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Posted: 21-Nov-24
Location: Lewes, Delaware
Salary: Open
Categories:
Internal Number: 8287
Become part of the Beebe team - an inclusive team positioned in a vibrant, coastal community. Enjoy a fulfilling career as you support the health of our patients, and a team focused on excellence.
Benefits
In addition to competitive compensation and wellness benefits (medical, dental, vision and prescription) Beebe Healthcare also offers:
- Sign-on and Referral Bonuses for select positions
- Tuition Assistance up to $5,000
- Paid Time Off
- Long Term Sick accrual
- Employer Contribution Plan
- Free Short and Long-Term Disability for Full Time employees
- Zero copay for drugs on prescription plan for certain conditions
- College Bound 529 Savings Plan
- Life Insurance
- Beebe Perks via Work Advantage
- Employee Assistance Program
- Pet Insurance
Overview
The Senior Reimbursement Analyst will be responsible for preparing the Medicare and Medicaid cost reports, completing the monthly contractual allowances, and assisting in the annual contractual budget and forecasting processes. The Senior Reimbursement Analyst will work with internal and external auditors in validating information as reported on the financial statements and third-party cost reports. The analyst should have a thorough knowledge of federal and state rules and regulations.
Responsibilities
- Mitigate risk of loss of income and seize opportunities to provide value throughout the reimbursement process through analysis of revenue transactions.
- Prepares the calculation of accounts receivable and third-party reserves including the timely submission of the monthly journal entry along with additional analyses as needed.
- Collects and analyzes all underlying data, prepares all supporting workpaper documentation, and submits in a timely manner all governmental cost report schedules along with the submission of the Medicare cost reports, Medicaid cost reports, and Tricare capital and direct medical education reports. Requires strong knowledge of IME and DGME reimbursement related to the Medicare cost report. Follows governmental regulations when preparing these reports.
- Complete monthly Governmental Exhibits for the calculation of Medicare and Medicaid reimbursement-related settlements as a part of month-end close.
- Represent the hospital during MAC audits of Medicare cost reports, wage index, bad debt, and cost report Worksheet S-10 Uncompensated Care.
- Collaborate with hospital to ensure Medicare and Medicaid contractual accruals and settlement estimates are accurate.
- Monitor state legislative activity to ensure Lifepoint is aware of upcoming Medicaid payment changes or opportunities to influence policy.
- File Medicaid Disproportionate Share Hospital (DSH) surveys
- Work with the Governmental Relations department in monitoring Medicaid legislative changes.
- Validate interim Medicare and Medicaid payment rates to ensure claims are getting paid correctly and proper payment factors are being used in accounts receivable allowance and settlements calculations.
- Assists in the annual net revenue budget and forecasting process. Research and completion of all governmental modeling is the primary focus.
- Process month-end close duties to include calculating, reviewing, and preparing entries related to revenue recognition.
- Maintain regular and reliable attendance.
- Perform other duties as assigned.
Qualifications
Bachelor's degree with 7+ years of experience
Credentials
Education
Entry
USD $67,537.60/Yr.
Expert
USD $104,686.40/Yr.