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REIMBURSEMENT ANALYST II

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Professional
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059529 Requisition #
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PREMIER HEALTH 

110 N. Main St   Dayton, OH  45402

DEPARTMENT: REIMBURSEMENT

FULL-TIME  MON-FRI 8:00 AM - 5:00 PM

40 hours per week  (80 hours per pay)

 

The Reimbursement Analyst II 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 Reimbursement Analyst II 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.


Essential Duties & Functions

 

§  Prepares and submits in a timely manner governmental Medicare and Medicaid cost reports and Tricare capital and direct medical education reports along with supporting documentation.  Follows regulations when preparing these reports.

§  Prepares the calculation of A/R and third party reserves including the timely submission of the monthly journal entry.

§  Assists in the annual contractual budget and forecasting process.

§  Assists with the preparation of E&Y audit workpapers.

§  Reviews third party rate reviews and audit adjustments for accuracy.

§  Prepares HCAP logs and obtains supporting documentation for independent consultant review.  Also, prepares the matching data in the formats used for the Medicaid cost report.

§  Prepares Myers & Stauffer logs that match the Medicaid cost report in the required format in a timely manner.

§  Prepares various financial analyses as requested by management.

§  Ensures compliance with Federal and State laws when using PHP provider numbers, including Provider Based Status rules.

§  Maintains current working knowledge of Medicare, Medicaid, and other regulations.

 

 

Other Duties & Functions:

§  Participates as part of the reimbursement team to promote the financial stability of PHP.  Prepares and analyzes financial data for opportunities.

§  Attends staff meetings, designation mandatory meetings, and completes annual competency testing.                                                               

 

 

The above duties and responsibilities may be essential job functions subject to reasonable accommodations. All job requirements listed include the minimum knowledge, skills, and/or ability deemed necessary to perform the job proficiently. This job description is not to be constructed as an exhausted statement of duties, responsibilities, and requirements. Employees may be required to perform any other job-related instructions as requested by their supervisor, subject to reasonable accommodations.  



 

Education


Minimum Level of Education Required: Bachelor's degree

                                            

Additional requirements:

    • Type of degree: Business Administration
    • Area of study or major: Accounting, Finance, or related business field required.

              

Experience

 

Minimum Level of Experience Required: 1 - 3  years of job-related experience

Prior job title or occupational experience: Minimum of two years in accounting and/or financial analysis experience required. 

Prior specific functional responsibilities: Current working knowledge of the financial statement process and strong financial skills required.

Preferred experience: Minimum of one year in healthcare reimbursement experience preferred.  Current working knowledge of Medicare and Medicaid regulations preferred.  Medicare and Medicaid cost report experience desired.  Experience in running ad-hoc reports preferred.


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