Reimbursement Analyst

UHS; United States; On-site; USD 60,000 - 80,000; Full time

Benefits offered by this job

Competitive compensation

Medical, Dental, Vision and Prescription Drug Plan

401k with company match

Job summary

A leading healthcare organization is seeking a Reimbursement Analyst to manage Medicare and Medicaid reimbursement functions for various facilities. The position requires a Bachelor's degree and expertise in Medicare payment systems, compliance, and strong analytical skills. Successful candidates will provide consulting services and complete cost report submissions. This role offers a competitive compensation package and growth opportunities within the organization.

Qualifications

• Proficient knowledge of cost reporting applications and concepts for short term acute care hospitals.
• Well versed on Medicare prospective payment systems.
• In-depth knowledge of GME/IME payment concepts.

Responsibilities

• Support completing Medicare and Medicaid cost report submissions for assigned hospitals.
• Provide independent hospital reimbursement consulting services.
• Review Medicare and Medicaid contractual models for compliance.

Skills

Medicare payment systems knowledge

Medicaid supplemental payment concepts

Strong analytical skills

Intermediate-to-Advanced Microsoft Excel

Communication skills

Interpersonal skills

Education

Bachelor's degree

Tools

HFS cost report software

Mckesson G/L

Siemens Invision

Job description

Join to apply for the Reimbursement Analyst role at UHS

Join a dynamic organization driven by our passion for healthcare. UHS is seeking talented individuals who are eager to contribute their expertise and pursue rewarding careers. As a leader in acute care and behavioral health, UHS provides high‑quality care to over 3 million patients annually, across our national network of facilities.

The UHS Corporate Reimbursement Department is hiring a Program Manager – Reimbursement – Acute that will complete the Medicare and Medicaid fee‑for‑service reimbursement functions (including cost report preparation assistance) for multiple assigned hospitals or other UHS entities with complex reimbursement environments and that have a significant level of UHS financial statement impact.

Key Responsibilities

• Support completing Medicare and Medicaid cost report submissions for assigned hospitals or other UHS entities and related desk review and audit activity (including wage index reviews or other Medicare/Medicaid reimbursement activity) for multiple facilities with complex reimbursement environments and that have a high level of financial statement impact.
• Provide independent on‑going hospital reimbursement consulting services (e.g. compliance, billing, financial pro‑forma analysis) to UHS corporate business office, regional finance and to hospital executive staff and other UHS entities. Independently handles reimbursement projects and assignments.
• Provide applicable Medicare and Medicaid contractual models, related reimbursement factors and other necessary data. Review these models for compliance and accuracy.
• Support Medicare graduate medical education (resident) program and related GME/IME reimbursement activity.
• Completes monthly cost report journal entries (for rate reviews, tentatives and NPRs). Also maintain the exposure log monthly.
• Participate in the oversight, development and maintenance of Medicaid supplemental payment (SDP and UPL) and state Medicaid DSH programs for assigned facilities.

Bachelor's degree with a proficient knowledge of cost reporting applications and concepts for short term acute care hospitals.

Qualifications

• Well versed on Medicare prospective payment systems including Inpatient Acute DRGs, Outpatient APCs, Rehabilitation CMGs and Psychiatric IPF‑PPS plus in‑depth knowledge of GME/IME payment concepts.
• Understanding of Medicare statutes, regulations and administrative rules and their related legislative and regulatory processes.
• Understands Medicaid supplemental payment concepts included related provider taxes and IGT’s.
• Intermediate‑to‑Advanced level knowledge of Microsoft Excel.
• Familiarity with Mckesson G/L and Siemens Invision.
• Proficiency in HFS cost report software (or its equivalent).
• Strong analytical, communication, and interpersonal skills.

This opportunity provides a rewarding career, challenging and rewarding work environment as well as growth and development opportunities within UHS and its subsidiaries, including competitive compensation, excellent Medical, Dental, Vision and Prescription Drug Plan, and 401k with company match.

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.

Notice

At UHS and all subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates with matching skillset and experience with the best possible career at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail etc. If you feel suspicious of a job posting or job‑related email, let us know by contacting us at: https://uhs.alertline.com or 1‑800‑852‑3449