Sr Reimbursement Analyst

Summary

• Position will be considered hybrid after brief training period.
• Candidates must have a primary address located within the state of Michigan or willing to move to Michigan to be considered.

Duties involve all aspects related to compliance with governmental rules and regulations on payments to healthcare providers, performance of governmental and contractually required reporting, financial accounting related to governmental and contracted payments, liaison on audits of governmental reports and of financial reports, and performing analysis related to the impacts of changes in government payment regulations and contracted payments. Applications utilized include but are not limited to:
Microsoft Excel, Adobe, Tableau, EPSi, Lawson/Infor, Kodiak RCA, Epic, MDHHS CHAMPS and HFS.

• (40%) Independently prepare and submit to Manager accurate, fully completed hospital and healthcare cost reports in a timely manner, including but not limited to Medicare, Medicaid, and TRICARE. Utilize multiple systems and data sources to gather, analyze, and validate required information throughout the preparation process.
• (20%) Prepare and submit to Manager accurate, fully completed governmental related reporting requirements in a timely manner, including but not limited to Wage Index, Occupational Mix, and Geographic Reclassifications. Utilize multiple systems and data sources to gather, analyze, and validate required information throughout the preparation process.
• (20%) Prepare and maintain monthly reimbursement responsibilities, including contractual estimate processing, revenue adjustment accounting, third-party settlement position estimates, and allowance reconciliations, ensuring accurate and timely reporting of results to management. Provide ongoing support for reimbursement-related initiatives and proactively recommend improvements to workflows, policies, and procedures to enhance operational efficiency and compliance.
• (20%) Prepare accurate annual work papers and support related to audits, tax returns, and reconciliations in a timely manner.
• Other duties as assigned.

N/A

• Bachelor’s degree is required.
• Bachelor’s Degree in Finance, Business Administration or related field required.

• Experience in healthcare financial functions a minimum of three years (3).
• Three (3) to five (5) years of 3rd party reimbursement in a hospital demonstrating broad knowledge preferred.
• Demonstrated expertise with Medicare Cost Report, Medicaid Cost Report, payment systems, and audits preferred.
• Certified Cost Report Specialist or similar certification preferred.
• Demonstrated data analysis and process improvement skills (reconciliation of accounts, variance explanations, accessing electronic data, identify and implement process improvements to enhance efficiency and accuracy) and report writing of results.
• Demonstrated completion of governmental forms, e.g. cost reports, tax returns, applications, or licensure.
• Demonstrated subject matter expert and resource for team members on system applications.
• Demonstrated efficient advanced Excel skills.
• Willingly take on additional assignments and provide support to colleagues during high-volume or peak activity periods.
• Demonstrated positive, solutions-oriented attitude while consistently putting forth reliable effort to support team goals and organizations success.
• Knowledgeable or experience with general ledger process and financial reporting applications.
• My Michigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft Windows, Excel, and Word.
• An employee may be required to participate in further learning opportunities offered by My Michigan Health.

• Exposure to stressful situations, including those involving public contact, as well as, trauma, grief and death.
• Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position.
• Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job…