Job Description

Summary:

The Senior Reimbursement Analyst plays a key role in supporting the financial sustainability and regulatory compliance of Memorial Healthcare System through expert preparation and analysis of Medicare and Medicaid cost reports, and other governmental filings. This position is responsible for ensuring the accuracy and timeliness of complex regulatory submissions, analyzing the financial impact of state and federal regulatory changes, and supporting audits and strategic reimbursement initiatives.

Responsibilities:

• Extracts required data from MHS systems and prepares schedules supporting reimbursement activities.
• Participate in the monthly close and annual financial statement preparation related to net revenue and supports annual accounting audit of same. Function as primary backup to the Directors in the monthly close process.
• Compile data for Medicaid DSH and Low Income Pool (LIP) supporting schedules.Other duties, as assigned.
• Obtaining supporting materials from other MHS departments and external sources.
• Maintains registration for access to all state and federal databases.
• Participate in the preparation of the annual Medicare, Medicaid and Champus cost reports. Compile data and supporting schedules for the cost reports. Monitor and maintain various cost report statistics such as time studies, meal count and square footage.
• Provide key information to other MHS departments to enable business support systems to operate properly.
• Support department leadership with both external and internal reporting needs.
• Maintains roll forward schedule of third-party settlement balances and their application as part of the monthly close process and annual financial audit.

Additional Job Information:

Complexity of Work: Requires critical thinking skills, effective communication skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate timely action. Essential to have thorough knowledge of Medicare, Medicaid and Champus rules and regulations and third party audit techniques. Strong command of regulatory reporting requirements. Proficient in Microsoft Office products and Cost Reporting Software. Exceptional analytical skills. Ability to collaborate across departments to drive operational excellence and maximize reimbursement opportunities. Knowledge of Hospital systems (Epic, Workday) preferred. Experience with Florida Medicaid and supplemental programs is highly desirable.

Required Work Experience: Minimum of five (5) years of progressively responsible experience overseeing reimbursement operations, audit, or consulting projects related to reimbursement.

Other Information: Additional Education Info: Bachelor's degree in Accounting, Finance, Business Administration, or related field required.

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