Children's National Medical Center
Senior Reimbursement Analyst
Children's National Medical Center, Silver Spring, Maryland, United States, 20900
Job Description - Senior Reimbursement Analyst (240002BM)DescriptionUnder direction of the Reimbursement Manager, the Senior Reimbursement Analyst will be responsible for preparing and filing the annual Medicare and Medicaid cost reports, audit support, third party settlement analysis, CHGME reporting, and other month-end financial reporting assignments. Responsibilities also include compilation and analysis of data relevant to various reimbursement department functions.QualificationsMinimum Education:Bachelor's Degree in Business, Health Care, or related field (Required).Minimum Work Experience:Minimum of three (3) years relevant experience in the healthcare industry.Required Skills/Knowledge:Strong knowledge of Medicare and Medicaid reimbursement regulations for hospitals and/or physician payment mechanisms; net patient revenue valuation is a plus.Experience in Medicare/Medicaid Cost Report preparation and review.Knowledge of how to research CMS regulations.Must demonstrate strong analytical skills and attention to detail.Excellent communication and interpersonal skills.Strong in Microsoft office products, primarily Excel, Access, Word, and PowerPoint.Functional AccountabilitiesCost Reporting and Audit Function
Prepare assigned detailed schedules, working documents, and other applicable data for Revenues and Expenses for the applicable cost reports.Compile annual Hospital statistics for inclusion in cost report to include Square Feet, Meals Served, Pounds of Laundry, etc.Work with internal and external auditors; respond to the annual Medicare cost report desk review and CHGME review.Assist in the preparation of all appeals (Medicare/Medicaid Cost Reports and others) as directed by the Reimbursement Manager.Support data mining and analytics of all annual cost reports.Reimbursement Functions
Work collaboratively with internal departments and external agencies to gather and disseminate data as necessary.Assess the reasonableness of hospital interim reimbursement rates and special payments and address as appropriate.Maintain a basic working knowledge of changes in Medicare/Medicaid statutes, regulations, principles of reimbursement, policy publications, and published appeal decisions.Manage and document correspondence with government agencies, payors, and other applicable parties.Assist with the annual reconciliation of Medicaid HMO GME payments.Reimbursement Report/Analysis
Disseminate, track, report progress and summarize Physician Time Studies on a quarterly basis for inclusion in the hospital cost report.Prepare the annual SHPDA report and various financial surveys.Monthly analysis of third party general ledger settlement accounts.Assist with analysis for annual Medicaid and payor rebasing.Support all other current and future functions of the reimbursement department as assigned.Organizational Accountabilities
Organizational Commitment/Identification
Partner in the mission and uphold the core principles of the organization.Commit to diversity and recognize the value of cultural ethnic differences.Demonstrate personal and professional integrity.Maintain confidentiality at all times.Teamwork/Communication
Demonstrate collaborative and respectful behavior.Partner with all team members to achieve goals.Be receptive to others’ ideas and opinions.Performance Improvement/Problem-solving
Contribute to a positive work environment.Demonstrate flexibility and willingness to change.Identify opportunities to improve clinical and administrative processes.Make appropriate decisions, using sound judgment.Primary Location
Maryland-Silver SpringWork Locations
Tech Hill, 12211 Plum Orchard Drive, Silver Spring 20904Job
Accounting & FinanceOrganization
FinancePosition Status:
R (Regular) - FT - Full-TimeShift:
DayWork Schedule:
8:30am-5:30pmJob Posting
Aug 16, 2024, 9:01:15 PMFull-Time Salary Range
86008 - 143353.6Children's National Hospital is an equal opportunity employer that evaluates qualified applicants without regard to race, color, national origin, religion, sex, age, marital status, disability, veteran status, sexual orientation, gender identity, or other characteristics protected by law.Please note that it is the policy of Children's National Hospital to ensure a “drug-free” work environment.
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Prepare assigned detailed schedules, working documents, and other applicable data for Revenues and Expenses for the applicable cost reports.Compile annual Hospital statistics for inclusion in cost report to include Square Feet, Meals Served, Pounds of Laundry, etc.Work with internal and external auditors; respond to the annual Medicare cost report desk review and CHGME review.Assist in the preparation of all appeals (Medicare/Medicaid Cost Reports and others) as directed by the Reimbursement Manager.Support data mining and analytics of all annual cost reports.Reimbursement Functions
Work collaboratively with internal departments and external agencies to gather and disseminate data as necessary.Assess the reasonableness of hospital interim reimbursement rates and special payments and address as appropriate.Maintain a basic working knowledge of changes in Medicare/Medicaid statutes, regulations, principles of reimbursement, policy publications, and published appeal decisions.Manage and document correspondence with government agencies, payors, and other applicable parties.Assist with the annual reconciliation of Medicaid HMO GME payments.Reimbursement Report/Analysis
Disseminate, track, report progress and summarize Physician Time Studies on a quarterly basis for inclusion in the hospital cost report.Prepare the annual SHPDA report and various financial surveys.Monthly analysis of third party general ledger settlement accounts.Assist with analysis for annual Medicaid and payor rebasing.Support all other current and future functions of the reimbursement department as assigned.Organizational Accountabilities
Organizational Commitment/Identification
Partner in the mission and uphold the core principles of the organization.Commit to diversity and recognize the value of cultural ethnic differences.Demonstrate personal and professional integrity.Maintain confidentiality at all times.Teamwork/Communication
Demonstrate collaborative and respectful behavior.Partner with all team members to achieve goals.Be receptive to others’ ideas and opinions.Performance Improvement/Problem-solving
Contribute to a positive work environment.Demonstrate flexibility and willingness to change.Identify opportunities to improve clinical and administrative processes.Make appropriate decisions, using sound judgment.Primary Location
Maryland-Silver SpringWork Locations
Tech Hill, 12211 Plum Orchard Drive, Silver Spring 20904Job
Accounting & FinanceOrganization
FinancePosition Status:
R (Regular) - FT - Full-TimeShift:
DayWork Schedule:
8:30am-5:30pmJob Posting
Aug 16, 2024, 9:01:15 PMFull-Time Salary Range
86008 - 143353.6Children's National Hospital is an equal opportunity employer that evaluates qualified applicants without regard to race, color, national origin, religion, sex, age, marital status, disability, veteran status, sexual orientation, gender identity, or other characteristics protected by law.Please note that it is the policy of Children's National Hospital to ensure a “drug-free” work environment.
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