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Employee Type:

Regular

Work Shift:

Day - 8 hour shift (United States of America)

Join Team Tidelands and help people live better lives through better health!

Reimbursement Analyst

Are you passionate about quality and committed to excellence? Consider joining our Tidelands Health team. As our region's largest health care provider, we are also one of our area's largest employers. More than 2,500 team members at more than 70 Tidelands Health locations bring our healing mission to life each day.

A Brief Overview

The Reimbursement Analyst will ensure timely and accurate reporting of all regulatory financial information to Medicare & Medicaid. This position requires the ability to manage strict deadlines, work independently and own one's work product.

What you will do

+ Prepare various required regulatory submissions. This includes but is not limited to: IRS Form 990 Schedule H; Medicare, Medicaid & Tricare Cost Reports; Medicaid DSH; Joint Annual Reports.

+ Coordinate and manage external audits from Medicare & Medicaid as necessary.

+ Prepare monthly contractual allowance models across all entities. Review and analyze for reasonableness and determine significant drivers of variances to budget and historical trends.

+ Assist with preparation of the annual net revenue operating budget through the gathering of data and use of various budgeting/forecasting tools.

+ Perform net revenue analysis as requested by the organization. Examples include: service line revenue estimates, payer contract related revenue analysis, etc.

+ Update and analyze payor contract information to perform reimbursement modeling.

+ Ensure compliance with applicable laws and regulations and conduct business in an ethical and professional manner.

+ Update and maintain job knowledge through educational opportunities, development of professional networks and participation in professional organizations.

+ Contribute to departmental and organizational special projects as assigned.

Education Qualifications

+ Bachelor's Degree Accounting Required

+ Bachelor's Degree Finance or Business Administration Preferred

Experience Qualifications

+ At least 5 years of progressive healthcare experience working as a Reimbursement Analyst in a hospital, a Medicare Administrative Contractor (MAC), and/or a professional audit or consulting firm focusing on cost reporting and healthcare reimbursement. Required

Skills and Abilities

+ Strong organizational skills and attention to detail required.

+ Strong verbal and written communication skills required.

+ Proficiency with Microsoft Office (including Word, Excel, Outlook & Powerpoint).

+ Ability to work independently or in a team setting.

+ Able to multitask and manage strict deadlines.

+ Ability to apply critical thinking skills on a regular basis.

Licenses and Certifications

+ Certified Professional in Healthcare Risk Management - American Society for Health Care Risk Management Preferred

PAT Rating

Light Physical Agility Test (PAT) Rating

The intent of this job description is to provide a representative and level of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a contract for employment nor a declaration of the total of the specific duties and responsibilities of any particular position. Employees may be directed to perform tasks other than those specifically presented in this description.

Tidelands Health is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.

Tidelands Health is an equal opportunity employer (EOE). Tidelands Health does not discriminate against employees or applicants for employment on the basis of race, color, creed, religion, age, national origin, disability, marital status, veteran status, gender, genetic information, familial status, or any other legally protected status.