Regulatory and Reimbursement Coordinator - Remote

RemoteFetch; Illinois; Remote; USD 76,000 - 118,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Life insurance

Disability insurance

Paid time off

Parental leave

Tuition reimbursement

Well-being programs

Employee discounts

Job summary

Mercyhealth is seeking a seasoned healthcare finance professional to ensure Medicare/Medicaid compliance and accurate cost reporting across its hospital and clinic network. The role emphasizes analysis, budgeting, and data-driven process improvements.

The candidate should have strong Medicare experience, a degree in accounting, and 5–10 years in healthcare finance, with a responsive, deadline-driven mindset. Remote-ready with flexible hours in a salaried position.

Qualifications

• Must have bachelor's degree in accounting or master's in a related field.
• Five to ten years experience, four in health care finance.
• High level Medicare experience including cost reports, accounting, budgeting, and payer analysis.

Responsibilities

• Coordinate Medicare and government payment policies, compliance, and reporting for hospital and clinic entities.
• Analyze internal/external data and research Medicare and payer rules.
• Manage data support for annual Medicare/Medicaid/BlueCross cost reports to ensure proper reimbursements.
• Collaborate with external consultants and auditors to provide information and meet deadlines.
• Assist budget preparation for multiple entities and answer budget-related questions.
• Prepare pro forma analyses of new or changed services.
• Analyze complex financial processes and identify opportunities to improve performance.
• Perform other duties as assigned.

Skills

Medicare experience

Accounting

Budgeting

Data analysis

Regulatory compliance

Education

Bachelor's in accounting

Master's in related field

Job description

OVERVIEW

Applies principles of accounting to analyze financial information. Strong experience with Medicare and Medicaid in a healthcare organization.

SCHEDULE:

40-hours per week, salaried

SHIFT:

Days, hours may vary based on need

LOCATION:

Remote position. Mercyhealth supports remote workers that reside in the contiguous United States, including Alaska and Hawaii, , with the exception of California, Ohio, Oregon, Pennsylvania, New Jersey, New York, and Washington.

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.

EDUCATION AND EXPERIENCE

• Bachelor's degree in accounting from 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.

PAY RANGE:

$76,061.05 - $117,894.62

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.

COMPENSATION AND BENEFITS

Mercyhealth offers competitive pay and a comprehensive benefits package including:

• Medical, Dental, Vision
• Life & Disability Insurance
• FSA/HSA Options
• Generous, accruing paid time off
• Paid Parental and caregiver leave
• Career advancement and educational opportunities
• Tuition and certification reimbursement
• Certification Reimbursement
• Well-being Programs
• Employee Discounts
• On-Demand Pay
• Financial Education
• Annual recognition/awards events
• Partner appreciation days
• Family entertainment/attractions discount
• Community service/improvement opportunities

At Mercyhealth, we don't simply hire people, we empower employee-partners who are passionate about making lives better. As an integrated health system, we deliver exceptional, coordinated across seven hospitals, 85 primary and specialty clinics, and a team of over 7,500 professionals serving northern Illinois and southern Wisconsin.

Mercyhealth has been nationally recognized for our commitment to our people and culture, including:

• #1 in the nation on AARP's Best Employers for Workers Over 50
• One of Working Mother magazine's 100 Best Companies for Working Mothers
• A Top 50 Company and Top 10 Nonprofit for Executive Women