beBeeReimbursement
Senior Reimbursement Specialist
beBeeReimbursement, Hawkinsville, Georgia, United States, 31036
Job Title:
We are seeking a highly skilled Reimbursement Expert to join our team.
About the Role:
This Senior Reimbursement Specialist will be responsible for managing all reimbursement issues and staying up-to-date with changes in reimbursement regulations.
Main Responsibilities:
Prepare accurate and timely supporting documentation and worksheets for Medicare and Medicaid Cost Reports.
Analyze and respond to inquiries or audits from Medicare and Medicaid.
Stay informed about current Medicare/Medicaid regulation changes and incorporate them into the Cost Reporting process.
Provide assistance to related departments regarding reimbursement issues.
Prepare provider-based applications and necessary changes related to provider enrollment for hospitals.
Requirements: 4-year Bachelor's Degree (Required)
Accounting or Finance preferred
Master's Degree (Preferred)
Experience: 5 Years hospital reimbursement experience (Required)
5 Years hospital cost report preparation experience (Required)
Certifications and Licenses: Preferred: Certified Public Accountant (CPA)
Essential Functions: Understand and ensure organizational compliance with ICTF, DSH, 340B rules and regulations while maximizing revenue from these programs.
Lead role in coordinating the entire ICTF process.
Determine ICTF intergovernmental transfer amount and coordinate filings for receipt of funds.
Prepare annual hospital financial survey.
Utilize knowledge base in regulatory reimbursement/accounting to analyze and develop financial data for profitability studies, budgeted deductions, and other data analysis.
Accurately and timely complete requests for reimbursement information from internal and external customers.
Work with individual departments to maximize Medicare/Medicaid reimbursement.
Accurately compute and analyze budgeted deductions from revenue.
Complete month-end and year-end reimbursement journal entries.
Analyze and respond to inquiries or audits from Medicare and Medicaid.
Stay informed about current Medicare/Medicaid regulation changes and incorporate them into the Cost Reporting process.
Provide assistance to related departments regarding reimbursement issues.
Prepare provider-based applications and necessary changes related to provider enrollment for hospitals.
Requirements: 4-year Bachelor's Degree (Required)
Accounting or Finance preferred
Master's Degree (Preferred)
Experience: 5 Years hospital reimbursement experience (Required)
5 Years hospital cost report preparation experience (Required)
Certifications and Licenses: Preferred: Certified Public Accountant (CPA)
Essential Functions: Understand and ensure organizational compliance with ICTF, DSH, 340B rules and regulations while maximizing revenue from these programs.
Lead role in coordinating the entire ICTF process.
Determine ICTF intergovernmental transfer amount and coordinate filings for receipt of funds.
Prepare annual hospital financial survey.
Utilize knowledge base in regulatory reimbursement/accounting to analyze and develop financial data for profitability studies, budgeted deductions, and other data analysis.
Accurately and timely complete requests for reimbursement information from internal and external customers.
Work with individual departments to maximize Medicare/Medicaid reimbursement.
Accurately compute and analyze budgeted deductions from revenue.
Complete month-end and year-end reimbursement journal entries.