Reimbursement Specialist

Penn Medicine; Philadelphia (Philadelphia County); Hybrid; USD 70,000 - 100,000; Full time

Job summary

Penn Medicine's Corporate Services, Government Reimbursement team seeks a Reimbursement Specialist to support Medicare/Medicaid filings and regulatory compliance. You will assist with cost reports, data analysis, and Graduate Medical Education finance activities, partnering with corporate and hospital leadership.

The role, based at 3535 Market Street in a hybrid schedule, offers opportunities to impact financial operations and compliance across Penn Medicine and its affiliations.

Qualifications

• Bachelor's Degree in Accounting, Finance, or Business Administration is required.
• 3+ years Experience of third-party governmental reimbursement (including: compliance analysis, revenue budgeting and cost reporting activities from PIP establishment to final settlement) is required.
• 3+ years Experience with state/regulatory filings is required.
• Knowledge of the Medicare Cost Report is a plus!

Responsibilities

• Provide technical and consultative support for entities and Corporate Services in all applicable facets of Reimbursement and Financial Planning in a professional manner.
• Develop and maintain a customer service driven work environment within all areas of responsibility.
• Maintain Project Logs for all assigned projects.
• Perform special projects, as assigned.
• Review Medicare, Medicaid, Champus, CRC, Regulatory Compliance, Required Cost Report and PIP Filings.
• Assist in the analysis of the impact of new State regulations.
• Assist with all aspects of the cost report related activities, including PIP filings, Wage Index submission and regulation interpretation.
• Assist in the completion of all necessary interim and final submissions relative to Penn Medicine Cost Reports.
• Assist with audit requests and the preparation of re-openings, as necessary.
• Graduate Medical Education Finance.
• Assist Graduate Medical Education Department in the development of resident FTE budgets.
• Assist department leadership and GME office with Resident billing analysis, including the VAMC and CHOP
• Assist residency coordinator with resident financial issues when needed
• Monthly Financial Statement Support
• Prepare timely Medicare cash analysis
• Support department leadership with analysis for month-end and year-end close

Education

Bachelor's Degree Accounting, Finance, or Business Administration

Job description

Description

Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines.

Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?

Entity: Corporate Services

Department: Government Reimbursement

Location: 3535 Market Street, Suite 1400

Hours: Hybrid, M-F, 8:30AM to 5:00PM

Summary

The Reimbursement Specialist will provide reimbursement and financial support to both corporate and hospital leadership in an efficient and customer-focused manner. The Specialist will report to the Reimbursement Manager. The major focus of this position will be on reimbursement filings and regulatory issues.

Accountabilities

Patient/Customer

• Provide technical and consultative support for entities and Corporate Services in all applicable facets of Reimbursement and Financial Planning in a professional manner.
• Develop and maintain a customer service driven work environment within all areas of responsibility.
• Maintain Project Logs for all assigned projects.
• Perform special projects, as assigned.

Operations

• Ad Hoc Analyses and Information
• Review request and collect data from appropriate sources.
• Review data received and forward to requesting party.
• Medicare, Medicaid, Champus, CRC, Regulatory Compliance, Required Cost Report and PIP Filings
• Assist in the analysis of the impact of new State regulations
• Assist with all aspects of the cost report related activities, including PIP filings, Wage Index submission and regulation interpretation.
• Assist in the completion of all necessary interim and final submissions relative to Penn Medicine Cost Reports.
• Assist with audit requests and the preparation of re-openings, as necessary.
• Graduate Medical Education Finance
• Assist Graduate Medical Education Department in the development of resident FTE budgets.
• Assist department leadership and GME office with Resident billing analysis, including the VAMC and CHOP
• Assist residency coordinator with resident financial issues when needed
• Monthly Financial Statement Support
• Prepare timely Medicare cash analysis
• Support department leadership with analysis for month-end and year-end close

Staff Development

• Mutually develop and implement learning and development plans for teaching regulatory changes to the analysts and others in the department.
• Performs duties in accordance with Penn Medicine and entity values, policies, and procedures
• Other duties as assigned to support the unit, department, entity, and health system organization

Minimum Requirements

Required Education and Experience

• Bachelor's Degree Accounting, Finance, or Business Administration is required.
• 3+ years Experience of third-party governmental reimbursement (including: compliance analysis, revenue budgeting and cost reporting activities from PIP establishment to final settlement) is required.
• 3+ years Experience with state/regulatory filings is required.
• Knowledge of the Medicare Cost Report is a plus!

Licenses, Registrations, and Certifications

• HFMA Certified Healthcare Finance Professional (CHFP) is preferred

We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.

Live Your Life's Work

We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.