Senior Reimbursement Analyst

5 - 7 years experience  •  Healthcare

Salary depends on experience
Posted on 09/04/18
Phoenix, AZ
5 - 7 years experience
Healthcare
Salary depends on experience
Posted on 09/04/18

The Senior Reimbursement Analyst carries out his/her duties by adhering to the highest standards of ethical and moral conduct, acts in the best interest of Dignity Health and fully supports Dignity Health’s Mission, Philosophy and core values of Collaboration, Dignity, Excellence, Justice, and Stewardship. The Senior Reimbursement Analystreports to the Reimbursement Managers and/or Directors. Accountabilities:

  1. Prepares interim and annual cost reports for Medicare, Medicaid and other State or Federal agencies for Dignity Health facilities and regions
  2. Calculates periodic adjustments for deductions from revenue, revenue reserves, bad debt and other revenue adjustments related to regulatory reimbursement for all Dignity Health facilities and regions in accordance with Dignity Health policies and procedures
  3. Assist the Reimbursement Managers and/or Directors with recommendations for internal Dignity Health strategy by evaluating current growth, anticipating future needs, and assessing impact of services delivered
  4. Assists in the maintenance of standardized policies and procedures and third party settlement methodologies
  5. Reviews operational reports, identifies opportunities/problems, and makes recommendations for improving processes
  6. Assesses the impact of new products, technology, and processes on the existing organization and makes recommendations for improvement

 RequiredNon-Technical Competencies:

  1. Commitment to Dignity Health Values
  2. Analytical Thinking
  3. Continuous Improvement
  4. Problem Solving
  5. Customer Orientation
  6. Team Orientation
  7. Flexibility
  8. Communication Ability
  9. Reasoning

RequiredTechnical Competencies:

  1. Medicare
  2. Medicare Regulatory Reporting
  3. Medicaid (Medi-Cal)
  4. Medicaid (Medi-Cal) Regulatory Reporting
  5. Accounts Receivable and Cash Collection
  6. Capital and Fixed Assets
  7. Reimbursement – Monthly Analysis Process
  8. Decision Support
  9. General Accounting

Qualifications

Minimum Qualifications: 

  • Minimum of five (5) years of experience with all aspects of Medicare and Medicaid (Medi-Cal) regulations monitoring and report processes required
  • Experience as hospital Reimbursement staff or auditing experiences with Fiscal Intermediary required
  • Minimum of five (5) years of experience and excellent working knowledge of general accounting, government reimbursement, appeals and audits in a complex organization, and maintaining relationships with internal and external entities such as general accounting, patient accounting, and fiscal intermediaries required
  • Experience and knowledge of current reimbursement regulations and applications in a complex healthcare environment required
  • Bachelor’s degree in Business Administration, Accounting or equivalent work experiencerequired

2018-60062

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