Responsibilities:- The Senior Reimbursement Analyst will work independently within their area of responsibility while developing leadership skills and may interact periodically with all levels of management.
- This position is responsible for government payer reimbursement related to Medicare, Medicaid and TRICARE/CHAMPUS, specifically completion of the annual Medicare Cost report filings and audits, AHCA (Agency for Healthcare Administration) Florida Medicaid payment systems and staying current on all government regulatory changes and CMS/Federal and State proposals to change reimbursement methodologies and payment systems.
- This team member will be able to multi-task while providing excellent customer service.
- Team member will develop leadership skills by participating in or leading projects within the Revenue Management department.
Required experience: - Five or more years of progressive, successful experience in health care reimbursement is required, with at least two years direct preparation of the Medicare cost report working papers and filing of the reports via HFS software program (or equivalent) as well as working with the MAC on audits.
- Candidate should have experience in several of these areas: Medicare bad debts; DSH (Disproportionate Share); Graduate Medical Education and Interns and Residents Information System (IRIS) software; Allied Health reporting and reimbursement; Waged index and Occupational Mix surveys.
- Performs other duties as assigned.
- Will accept an unrelated Bachelor's degree with five years professional-level reimbursement/revenue cycle experience.
BayCare offers a competitive total reward package including benefits, paid time off, tuition reimbursement, 401k match and additional yearly contribution, yearly performance appraisals with merit increases, yearly team award bonus, community discounts and the chance to be part of an amazing team and a great place to work!
Location: Clearwater, FL
Status: Full Time, Exempt: Yes
Shift Hours: 8:00 am - 5:00 pm
Weekend Work: None
On Call: No
How often will this team member be working remotely? Hybrid
