Analyst, Reimbursement III

Summary

Reimbursement Analyst III preparing Medicare cost reports, supporting external audits for net revenue and AR valuation, maintaining decision support system reimbursement models, handling regulatory filings, and budgeting—using Microsoft Office and cost report preparation software.

HealthPartners is hiring a Reimbursement Analyst III.

The Reimbursement Analyst III is responsible for the preparation of hospital, hospice, home health agency, home office and skilled nursing facility cost reports, support for annual external audit related to net revenue valuation, net accounts receivable valuation, and pay or settlement liabilities. This position is also responsible for maintaining decision support system reimbursement modeling and auditing of same to ensure that calculated net revenues reasonably match actual payments. Other special analysis related to patient services, government regulatory issues and general accounting as assigned.

MINIMUM QUALIFICATIONS:

Education:	Bachelor’s degree in Accounting or Finance
Experience:	3- 5 years of experience in Medicare cost reporting or related healthcare finance area
Licensure/ Registration/ Certification:	None
Knowledge, Skills and Abilities:	Advanced knowledge of hospital accounting and Medicare cost accounting fundamentals Knowledge of accounting, statistics and general business principles and practices Ability to maintain effective working relationships with others Ability to communicate effectively both written and oral Ability to handle confidential information with discretion Ability to use a personal computer (Microsoft Office, Excel, PowerPoint) and cost report preparation software Ability to work independently with light supervision Advanced knowledge of third party reimbursement payment mechanisms and settlement procedures Knowledge of hospital payor relationships and accounting

MAJOR JOB DUTIES AND TASKS:	Percentage Of Time:

1.	Evaluation of Net Patient Services Revenue and Accounts Receivable	10%
	Monthly analysis and valuation of net patient services revenue
	Interim updating of Medicare and third party settlement liabilities
	Quarterly evaluation of net patient accounts receivable and adjustments as required
	External Audit resource for documentation needed to audit net patient revenue and net patient accounts receivable valuation

2.	Medicare Cost Report Preparation and Audit Support	50%
	Prepare cost reports for Regions and HealthPartners affiliates
	Assist the Reimbursement Manager with Medicare audit support as needed
	Assist the Reimbursement Manager with the preparation of Medicare appeal Documentation and position paper preparation as needed

3.	Decision Support System Modeling and Analysis	10%
	Modeling of Net Revenue Reimbursement for Medicare & Medicaid
	Auditing of Decision Support System reimbursement and costing
	Analysis of regulatory and program changes using decision support system

4.	Other Regulatory Reporting	20%
	Filing of annual Department of Health Hospital Annual Report based on existing State of Minnesota regulations
	Filing of annual Department of Health Medical Education and Research Cost grant application based on existing State of Minnesota regulations
	Completion of trade association survey data related to patient services revenue and statistical data available from regular analytical records
5.	Preparation of annual net patient services revenue budget and associated other operating revenues	10%
	Preparation of assumption driven inpatient and outpatient gross revenue, contractual allowance and net patient services revenue budget based on historical data and business volume changes as communicated by management direction
	Prepare analysis for mid year forecasting of net revenue

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Analyst, Reimbursement III

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