Job Description
HealthPartners is hiring a remote Reimbursement Analyst III.
The Reimbursement Analyst III is responsible for the preparation of hospital, hospice, home health agency, home office and skilled nursing facility cost reports, support for annual external audit related to net revenue valuation, net accounts receivable valuation, and pay or settlement liabilities. This position is also responsible for maintaining decision support system reimbursement modeling and auditing of same to ensure that calculated net revenues reasonably match actual payments. Other special analysis related to patient services, government regulatory issues and general accounting as assigned.
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
Percentage
Of Time
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 HealthPartners 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%
Modeling of Net Revenue Reimbursement for Medicare & Medicaid
Auditing of Decision Support System reimbursement and costing
Analysis of regulatory and program changes using decision support system
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