Job Description
**Responsibilities**
The **Senior Reimbursement Analyst i** s responsible for providing cost report preparation, cost report appeals, audit preparation and other duties related to the regulatory reimbursement services of Dignity Health. The position maintains current knowledge of Medicare, Medicaid and other State and Federal regulations. The Sr. Reimbursement Analyst interacts with customers and ensures value is delivered and customer satisfaction is achieved. The Sr. Reimbursement Analyst also assists in the improvement of internal business processes and meeting future reimbursement service needs.
The Senior Reimbursement Analyst carries out his/her duties by adhering to the highest standards of ethical and moral conduct, acts in the best interest of Dignity Health and fully supports Dignity Health's Mission, Philosophy and core values of Collaboration, Dignity, Excellence, Justice, and Stewardship. The Senior Reimbursement Analyst reports to the Reimbursement Managers and/or Directors.
Accountabilities:
1. Prepares interim and annual cost reports for Medicare, Medicaid and other State or Federal agencies for Dignity Health facilities and regions
2. Calculates periodic adjustments for deductions from revenue, revenue reserves, bad debt and other revenue adjustments related to regulatory reimbursement for all Dignity Health facilities and regions in accordance with Dignity Health policies and procedures
3. Assist the Reimbursement Managers and/or Directors with recommendations for internal Dignity Health strategy by evaluating current growth, anticipating future needs, and assessing impact of services delivered
4. Assists in the maintenance of standardized policies and procedures and third party settlement methodologies
5. Reviews operational reports, identifies opportunities/problems, and makes recommendations for improving processes
6. Assesses the impact of new products, technology, and processes on the existing organization and makes recommendations for improvement
**Qualifications**
**Minimum Qualifications:**
+ Minimum of five (5) years of experience with all aspects of Medicare and Medicaid (Medi-Cal) regulations monitoring and report processes required
+ Experience as hospital Reimbursement staff or auditing experiences with Fiscal Intermediary required
+ Minimum of five (5) years of experience and excellent working knowledge of general accounting, government reimbursement, appeals and audits in a complex organization, and maintaining relationships with internal and external entities such as general accounting, patient accounting, and fiscal intermediaries required
+ Experience and knowledge of current reimbursement regulations and applications in a complex healthcare environment required
+ Bachelor's degree in Business Administration, Accounting or equivalent work experience required
+ Required at times but very limited
**Overview**
Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care, community benefits and unreimbursed government programs. Together with our patients, physicians, partners, and communities, we are creating a more just, equitable, and innovative healthcare delivery system.
**Pay Range**
$33.60 - $48.73 /hour
We are an equal opportunity employer.
Job Tags
Work experience placement, Interim role, Remote job,
Similar Jobs
ScionHealth
...our culture by living our values in our day-to-day interactions with our patients and teammates. Job Summary As a Registered Nurse / RN within our Acute Rehabilitation Unit (ARU) Management you will: Provides planning and delivery of direct and indirect patient...
HR Partners
...Company: Manhattan Area Technical College Title: Admissions Recruiter Job Classification: Full-Time Staff Work Schedule: Monday - Friday, 8am 5pm Reporting Relationship: Dean of Student Services Compensation: Pay Range: $14.36 - $21.55 per hour...
Qwalifize LLC
...outside of the work period Distributors may/may not be needed for the entire work period Dress Code: Professional-Black pants/slacks (no jeans), black button-down shirt, comfortable black shoes (black sneakers are ok) Professional, presentable outerwear (...
Skilled Trades Services
...Were looking for a non-cdl driver to support deliveries within a 150-mile radius (tri-state area). The shift runs Monday through Friday, 5:00 AM to 2:00 PM. We are a concrete construction materials company. Need someone not afraid to get dirty. Delivery of concrete construction...
Never Ending Travels
...Become a Remote Travel Coordinator and turn your love for travel into a rewarding career.This role allows you to combine your love for... ... Here's what you need to know: -Join the booming tourism industry. -Help clients plan their dream cruises. -Provide...