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Reimbursement Analyst -Medicare & Medicaid

Company: Akron Children's Hospital
Location: Akron
Posted on: October 12, 2019

Job Description:

About UsAkron Children s Hospital is one of the largest independent pediatric hospitals in the U.S., and ranked among the best children s hospitals by U.S. News and World Report. Our dedicated staff serves nearly 900,000 patient visits per year through our 2 hospital campuses and a large network of locations offering primary and specialty care.We are leading the way to healthier futures for children and communities through expert medical care, research, and prevention and wellness programs. As a teaching affiliate of Northeast Ohio Medical University and other universities, we train new generations of pediatricians, specialists, nurses and pharmacists every year.OUR PROMISES

  • To treat every child as we would our own
  • To treat others as they would like to be treated
  • To turn no child away for any reasonWe are seeking people who are committed to fostering a diverse environment in which patients, family and staff from a variety of backgrounds, cultures, and personal experiences are welcomed, included and can thrive.Shift Information: Day JobPosition Summary:The Reimbursement Analyst is responsible for fulfilling all reimbursement and other financial needs of the hospital.Duties and Responsibilities
  • Maintains current knowledge base of Medicare Regulations and changing report requirements; coordinates the completion of the Medicare and Medicaid Cost Reports; works with Medicare Fiscal intermediary and Medicaid auditors on Interim Settlements, final cost report settlements, Rate Reviews & Re-openings.
  • Maintains current knowledge base of CHGME Regulations and report requirements; Coordinates the completion of all CHGME reports; maintains registration of all federal databases.
  • Maintains current knowledge base of HCAP, UPL, Franchise Fees, Enhanced Reimbursement and other reimbursement programs established by the State of Ohio and all other government programs.
  • Participates in the monthly and annual financial statement preparation related to net revenue and supports annual public accounting audit of same.
  • Develops and maintains CSA models and their application as part of the monthly financial statement preparation.
  • Run all needed reports, interact with internal and external data sources; performs additional report maintenance.
  • Maintains current knowledge base of IRS Community Benefit Regulations; Work with External Affairs Department to maintain current Community Benefit Program; insure an accurate and timely filing of the IRS 990H and Children s Community Benefit Report.
  • Maintains current knowledge base of Medicaid & CMS regulations pertaining to Meaningful Use attestation; complete all processes to insure timely completion of MPIP attestation submissions.
  • Other duties as required.Education and Experience
  • Education: Bachelor s degree in Accounting is required.
  • Certification: None.
  • Years of relevant experience: 3 to 5 years is preferred.
  • Years of experience supervising: NoneTechnical Expertise
  • Experience in Medicare/Medicaid regulations; cost report preparation is required.
  • Experience in healthcare accounting is required.
  • Experience in healthcare reimbursement is preferred.
  • Experience working with all levels within an organization is required.Proficiency in MS Office [Outlook, Excel, Word] or similar software is required. Enterprise Resource Planning (ERP) software is required.
    Akron Children's Hospital is an Equal Opportunity Employer of Minorities, Females, Protected Veterans, and Individual with Disabilities. EEO is the law, please click/copy paste the link below to learn more:
    Associated topics: actuarial assistant, actuarial consultant, actuarial director, actuary, assistant actuary, director actuary, model, retirement actuary, risk, statistics

Keywords: Akron Children's Hospital, Akron , Reimbursement Analyst -Medicare & Medicaid, Accounting, Auditing , Akron, Ohio

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