Senior Reimbursement Analyst in Lawrence, Massachusetts at Merrimack Health
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Job Description
As the Senior Reimbursement Analyst, you will be under the direction of the Director of Reimbursement. This position estimates net revenue and prepares analysis and cost reports which are issued to external parties such as third-party government payors and auditors and to internal customers such as Controller and CFO. The Reimbursement Analyst prepares Medicare and Medicaid cost reports, prepares and submits all quarterly government filings, participates in Medicare audits and the year-end financial audits, monitors and communicates reimbursement regulations and changes to the Reimbursement Director, and prepares other analysis that assist the organization in areas impacted by reimbursement.
DUTIES AND RESPONSIBILITIES:
- Prepare third party cost reports. (Medicare, Medicaid, Other State Specific Filings).
- Prepare and submit regulatory filings such as Medicare wage index, Medicare occupational mix, and State required quarterly and annual filings.
- Prepare month-end contractual and bad debt reserve analysis and entries. Includes the ability to analyze rate and volume variances, case mix index impact and payor mix impact. It is expected that the employee will seek direction and assistance from the Director of Reimbursement.
- Assist with preparation of the annual net revenue budget
- Perform month-end, quarter-end and year-end account reconciliations, reimbursement analysis and journal entries to keep the financial statements stated properly and in accordance with GAAP and applicable Medicare and other third-party regulations.
- Perform ad-hoc reimbursement and other analysis at the request of the Director of Reimbursement. The analysis can be related to net revenue, cost reports or to new and/or proposed regulations that may have an impact on the revenues of the organization.
- Performs other duties as assigned.
Required:
- Bachelor’s Degree in Finance or Accounting
- Minimum 3 years of acute-healthcare finance experience.
- Knowledge of widely-used PC software (MS Office, etc.)
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