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beBeeReimbursement

Hospital Reimbursement Specialist

beBeeReimbursement, Bainbridge, Illinois, United States

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Job Summary:

This position is responsible for addressing reimbursement matters and staying informed about changes in reimbursement regulations. Key Responsibilities:

Compile supporting documentation and worksheets for Medicare and Medicaid Cost Reports Analyze and respond to inquiries or audits from Medicare/Medicaid Stay up-to-date on current Medicare/Medicaid regulation changes and incorporate them into the Cost Reporting process Provide assistance to related departments regarding reimbursement-related issues Prepare provider-based applications and necessary changes related to provider enrollment for hospitals Requirements:

4-year Bachelor's Degree (Required) with a focus on Accounting or Finance preferred Master's Degree (Preferred) 5 years of hospital reimbursement experience (Required) 5 years of hospital cost report preparation experience (Required) Certifications and Licenses:

Preferred certifications/ licenses: Certified Public Accountant (CPA) Essential Functions:

Understand and ensure organizational compliance with all ICTF, DSH, 340b rules and regulations while maximizing revenue from these programs Take the lead role in coordinating the entire ICTF process Determine ICTF intergovernmental transfer amount and coordinate appropriate 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 both 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 ​ This professional will provide assistance in analyzing managed care contracts. Completes and files government payor provider applications. Ensures all cost reports are completed accurately and that corresponding revenue is maximized from both a reporting and programmatic perspective. Coordinates cost reporting for Hospitals under the Health System and serves as a resource for rural hospitals. Directs preparation of documentation for cost report during audit. Keeps knowledge current on all Medicare and Medicaid regulations and identifies areas of improvement.