Reimbursement Analyst bei WellSpan Medical Group

Duties and Responsibilities

Essential Functions:

• Assists in preparation of monthly reserves estimates within the Crowe RCA software and book journal entries to the general ledger. Reconciles related balance sheet and income statement accounts.
• Compiles and analyzes monthly RCA net revenue reports and develops explanations of results to be communicated to the regional and corporate finance teams.
• Supports development of annual net revenue budgets and forecasting tool for net revenue projections.
• Assists in coordination, preparation, and submission of Medicare and Medicaid cost reports using data from company general ledger and patient accounting systems.
• Assists in performing reimbursement analyses when updated regulations are published.
• Communicates with Hospital and Corporate Finance staff to collect and compile data for cost reports, State surveys, and financial audits.
• Stays abreast of current governmental reimbursement regulation. Assists in reimbursement-related adhoc projects and provides technical support as necessary.
• Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise.

Common Expectations:

• Provides financial orientation, training and education of both operations and finance department staff.
• Ensures compliance with all applicable federal and state regulations.
• Provides ad-hoc financial analysis and reports to Senior Management as requested.
• Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.
• Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise.

Qualifications

Minimum Education:

• Bachelors Degree In Accounting or Finance. Required

Work Experience:

• 3 years Experience with Medicare and Medicaid cost reporting. Required
• Healthcare experience. Preferred and

Courses and Training:

• CPA, HFMA, and/or Crowe CNRA. Upon Hire Preferred

Knowledge, Skills, and Abilities:

• Crowe RCA experience preferred.
• HFS Medicare cost report software experience preferred.
• Excellent communication, interpersonal, managerial and computer skills.
• Able to work well in a team environment as a member and/or leader.
• Able to accept responsibility.
• Thorough knowledge of relevant specialty areas.
• Analytical and logical approach to solving problems.