Mercy Health

Regulatory & Reimbursement Coordinator

Mercy Health$76K — $117K *
US-AnywhereRemote in Illinois, US
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in accounting or master's in a related field.
  • 5-10 years of experience, 4 in healthcare finance.
  • Extensive knowledge of Medicare regulations and cost report preparation.
  • Strong analytical and interpretive skills.
  • Computer proficiency with a focus on accuracy.

Responsibilities

  • Coordinate compliance with Medicare and other governmental payment policies.
  • Analyze financial data and perform research on payer rules.
  • Manage data for Medicare/Medicaid/BlueCross cost report submissions.
  • Collaborate with consultants and auditors to support financial documentation.
  • Prepare budgets and respond to inquiries from managers.
  • Conduct pro forma financial analyses for service changes.
  • Identify opportunities to enhance financial performance.

Benefits

  • Medical, Dental, Vision insurance
  • Life & Disability Insurance
  • Flexible Spending Account (FSA) and Health Savings Account (HSA) options
  • Accrued paid time off
  • Paid Parental and caregiver leave
  • Opportunities for career advancement and education
  • Tuition and certification reimbursement
  • Well-being programs and employee discounts
  • On-Demand Pay and financial education resources
  • Annual recognition events and partner appreciation days
Full Job Description
OVERVIEW

Applies principles of accounting to analyze financial information.

Schedule: Full Time

Shift: Salaried; Monday - Friday unless business needs vary

Location: Remote

Pay Range: 76,061.05 - $117,894.62

Essential Duties and Responsibilities
  • Responsibility for coordination of Medicare and other governmental payment policies, compliance, and reporting for all hospital and clinic entities across the Mercy Health System.
  • This position will analyze internal and external data and information requests as well as perform research relative to Medicare and other governmental payer rules and regulations.
  • Manages and provides data support for the annual Medicare/Medicaid/BlueCross cost report submission to ensure accurate, timely, and proper reimbursements are received.
  • Works with external consultants and governmental auditors on a routine basis to provide supporting information. Also, works with outside consultants to complete accurate tax related documents. Often works under tight deadlines.
  • Works with other departmental staff and managers to prepare budgets for multiple entities and responds to questions from managers on budget issues and complex projects.
  • Prepares pro forma financial analyses of new or changed services within the system as needed.
  • Analyzes complex financial processes and recommends opportunities to improve system financial performance.
  • Performs other duties as assigned.


Culture of Excellence Behavior Expectations

To perform the job successfully, an individual should demonstrate the following behavior expectations:

Quality - Follows policies and procedures; adapts to and manages changes in the environment; Demonstrates accuracy and thoroughness giving attention to details; Looks for ways to improve and promote quality; Applies feedback to improve performance; Manages time and prioritizes effectively to achieve organizational goals.

Service - Responds promptly to requests for service and assistance; Follows the Mercyhealth Critical Moments of service; Meets commitments; Abides by MH confidentiality and security agreement; Shows respect and sensitivity for cultural differences; and effectively communicates information to partners; Thinks system wide regarding processes and functions.

Partnering - Shows commitment to the Mission of Mercyhealth and Culture of Excellence through all words and actions; Exhibits objectivity and openness to other's views; Demonstrates a high level of participation and engagement in day-to-day work; Gives and welcomes feedback; Generates suggestions for improving work: Embraces teamwork, supports and encourages positive change while giving value to individuals.

Cost - Conserves organization resources; Understands fiscal responsibility; Works within approved budget; Develops and implements cost saving measures; contributes to profits and revenue.

Education and Experience

Bachelor's degree in accounting from four-year college or university or master's degree in a related field.
Five to ten years of experience, four of which must be in health care finance.
Must have high level of Medicare experience that includes experiences in preparation of Medicare/Medicaid cost reports, accounting and budgeting of patient revenue, Medicare Medicaid regulations and the analysis, modeling and reporting of other third party payers.

Skills and Abilities
Computer experience
Strong accuracy
Excellent interpretive/analytical skills

Special Physical Demands

While performing the duties of this Job, the employee is regularly required to stand and talk or hear, may be for extended periods. The employee is frequently required to walk; use hands to finger, handle, or feel and reach with hands and arms. Ability to use computer, keyboard, and other office equipment. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, color vision and ability to adjust focus.

Level of Supervision

Some independent judgment is required, but alternatives are limited by standard practices or procedures.

PAY RANGE:

$76,061.05 - $117,894.62

Mercyhealth offers competitive pay and a comprehensive benefits package including:

  • Medical, Dental, Vision
  • Life & Disability Insurance
  • FSA/HSA Options
  • Generous, accruing paid time off
  • Paid Parental and caregiver leave
  • Career advancement and educational opportunities
  • Tuition and certification reimbursement
  • Certification Reimbursement
  • Well-being Programs
  • Employee Discounts
  • On-Demand Pay
  • Financial Education
  • Annual recognition/awards events
  • Partner appreciation days
  • Family entertainment/attractions discount
  • Community service/improvement opportunities


Click here for more details regarding Mercyhealth Careers Benefit Information.

About Mercy Health

Mercy Health is a Catholic healthcare ministry serving Ohio and Kentucky. They offer a wide range of healthcare services, including primary care, specialty care, and hospital care. Mercy Health operates over 250 healthcare facilities, including hospitals, clinics, and outpatient centers. Their mission is to provide compassionate, quality healthcare to all who need it, regardless of their ability to pay.
Learn more about Mercy Health
Size
45,000 employees
Industry
Founded
1985

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