Phoebe Putney Health System
Senior Reimbursement Specialist
Phoebe Putney Health System, Cochran, Georgia, United States, 31014
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Responsible for all reimbursement issues and reporting any changes in reimbursement regulations. Must be able to prepare supporting documentation and worksheets to support the preparation and completion of the Medicare and Medicaid Cost Reports. Must be able to analyze and respond to Medicare/Medicaid inquiries or audits. Must stay abreast of current Medicare/Medicaid regulation changes and incorporate those into the Cost Reporting. Responsible for providing assistance to related departments regarding related issues. Responsible for preparing provider-based applications and any other necessary changes related to provider enrollment for the hospitals in the System.
Job Summary
Responsible for all reimbursement issues and reporting any changes in reimbursement regulations. Must be able to prepare supporting documentation and worksheets to support the preparation and completion of the Medicare and Medicaid Cost Reports. Must be able to analyze and respond to Medicare/Medicaid inquiries or audits. Must stay abreast of current Medicare/Medicaid regulation changes and incorporate those into the Cost Reporting. Responsible for providing assistance to related departments regarding related issues. Responsible for preparing provider-based applications and any other necessary changes related to provider enrollment for the hospitals in the System. Education Requirements
4-year / Bachelor's Degree (Required) Master's Degree (Preferred) Experience Requirements
5 - 6 Years hospital rehabilitation (Required) 5 - 6 Years hospital cost report preparation (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 organizational revenue from these programs. Lead the coordination of the entire ICTF process. Determine ICTF intergovernmental transfer amount and coordinate appropriate filings for receipt of funds. Prepare annual hospital financial survey. Utilize regulatory reimbursement/accounting knowledge to analyze and develop financial data for profitability studies, budgeted deductions, and other data analysis. Complete requests for reimbursement information accurately and timely from internal and external customers. Work with departments to maximize Medicare/Medicaid reimbursement. Accurately compute and analyze budgeted deductions from revenue. Complete month-end and year-end reimbursement journal entries. Assist in analyzing managed care contracts. Complete and file government payor provider applications. Ensure all cost reports are completed accurately and revenue is maximized from a reporting and programmatic perspective. Coordinate cost reporting for hospitals under the Health System and serve as a resource for rural hospitals. Direct preparation of documentation for cost report during audit. Keep knowledge current on all Medicare and Medicaid regulations and identify updates. Additional Duties
Adhere to hospital and departmental attendance and punctuality guidelines. Perform responsibilities aligned with the organization’s core values, mission, and vision. Perform other duties as required and complete all job functions per policies and procedures. Maintain current knowledge through self-education and ongoing training. Attend staff meetings, complete mandatory in-services, and competency evaluations on time. Demonstrate competency in providing care to patients based on age, sex, weight, and needs. Use age-specific customer service skills in non-clinical areas. Seniority Level
Mid-Senior level Employment Type
Full-time Job Function
Finance and Sales Industries
Hospitals and Health Care
#J-18808-Ljbffr
Responsible for all reimbursement issues and reporting any changes in reimbursement regulations. Must be able to prepare supporting documentation and worksheets to support the preparation and completion of the Medicare and Medicaid Cost Reports. Must be able to analyze and respond to Medicare/Medicaid inquiries or audits. Must stay abreast of current Medicare/Medicaid regulation changes and incorporate those into the Cost Reporting. Responsible for providing assistance to related departments regarding related issues. Responsible for preparing provider-based applications and any other necessary changes related to provider enrollment for the hospitals in the System. Education Requirements
4-year / Bachelor's Degree (Required) Master's Degree (Preferred) Experience Requirements
5 - 6 Years hospital rehabilitation (Required) 5 - 6 Years hospital cost report preparation (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 organizational revenue from these programs. Lead the coordination of the entire ICTF process. Determine ICTF intergovernmental transfer amount and coordinate appropriate filings for receipt of funds. Prepare annual hospital financial survey. Utilize regulatory reimbursement/accounting knowledge to analyze and develop financial data for profitability studies, budgeted deductions, and other data analysis. Complete requests for reimbursement information accurately and timely from internal and external customers. Work with departments to maximize Medicare/Medicaid reimbursement. Accurately compute and analyze budgeted deductions from revenue. Complete month-end and year-end reimbursement journal entries. Assist in analyzing managed care contracts. Complete and file government payor provider applications. Ensure all cost reports are completed accurately and revenue is maximized from a reporting and programmatic perspective. Coordinate cost reporting for hospitals under the Health System and serve as a resource for rural hospitals. Direct preparation of documentation for cost report during audit. Keep knowledge current on all Medicare and Medicaid regulations and identify updates. Additional Duties
Adhere to hospital and departmental attendance and punctuality guidelines. Perform responsibilities aligned with the organization’s core values, mission, and vision. Perform other duties as required and complete all job functions per policies and procedures. Maintain current knowledge through self-education and ongoing training. Attend staff meetings, complete mandatory in-services, and competency evaluations on time. Demonstrate competency in providing care to patients based on age, sex, weight, and needs. Use age-specific customer service skills in non-clinical areas. Seniority Level
Mid-Senior level Employment Type
Full-time Job Function
Finance and Sales Industries
Hospitals and Health Care
#J-18808-Ljbffr