Job Description

Remote - Reimbursement Analyst Pride Health is hiring a Reimbursement Analyst for one of its clients in Louisiana. This is a 3-month contract with the possibility of an extension with competitive pay and benefits. This Position is fully remote, but the candidate should be based in one of the below approved states: - Alabama, Mississippi, Louisiana, Texas, Georgia, South Carolina, Florida, Kansas, Arkansas, Tennessee, Missouri, and Nebraska. Location – Fully Remote Length of assignment – 3 months (Possibility of an extension) Pay range - $45 - $50 per hour. (Based on relevant experience and skill sets) Shift – Monday to Friday - 08:00 - 17:00 Job Summary The Senior Analyst is responsible for governmental payor (Medicare/Medicaid) hospital reimbursement research, analysis, third-party accounting including month end contractual allowance and settlement estimate reporting, and preparation/filing of annual Medicare/Medicaid cost reports. Job Duties Computes interim Medicare/Medicaid settlements and impact on reimbursement for the assigned hospital. Preparation/filing of Medicare, Medicaid, and Tricare annual cost reports. Leads and provides support for various audits, such as independent, Medicare, and Medicaid. Researches and remains up to date on Medicare/Medicaid regulations, specifically federal/state regulations and annual reimbursement updates impacting rates and cost report settlements. Assists in the preparation of accurate government regulatory reports, including year-end and interim Medicare/Medicaid cost reports for submission to the intermediary, within a designated timeframe: Assists in the preparation of Medicare, Medicaid, and CHAMPUS annual cost reports. Computes interim Medicare/Medicaid settlements and impact on reimbursement for the hospital. Provides support and documentation needed by various auditors, such as independent, Medicare, and Medicaid. Assists in providing all data and/or special reports and projects for Medicare/Medicaid appeals and/or reopening. Stays up to date on changes to Medicare reimbursement in general and specifically federal regulations related to graduate medical education (GME) and provides education about their impact to other team members and clients. Analyzes financial data. Designs and generates reports for management's use in operational decisions regarding new and existing programs: Directs the preparation of reimbursement studies as needed by senior management. Research regulations related to the implementation of new programs, services, and ventures, and develop techniques for maximizing reimbursement. Develops techniques for effective analysis of billing and collections efforts. Develops, prepares & presents the financial impact of all new & proposed Medicare / Medicaid regulations to Senior Management: Evaluates interim payments from the third-party payers for accuracy & adequate cash flow. Coordinates with appropriate teams for the production of reports for cost reporting/cost analysis purposes. Reviews generally accepted accounting principles & auditing standards as they apply to the reimbursement area. Assists in the development of contractual allowances for budget projections: Requirements ~ BA In Business Administration or Accounting. ~8 years of government healthcare reimbursement and accounting experience in a healthcare setting. ~ MUST HAVE COST REPORTING EXP. ~ Experience and analytical skills related to case mix/reimbursement systems. ~ Experience and knowledge with CMS PRM regulations manuals, the CMS 2552 software system, and the CMS IACS/EIDM system. ~ Experience with the Medicare IRIS reporting system. ~ Experience with electronic cost reporting software systems. ~ Preferred: Medicare Cost Report Preparation experience. ~ PC skills (Excel, Access, Word, PowerPoint). ~ Familiarity with EDP and microcomputer systems. ~ Comprehensive knowledge of Medicare. Medicaid reimbursement principles relating to Home Office, Hospitals, Nursing Homes, and Home Health agencies. Benefits Pride Global offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors. Equal Opportunity Employer As a certified minority-owned business, Pride Global and its affiliates - including Russell Tobin, Pride Health, and Pride Now - are committed to creating a diverse environment and are proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, pregnancy, disability, age, veteran status, or other characteristics.

Job Tags

Hourly pay, Contract work, Interim role, Home office, Shift work, Monday to Friday,

Similar Jobs