Senior Financial Reimbursement Specialist Regulatory

At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team.

Job Summary

Responsible for analyzing new Federal and State regulations and determining the impact of these regulations for Memorial Hermann Health System. Explain new regulations to reimbursement personnel. Work with various stakeholders to best align behavior to minimize adverse impact of finalized regulations. Prepare Home Office cost report, and assist with other cost reports as needed. Typically reports to Associate Vice President, Government Reporting, Appeals and Audits.

Job Description

Minimum Qualifications

Education: Bachelors Degree in Accounting

Licenses/ Certifications: (None)

Experience/ Knowledge/ Skills:  

• Requires at least seven (7) years experience in governmental and hospital reimbursement with five (5) years experience working in a large healthcare system

• Possess the core knowledge of Medicare/ Medicaid Reimbursement principles

• Strong analytical and PC skills

• Effective oral and written communication skills

Principal Accountabilities

• Analyzes new Federal and State regulations as proposed by the Centers for Medicare and Medicaid Services (CMS).

• Prepares comments to be submitted by MHHS. Collaborate with various stakeholders to calculate the impact of proposed regulations to MHHS.

• Analyzes final Federal and State regulations. Determine impact to MHHS and propose strategies to minimize negative impact to MHHS.

• Interacts with Government Relations department to inform on areas and issues of importance to MHHS.

• Prepares Home Office Cost Report to be filed annually.

• Assists with MHHS Wage Index preparation.

• Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.

• Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff.

• Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Memorial Hermann’s service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues.

• Other duties as assigned.

Employee Signature:________________________________________ Date:_________________

Manager Signature:_________________________________________ Date:_________________

Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the patient served.  Must demonstrate knowledge of the principles of growth and development as it relates to the different life cycles.  Specific age groups that are served by this position are circled:

|      Neonate      |         Infant         |      Pediatric      |    Adolescent    |         Adult         | Adult/Geriatric |