• Sr Reimbursement Analyst

    CommonSpirit Health (Phoenix, AZ)


    Responsibilities

    Position Summary:

    The Senior Reimbursement Analyst is responsible for providing cost report preparation cost report appeals audit preparation and other duties related to the regulatory reimbursement services of Dignity Health. The position maintains current knowledge of Medicare Medicaid and other State and Federal regulations. The Sr. Reimbursement Analyst interacts with customers and ensures value is delivered and customer satisfaction is achieved. The Sr. Reimbursement Analyst also assists in the improvement of internal business processes and meeting future reimbursement service needs.

     

    The Senior Reimbursement Analyst carries out his/her duties by adhering to the highest standards of ethical and moral conduct acts in the best interest of Dignity Health and fully supports Dignity Health’s Mission Philosophy and core values of Collaboration Dignity Excellence Justice and Stewardship. The Senior Reimbursement Analyst reports to the Reimbursement Managers and/or Directors.

    Accountabilities:

    Prepares interim and annual cost reports for Medicare Medicaid and other State or Federal agencies for Dignity Health facilities and regions

     

    Calculates periodic adjustments for deductions from revenue revenue reserves bad debt and other revenue adjustments related to regulatory reimbursement for all Dignity Health facilities and regions in accordance with Dignity Health policies and procedures

     

    Assist the Reimbursement Managers and/or Directors with recommendations for internal Dignity Health strategy by evaluating current growth anticipating future needs and assessing impact of services delivered

     

    Assists in the maintenance of standardized policies and procedures and third party settlement methodologies

     

    Reviews operational reports identifies opportunities/problems and makes recommendations for improving processes

     

    Assesses the impact of new products technology and processes on the existing organization and makes recommendations for improvement

    Required Non-Technical Competencies:

    Commitment to Dignity Health Values

     

    Analytical Thinking

     

    Continuous Improvement

     

    Problem Solving

     

    Customer Orientation

     

    Team Orientation

     

    Flexibility

     

    Communication Ability

     

    Reasoning

    Required Technical Competencies:

    Medicare

     

    Medicare Regulatory Reporting

     

    Medicaid (Medi-Cal)

     

    Medicaid (Medi-Cal) Regulatory Reporting

     

    Accounts Receivable and Cash Collection

     

    Capital and Fixed Assets

     

    Reimbursement – Monthly Analysis Process

     

    Decision Support

     

    General Accounting

     

    Cost Reporting

    Qualifications

    Minimum Qualifications:

    Minimum of five (5) years of experience with all aspects of Medicare and Medicaid (Medi-Cal) regulations monitoring and report processes required

     

    Experience as hospital Reimbursement staff or auditing experiences with Fiscal Intermediary required

     

    Minimum of five (5) years of experience and excellent working knowledge of general accounting government reimbursement appeals and audits in a complex organization and maintaining relationships with internal and external entities such as general accounting patient accounting and fiscal intermediaries required

     

    Experience and knowledge of current reimbursement regulations and applications in a complex healthcare environment required

     

    Bachelor’s degree in Business Administration Accounting or equivalent work experience required

     

    Required at times but very limited

     

    Overview

     

    Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation’s largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care, community benefits and unreimbursed government programs. Together with our patients, physicians, partners, and communities, we are creating a more just, equitable, and innovative healthcare delivery system.

    Pay Range

    $36.96 - $53.60 /hour

     

    We are an equal opportunity employer.