In-depth knowledge of Medicare and state Medicaid reimbursement laws and regulations
Ability to research and interpret Medicare and Medicaid laws
Proficient in regulatory cost reporting software
Understanding of financial accounting and auditing principles in healthcare
Strong analytical reasoning and problem-solving skills
Excellent interpersonal skills
Detail-oriented and well-organized
Ability to work independently with minimal supervision
Responsibilities
Coordinate audits for cost reports and communicate technical positions to auditors
Prepare and submit accurate cost reports for Medicare, Medicaid, and other agencies
Review hospital interim reimbursement rates and special payments
Maintain documentation for Medicare and Medicaid reimbursement templates
Stay updated on laws and regulations affecting hospital reimbursement
Perform financial analysis to assess implications of transactions and regulatory changes
Collaborate with management to analyze reimbursement regulations
Benefits
Comprehensive health insurance
Retirement savings plan
Professional development opportunities
Flexible work arrangements
Employee wellness programs
Full Job Description
Coordinates audits for cost reports and communicates technical positions to auditors. Prepares and submits accurate and timely cost reports as required by Medicare, Medicaid, and other State or Federal agencies. Reviews hospital interim reimbursement rates and special payments. Maintains documentation for the Medicare and Medicaid Uniform Contractual Worksheet-Third Party Settlement templates. Stays updated on laws and regulations affecting hospital reimbursement. Performs financial analysis and modeling to determine the financial implications of proposed transactions and regulatory changes. Serves as a subject matter resource for Medicare and Medicaid reimbursement matters. Collaborates with management to analyze reimbursement regulations and assess the regulatory, operational, and financial impacts of proposed decisions. Ensures efficient and accurate completion of all reimbursement activities.
Knowledge, Skills, and Abilities:
In depth knowledge of Medicare and state Medicaid program reimbursement laws and regulations [Required]
Ability to research and interpret Medicare and Medicaid laws and regulations [Required]
Proficient in use of regulatory cost reporting software [Required]
Possess an understanding of financial accounting and auditing principles and their application to healthcare [Required]
Strong computer software skills including Microsoft Office applications [Required]
Ability to learn new technology applications used by Adventist Health System [Required]
Strong analytical reasoning, critical thinking, judgment and problem solving skills in order to independently assess, interpret and address complex issues in a continually changing environment [Required]
Excellent interpersonal skills [Required]
Well organized and detail-oriented [Required]
Ability to complete assigned tasks with very limited supervision [Required]
Proficient using Health Financial Systems (HFS) cost reporting software [Preferred]
Education:
Bachelor's [Required]
Field of Study:
in Accounting or Finance
Work Experience:
6+ relevant experience in healthcare reimbursement including Medicare, Medicaid reimbursement and regulatory cost reporting [Required]
Strong background in accounting and financial analysis [Required]
Licenses and Certifications:
Certified Public Accountant (CPA) [Preferred]
Physical Requirements: (Please click the link below to view work requirements)
Certain positions are subject to Florida Level 2 background screening, including fingerprinting, as required by state law.
About AdventHealth University
AdventHealth University is a private university in Orlando, Florida. It was founded in 1992 and is affiliated with the Seventh-day Adventist Church. The university offers undergraduate and graduate degree programs in various fields including nursing, radiography, and sonography. AdventHealth University is accredited by the Southern Association of Colleges and Schools Commission on Colleges.
