Regulatory and Reimbursement Coordinator - Remote

Mercy Health Corporation

Janesville (WI)

Remote

USD 76,061 - 117,894

Full time

14 days+

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Benefits offered by this job

Medical, Dental, Vision

Life & Disability Insurance

Generous paid time off

Tuition reimbursement

Employee Discounts

Community service opportunities

Job summary

Mercy Health Corporation in Janesville, WI is seeking a financial expert responsible for Medicare compliance and financial analysis. The role includes coordinating payment policies, preparing cost reports, and requiring a Bachelor's in accounting or a related field alongside extensive healthcare finance experience.

With a focus on analytical skill development, applicants should have a high level of Medicare knowledge and a passion for improving financial performance within the healthcare sector. Benefits include medical, dental, vision, and generous paid time off.

Qualifications

5-10 years of experience in healthcare finance required.
High level of Medicare experience, including file preparation.
Experience in accounting and budgeting of patient revenue.

Responsibilities

Analyze financial information and reporting compliance.
Coordinate Medicare payment policies for the health system.
Manage data support for annual cost report submissions.

Skills

Computer experience

Strong accuracy

Excellent interpretive/analytical skills

Education

Bachelor's degree in accounting

Master's degree in a related field

Job description

OVERVIEW

Applies principles of accounting to analyze financial information.

Schedule

Full-Time Salaried

Shift

Days, hours may vary based on need

Location

Janesville, WI

Pay Range

$76,061.05-117,894.62

Essential Duties and Responsibilities

Responsibility for coordination of Medicare and other governmental payment policies, compliance, and reporting for all hospital and clinic entities across the Mercy Health System.
This position will analyze internal and external data and information requests as well as perform research relative to Medicare and other governmental payer rules and regulations.
Manages and provides data support for the annual Medicare/Medicaid/BlueCross cost report submission to ensure accurate, timely, and proper reimbursements are received.
Works with external consultants and governmental auditors on a routine basis to provide supporting information. Also, works with outside consultants to complete accurate tax related documents. Often works under tight deadlines.
Works with other departmental staff and managers to prepare budgets for multiple entities and responds to questions from managers on budget issues and complex projects.
Prepares pro forma financial analyses of new or changed services within the system as needed.
Analyzes complex financial processes and recommends opportunities to improve system financial performance.
Performs other duties as assigned.

Culture of Excellence Behavior Expectations

Quality - Follows policies and procedures; adapts to and manages changes in the environment; Demonstrates accuracy and thoroughness giving attention to details; Looks for ways to improve and promote quality; Applies feedback to improve performance; Manages time and prioritizes effectively to achieve organizational goals.
Service - Responds promptly to requests for service and assistance; Follows the Mercyhealth Critical Moments of service; Meets commitments; Abides by MH confidentiality and security agreement; Shows respect and sensitivity for cultural differences; and effectively communicates information to partners; Thinks system wide regarding processes and functions.
Partnering - Shows commitment to the Mission of Mercyhealth and Culture of Excellence through all words and actions; Exhibits objectivity and openness to other's views; Demonstrates a high level of participation and engagement in day-to-day work; Gives and welcomes feedback; Generates suggestions for improving work: Embraces teamwork, supports and encourages positive change while giving value to individuals.
Cost - Conserves organization resources; Understands fiscal responsibility; Works within approved budget; Develops and implements cost saving measures; contributes to profits and revenue.

Education and Experience

Bachelor's degree in accounting from a four-year college or university or master's degree in a related field.

Five to ten years of experience, four of which must be in health care finance.

Must have high level of Medicare experience that includes experiences in preparation of Medicare/Medicaid cost reports, accounting and budgeting of patient revenue, Medicare Medicaid regulations and the analysis, modeling and reporting of other third party payers.

Skills and Abilities

Computer experience
Strong accuracy
Excellent interpretive/analytical skills

Special Physical Demands

While performing the duties of this Job, the employee is regularly required to stand and talk or hear, may be for extended periods. The employee is frequently required to walk; use hands to finger, handle, or feel and reach with hands and arms. Ability to use computer, keyboard, and other office equipment. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, color vision and ability to adjust focus.

Level of Supervision

Some independent judgment is required, but alternatives are limited by standard practices or procedures.

Supervises

There are no supervision duties.

Equity Opportunity Employer Statement

Mercyhealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identify, national origin, disability, or protected veteran status.

Benefits