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Prepare and submit Medicare and Medicaid cost reports and related filings, monitor reimbursement accounts, and coordinate audits, reviews, reopenings, and appeals. Advise facility leadership on reimbursement and regulatory matters, manage provider enrollment activities, and prepare additional reimbursement filings and annual reviews.
Senior Reimbursement Analyst - Texas Health Resources
Bring your passion to Texas Health So We Are Better + Together
Work Location: Texas Health Corporate, 612 E. Lamar Blvd., Arlington, TX 76011
Work Hours: Full Time Days (8:00am-5:00pm) for 40 hrs/week (remote work allowed at manager's discretion)
Department Highlights:
What You Will Do:
Coordinate, prepare, and submit timely and accurate Medicare and Medicaid cost reports for assigned hospitals.
Coordinate and submit annual Waiver related UC Tools.
Monthly monitoring of Medicare and Medicaid contractuals related to the filing of the cost report and maintain accurate cost report-related liability and reserve accounts.
Coordinate Medicare cost report audits, desk reviews, reopenings, and appeals.
Lead and support Medicaid, Disproportionate Share Hospital (DSH), Uncompensated Care (UC), and Worksheet S-10 audits, and assist with financial audits as needed.
Provide reimbursement consulting, financial analysis, and regulatory guidance to facility leadership on Medicare and Medicaid reimbursement matters.
Manage Medicare enrollment activities, including CMS-855A applications for new hospitals, revalidations, and updates to organizational and facility information.
Prepare and submit CHAMPUS/TRICARE medical education and capital reimbursement filings.
Coordinate Medicaid provider enrollments, revalidations, and related program participation requirements.
Perform annual Medicare wage index reviews and support occupational mix survey submissions.
Research, interpret, and communicate changes in Medicare/Medicaid regulations and changes in cost reporting instructions and assess their financial impact.
What You Need:
Education
Bachelor's Degree Accounting Req
Experience
7 Years Accounting Req
2 years cost reporting experience with either a hospital or intermediary setting Preferred
Skills
Knowledge of Medicare/Medicaid Regulations and General Accounting Principals
Supervision
Individual Contributor
ADA Requirements
Extreme Heat 1-33%25
Extreme Cold 1-33%25
Extreme Swings in Temperature 1-33%25
Extreme Noise 1-33%25
Working Outdoors 1-33%25
Working Indoors 67%25 or more
Mechanical Hazards 1-33%25
Electrical Hazards 1-33%25
Explosive Hazards 1-33%25
Fume/Odor Hazards 1-33%25
Dust/Mites Hazards 1-33%25
Chemical Hazards 1-33%25
Toxic Waste Hazards 1-33%25
Radiation Hazards 1-33%25
Wet Hazards 1-33%25
Heights 1-33%25
Other Conditions 1-33%25
Physical Demands
Sedentary
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