Associate Government Reimbursement Analyst

Memorial Hermann Health System; Salt Lake City (UT); On-site; USD 55,000 - 75,000; Full time

Job summary

Memorial Hermann Health System seeks a cost report analyst to analyze data and support Medicare/Medicaid cost reporting. You will collaborate with Reimbursement and Supplemental Program teams to ensure accurate cost reporting and timely submissions.

The role requires a finance/business degree with 0-3 years in healthcare cost reports or related patient financial services, plus strong analytical and communication skills.

Qualifications

• 0-3 years of experience in healthcare cost report reimbursement, patient billing, or general patient financial services

Responsibilities

• Assist in coordination and completion of routine departmental functions
• Ensure journal entries are posted to general ledger and provide account analysis
• Compiles and analyzes physician time studies
• Enter Resident’s rotation schedules and CMS data
• Capture monthly statistics for Medicare/Medicaid Cost Reports
• Prepare portions of Medicare/Medicaid Cost Reports (Reclasses, Adjustments, Statistics)
• Input Cost Report data into CMS software
• Support data gathering for special projects
• Set up Cost Reports in tools for each year
• Research Bad Debt to support reimbursement
• Perform month-end analyses
• Assist with appeal operations
• Prepare Tricare Cost Reports
• File Medicare/Medicaid correspondence
• Ensure safe care and adherence to MH policies and standards
• Promote professional growth and serve as mentor
• Demonstrate MH service standards for compassionate care
• Other duties as assigned

Skills

Effective oral and written comms

Multi-tasking

Team collaboration

General Ledger tools (Lawson, Oracle)

SQL

Epic

Analytical skills

Education

Bachelor’s Degree in Finance

Bachelor’s Degree in Accounting

Healthcare Administration

Tools

Lawson

Oracle

Epic

Job description

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 conducting analysis and interpretation of data. This includes monitoring incoming and outgoing payments, Cost Report statistics and any historical information that impacts the Medicare cost reports. Responsible for assisting with the preparation of reports that will be shared with governmental entities. This position works closely with and collaborates with Reimbursement and Supplemental Program.

Job Description

Minimum Qualifications:

Education: Bachelor’s Degree in Finance, Accounting Healthcare Administration or a closely related business field required

Licenses/Certifications: (None)

Experience / Knowledge / Skills:

• 0-3 years of experience in healthcare cost report reimbursement, patient billing, or general patient financial services

• Effective oral and written communication skills.

• Ability to multi-task and perform duties on an as needed basis.

• Strong ability to multitask and work in team environment and be a cross functional collaborator.

• Awareness of General Ledger applications (e.g. Lawson, Oracle), SQL, and Epic

• Strong analytical skills

Principle Accountabilities:

• Assist in the coordination and completion of routine departmental functions in partnership with Senior and Specialist staff.

• Ensure the journal entries are accurately posted to the general ledger and provide account analysis.

• Compiles and analyzes physician time studies.

• Enters Resident’s rotation schedules and other demographic information in the applicable CMS software.

• Captures and gathers monthly statistics, which include summarizing the data needed for the preparation of the annual Medicare/Medicaid Cost Report(s).

• Prepares portions of the Medicare/Medicaid Cost Reports as assigned to include but not limited to Reclasses, Adjustments and Statistics.

• Input source data for the Cost Report into the applicable software program.

• Gather data for special projects as needed.

• Setup Cost Report on applicable tool for the applicable year.

• Research Bad Debt to support claiming for reimbursement.

• Prepare other Month End analysis as needed.

• Assist with appeal operations as needed.

• Prepare and file Tricare Cost Reports.

• Ensure the Medicare, Medicaid and other correspondence received are filed in the correspondence folders.

• 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.