Analyst,Reimbursement III Job Bloomington area,Minnesota USA,Finance & Banking

Health Partners is hiring a Reimbursement Analyst III.

MINIMUM QUALIFICATIONS:

Education:

Bachelor’s degree in Accounting or Finance
Experience:

3- 5 years of experience in Medicare cost reporting or related healthcare finance area
Licensure/ Registration/ Certification:
None

Knowledge, Skills and Abilities:

Advanced knowledge of hospital accounting and Medicare cost accounting fundamentals
Knowledge of accounting, statistics and general business principles and practices
Ability to maintain effective working relationships with others
Ability to communicate effectively both written and oral
Ability to handle confidential information with discretion
Ability to use a personal computer (Microsoft Office, Excel, PowerPoint) and cost report preparation software
Ability to work independently with light supervision
Advanced knowledge of third party reimbursement payment mechanisms and settlement procedures
Knowledge of hospital payor relationships and accounting

MAJOR JOB DUTIES AND TASKS:

Evaluation of Net Patient Services Revenue and Accounts Receivable (10%)

Monthly analysis and valuation of net patient services revenue
Interim updating of Medicare and third party settlement liabilities
Quarterly evaluation of net patient accounts receivable and adjustments as required
External Audit resource for documentation needed to audit net patient revenue and net patient accounts receivable valuation

Medicare Cost Report Preparation and Audit Support (50%)

Prepare cost reports for Regions and Health Partners affiliates
Assist the Reimbursement Manager with Medicare audit support as needed
Assist the Reimbursement Manager with the preparation of Medicare appeal Documentation and position paper preparation as needed

Decision Support System Modeling and Analysis (10%)

Other Regulatory Reporting (20%)

Filing of annual Department of Health Hospital Annual Report based on existing State of Minnesota regulations
Filing of annual Department of Health Medical Education and Research Cost grant application based on existing State of Minnesota regulations
Completion of trade association survey data related to patient services revenue and statistical data available from regular analytical records

Preparation of annual net patient services revenue budget and associated other operating revenues (10%)

Preparation of assumption driven inpatient and outpatient gross revenue, contractual allowance and net patient services revenue budget based on historical data and business volume changes as communicated by management direction
Prepare analysis for mid year forecasting of net revenue

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Analyst, Reimbursement III