Regulatory & Reimbursement Coordinator

OVERVIEW

Applies principles of accounting to analyze financial information.

Schedule: Full Time

Shift: Salaried; Monday - Friday unless business needs vary

Location: Remote

Pay Range: 76,061.05 - $117,894.62

Essential Duties and Responsibilities

• Responsibility for coordination of Medicare and other governmental payment policies, compliance, and reporting for all hospital and clinic entities across the Mercy Health System.
• This position will analyze internal and external data and information requests as well as perform research relative to Medicare and other governmental payer rules and regulations.
• Manages and provides data support for the annual Medicare/Medicaid/BlueCross cost report submission to ensure accurate, timely, and proper reimbursements are received.
• Works with external consultants and governmental auditors on a routine basis to provide supporting information. Also, works with outside consultants to complete accurate tax related documents. Often works under tight deadlines.
• Works with other departmental staff and managers to prepare budgets for multiple entities and responds to questions from managers on budget issues and complex projects.
• Prepares pro forma financial analyses of new or changed services within the system as needed.
• Analyzes complex financial processes and recommends opportunities to improve system financial performance.
• Performs other duties as assigned.

Culture of Excellence Behavior Expectations

To perform the job successfully, an individual should demonstrate the following behavior expectations:

Quality - Follows policies and procedures; adapts to and manages changes in the environment; Demonstrates accuracy and thoroughness giving attention to details; Looks for ways to improve and promote quality; Applies feedback to improve performance; Manages time and prioritizes effectively to achieve organizational goals.

Service - Responds promptly to requests for service and assistance; Follows the Mercyhealth Critical Moments of service; Meets commitments; Abides by MH confidentiality and security agreement; Shows respect and sensitivity for cultural differences; and effectively communicates information to partners; Thinks system wide regarding processes and functions.

Partnering - Shows commitment to the Mission of Mercyhealth and Culture of Excellence through all words and actions; Exhibits objectivity and openness to other's views; Demonstrates a high level of participation and engagement in day-to-day work; Gives and welcomes feedback; Generates suggestions for improving work: Embraces teamwork, supports and encourages positive change while giving value to individuals.

Cost - Conserves organization resources; Understands fiscal responsibility; Works within approved budget; Develops and implements cost saving measures; contributes to profits and revenue.

Education and Experience

Bachelor's degree in accounting from four-year college or university or master's degree in a related field.
Five to ten years of experience, four of which must be in health care finance.
Must have high level of Medicare experience that includes experiences in preparation of Medicare/Medicaid cost reports, accounting and budgeting of patient revenue, Medicare Medicaid regulations and the analysis, modeling and reporting of other third party payers.

Skills and Abilities
Computer experience
Strong accuracy
Excellent interpretive/analytical skills

Special Physical Demands

While performing the duties of this Job, the employee is regularly required to stand and talk or hear, may be for extended periods. The employee is frequently required to walk; use hands to finger, handle, or feel and reach with hands and arms. Ability to use computer, keyboard, and other office equipment. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, color vision and ability to adjust focus.

Level of Supervision

Some independent judgment is required, but alternatives are limited by standard practices or procedures.

PAY RANGE:

Mercyhealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identify, national origin, disability, or protected veteran status.

Mercyhealth offers competitive pay and a comprehensive benefits package including:

• Medical, Dental, Vision

• Life & Disability Insurance

• FSA/HSA Options

• Generous, accruing paid time off

• Paid Parental and caregiver leave

• Career advancement and educational opportunities

• Tuition and certification reimbursement

• Certification Reimbursement

• Well-being Programs

• Employee Discounts

• On-Demand Pay

• Financial Education

• Annual recognition/awards events

• Partner appreciation days

• Family entertainment/attractions discount

• Community service/improvement opportunities

Click here for more details regarding Mercyhealth Careers Benefit Information.

At Mercyhealth, we don’t simply hire people, we empower employee-partners who are passionate about making lives better. As an integrated health system, we deliver exceptional, coordinated across seven hospitals, 85 primary and specialty clinics, and a team of over 7,500 professionals serving northern Illinois and southern Wisconsin.

Mercyhealth has been nationally recognized for our commitment to our people and culture, including:

• #1 in the nation on AARP's Best Employers for Workers Over 50

• One of Working Mother magazine's 100 Best Companies for Working Mothers

• A Top 50 Company and Top 10 Nonprofit for Executive Women