawaii, , with the exception of California, Ohio, Oregon, Pennsylvania, New Jersey, New York, and Washington.

ESSENTIAL DUTIES AND RESPONSIBILITIES

  • Responsibility for coordination of Medicare and other governmental payment policies, compliance, and reporting for all hospital and clinic entities across the Mercy Health System.

  • This position will analyze internal and external data and information requests as well as perform research relative to Medicare and other governmental payer rules and regulations.

  • Manages and provides data support for the annual Medicare/Medicaid/BlueCross cost report submission to ensure accurate, timely, and proper reimbursements are received.

  • Works with external consultants and governmental auditors on a routine basis to provide supporting information. Also, works with outside consultants to complete accurate tax related documents. Often works under tight deadlines.

  • Works with other departmental staff and managers to prepare budgets for multiple entities and responds to questions from managers on budget issues and complex projects.

  • Prepares pro forma financial analyses of new or changed services within the system as needed.

  • Analyzes complex financial processes and recommends opportunities to improve system financial performance.

  • Performs other duties as assigned.


EDUCATION AND EXPERIENCE

  • Bachelor's degree in accounting from four-year college or university or master's degree in a related field.

  • Five to ten years of experience, four of which must be in health care finance.

  • Must have high level of Medicare experience that includes experiences in preparation of Medicare/Medicaid cost reports, accounting and budgeting of patient revenue, Medicare Medicaid regulations and the analysis, modeling and reporting of other third party payers.
     

SKILLS AND ABILITIES

  • Computer experience

  • Strong accuracy

  • Excellent interpretive/analytical skills


SPECIAL PHYSICAL DEMANDS

While performing the duties of this Job, the employee is regularly required to stand and talk or hear, may be for extended periods. The employee is frequently required to walk; use hands to finger, handle, or feel and reach with hands and arms. Ability to use computer, keyboard, and other office equipment. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, color vision and ability to adjust focus.


LEVEL OF SUPERVISION

Some independent judgment is required, but alternatives are limited by standard practices or procedures.

PAY RANGE:

$76,061.05 - $117,894.62

Mercyhealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identify, national origin, disability, or protected veteran status.

Mercyhealth offers competitive pay and a comprehensive benefits package including:

  • Medical, Dental, Vision

  • Life & Disability Insurance

  • FSA/HSA Options

  • Generous, accruing paid time off

  • Paid Parental and caregiver leave

  • Career advancement and educational opportunities

  • Tuition and certification reimbursement

  • Certification Reimbursement

  • Well-being Programs

  • Employee Discounts

  • On-Demand Pay

  • Financial Education

  • Annual recognition/awards events

  • Partner appreciation days

  • Family entertainment/attractions discount

  • Community service/improvement opportunities

Click here for more details regarding Mercyhealth Careers Benefit Information.

At Mercyhealth, we don’t simply hire people, we empower employee-partners who are passionate about making lives better. As an integrated health system, we deliver exceptional, coordinated across seven hospitals, 85 primary and specialty clinics, and a team of over 7,500 professionals serving northern Illinois and southern Wisconsin.

Mercyhealth has been nationally recognized for our commitment to our people and culture, including:

  • #1 in the nation on AARP's Best Employers for Workers Over 50

  • One of Working Mother magazine's 100 Best Companies for Working Mothers

  • A Top 50 Company and Top 10 Nonprofit for Executive Women

Apply once. Then go straight to the hiring manager.

After you apply, unlock the direct contact details of the people who actually make the call. A quick follow-up makes you 5x more likely to land an interview.

MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
Unlocked after you apply
Β·

Regulatory Compliance Manager Related jobs

Other jobs at Mercyhealth Wisconsin and Illinois

Premium

Reach out to the hiring manager directly.

Gain access to the contact details of the hiring managers who actually decide, and reach out to network with them directly. That, plus more when you upgrade:

  • Full match report with fit score and gaps
  • Career diagnostics on how recruiters read you
  • Curated company matches and warm intros
  • 48h early access to new roles

Cancel anytime.