Reimbursement Analyst

Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

All the benefits and perks you need for you and your family:

• Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance

• Paid Time Off from Day One

• 403-B Retirement Plan

• 4 Weeks 100% Paid Parental Leave

• Career Development

• Whole Person Well-being Resources

• Mental Health Resources and Support

• Pet Benefits

Schedule:

Shift:

Address:

City:

State:

Postal Code:

Job Description:

• Assists with the preparation and submission of accurate and timely cost reports as required by Medicare, Medicaid, and other State or Federal agencies.

• Coordinates Medicare, Medicaid, and other State or Federal agency cost report audits, providing supporting documentation, reviewing audit adjustments, and responding to audit findings.

• Updates, reviews, and maintains supporting documentation for the Medicare and Medicaid Uniform Contractual Worksheet-Third Party Settlement templates according to standardized policies and procedures.

• Reviews the reasonableness of hospital interim reimbursement rates and special payments received from Medicare and Medicaid and follows up as appropriate.

• Discusses hospital third-party settlement results with hospitals’ financial leadership.

• Maintains a working knowledge of current laws and regulations of the Federal Medicare and State Medicaid programs, including changes affecting hospital reimbursement.

• Completes special projects assigned by the department manager or director within the requested time frame.

• Performs other duties as assigned.

Knowledge, Skills, and Abilities:

• Possess an understanding of financial accounting and auditing principles and their application to healthcare [Required]
• Strong computer software skills including Microsoft Office applications [Required]
• Ability to learn new technology applications [Required]
• Strong analytical skills [Required]
• Excellent interpersonal skills [Required]
• Well organized and detail-oriented [Required]
• Knowledge of Medicare and state Medicaid program reimbursement laws and regulations [Required]
• Ability to research and interpret Medicare and Medicaid laws and regulations [Required]
• Proficient in use of regulatory cost reporting software [Required]
• Working knowledge of personal computer applications and spreadsheet analysis [Required]
• Strong communication skills [Required]
• Ability to process large volumes of work independently [Required]
• Prioritize work to meet deadlines and multiple demands in a limited amount of time [Required]

Education:

• Associate’s [Required]
• Bachelor’s [Preferred]

Field of Study:

• in Accounting or Finance

Work Experience:

• 4+ experience in healthcare reimbursement including medicare, medicaid reimbursement and regulatory cost reporting [Preferred]

Additional Information:

• An equivalent combination of education and relevant work experience may be considered in lieu of the stated degree requirement: 
• Associate's degree AND 4 years of experience OR Bachelor's degree AND 2 years of experience.

Licenses and Certifications:

• N/A

Physical Requirements: (Please click the link below to view work requirements)
Physical Requirements - https://tinyurl.com/23km2677

Pay Range:

Background Screening Requirement (Florida Law)

Certain positions are subject to Florida Level 2 background screening, including fingerprinting, as required by state law.

Applicants may review general information about Florida’s background screening requirements at the Florida Care Provider Background Screening Clearinghouse:
https://info.flclearinghouse.com/

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.