Division

Emory Healthcare Inc.

Campus Location

Atlanta, GA, 30345

Campus Location

US-GA-Atlanta

Department

EHI Hospitals Finance

Job Type

Regular Full-Time

Job Number

163356

Schedule

8a-4:30p

Standard Hours

40 Hours

Hourly Minimum

USD $39.31/Hr.

Hourly Midpoint

USD $47.90/Hr.

Job overview:

The Senior Financial Reimbursement Analyst will work independently with managerial oversight to gather documents and coordinate the filing of Medicare/Medicaid/Tricare cost reports. They will also assist in the filing of the Georgia Department of Community Health (DCH) Indigent Care Trust Fund (ICTF) Survey. The Senior Financial Analyst will review and provide support for any information or data required for the settlement of Medicare bad debt, disproportionate share, medical education and other components. They will monitor DCH and CMS reimbursement correspondence to communicate information and coordinate resolution of requested information, as needed. They will support the Reimbursement Manager with the review and analysis of both Centers Medicare and Medicaid Services (CMS) regulations and Georgia Department of Community Health (DCH) policies, ensuring accuracy of reimbursement rates and modeling of financial impact.

Responsibilities:

Be responsible for the preparation of the Medicare/Medicaid/Tricare cost reports, audits and appeals.
Gather data and complete the filing of all cost reports for the hospitals.
Work with decision support team on the development and review of operational statistics.
Help to develop a workplan for the completion of the annual cost reports.
Work on the preparation and reporting of all Medicare bad debt list and related information, transplant, DSH, medical education, ESRD, paramedical and other critical components filed with the Medicare cost report as well as assist in the compiling and filing of the ICTF survey
Ensures all third-party pass thru payments and lump sum adjustments are received as communicated by the Medicare Administrative Contractor (MAC) and are accurate versus expected reimbursement
Assists with the preparation of the Wage Index and Occupational Mix Survey filings and reviews

Also, DRG and APC reporting/benchmarking and other reimbursement pattern analysis.
Work with the reimbursement team to develop and report DRG and APC payment updates.
Work on the annual analysis of the DRG and APC impact analysis.
Work with the Reimbursement Manager to issue a payment update bulletins on Federal and State regulations.
Provides documentation for use in calculating monthly Medicare/Medicaid/Tricare reserve requirements

Requirements:

Bachelor's Degree BS/BA Degree in Accounting or Business Required
Minimum 5 years in accounting/finance
Minimum 3 years in an analyst role, preferably experience with a Medicare Administrative Contractor
Experience in the preparation and analysis of Medicare and Medicaid cost reports and DCH regulatory surveys is highly desirable
Analytical skills, Computer skills with intermediate excel for data extraction, presentation skills, accounting skills, government programs reimbursement knowledge, good communication skills, ability to interact professionally with multiple departments including financial accounting, patient financial services, and managed care. Able to handle multiple tasks.

Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.

Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcare’s Human Resources at careers@emoryhealthcare.org. Please note that one week's advance notice is preferred.

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