The Senior Reimbursement Analyst is key organizational resource responsible for providing critical analytical, review and reimbursement support for reimbursement functions including Medicare, Medicaid, or other third-party cost reports, related audits, appeals, disproportionate share hospital (DSH) logs, and drug discount program (340B) support. The responsibility includes budget analysis and forecasting of net patient service revenue in alignment with state regulatory processes.
This position is responsible for both governmental and commercial payer reimbursement modeling for financial statement cycle thus requiring analyst to stay current with all government regulatory changes and Federal and State proposals to changes in reimbursement methodologies and payment systems. Based on these changes, coordinate adjustments to third-party reserves and summarize the reimbursement impact on the organization.
This Analyst is also responsible for overseeing, organizing, and optimizing accountable care organizations (ACO) and other payment reform proposal data that will drive strategic decisions for the organization.
Minimum Education
Minimum Work Experience
Required Skills, Knowledge, and Abilities
Pay Range: $35.37 - $51.53
Compensation details: 35.37-51.53 Hourly Wage
PIf32680338d58-30492-40450656
...General Construction Laborer MYCON builds the industrial plants, warehouses, and commercial spaces that keep Texas growing. As a General... ...to a regional leader while staying family-owned. Steady pipeline of industrial, warehouse, and commercial workno feast-or-famine...
...Join the VitalCore Team in Delaware! Were people fueled by passion, not by profit! VitalCore Health Strategies (VCHS), an industry leader in Correctional Health Care, has an opening for a Substance Use Disorder Counselor at Sussex Correctional Institution in Georgetown...
...Superintendent is responsible for directing the daily operations of traffic control crews, including oversight of weekend and/or night shift crews. This is a working supervisory role, meaning the Superintendent will perform traffic control functions in the field in addition...
...Area Construction Manager Primary Role : The Area Construction Manager is responsible for recruiting, hiring, motivating, training, supervising, and managing Superintendent and Warranty personnel. They will be tasked with leading the Area field operations and processes...
...Full time R-0000000832 Position Title Director of Graduate Business Programs Employee Type Regular Office/Department... ...programs to drive student success and engagement. Developing and enhancing the graduate student experience through management...