Reimbursement Specialist II

Hackensack Meridian Health; Woodbridge Township (NJ); On-site; USD 75,000 - 92,000; Full time

Job summary

Hackensack Meridian Health is seeking a Reimbursement Specialist II with 2-3 years in hospital reimbursement to prepare Medicare, Champus and Chapter 160 cost reports. This fully remote role (one day per month on-site) includes data coordination, audit support and research to maximize compliant reimbursements.

Ideal candidates will have a Bachelor's degree in Finance/Accounting/Economics or equivalent experience, strong Excel/Word skills, and proven analytical and communication abilities.

Qualifications

• Bachelor's degree in Finance, Accounting, or Economics or equivalent experience.
• 2-3 years hospital reimbursement experience including preparation of cost reports.
• Proficiency in Microsoft Excel and Word.
• Excellent analytical skills with audit trail capabilities.
• Effective written and verbal communication skills.
• Ability to work with all levels of the organization.

Responsibilities

• Prepare Medicare, Chapter 160 and Champus cost reports for select hospitals.
• Coordinate cost reports for Home Health Agency and Home Office.
• Compile and analyze statistical data and audits; assist with Form 990 preparation.

Skills

Analytical skills

Written and verbal communication

Education

Bachelor's Degree in Finance/Accounting/Economics

Tools

Microsoft Excel

Microsoft Word

Job description

Overview

Our team members are the heart of what makes us better.

Overview

Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community.

Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.

The Reimbursement Specialist II is responsible for preparation of Medicare, Champus and Chapter 160 cost reports, reimbursement compliance and research, reimbursement studies and other related financial analysis as needed.

• This will be fully remote except for one day month.

Responsibilities

A day in the life of a Reimbursement Specialist II at Hackensack Meridian Health includes:

• Preparation of the Medicare, Chapter 160 and Champus cost reports for select hospitals.
• Coordination and accumulation of information needed for the Home Health Agency and Home Office cost reports.
• Coordination and accumulation of statistical data.
• Coordination and accumulation of Interns & Residents schedules and all required personal data including preparation of the IRIS.
• Coordination and support of the Wage Index submission to CMS including acting as the point person for the Wage Index audits.
• Assistance in the completion of the NJ DSH and Occupational Mix Surveys as needed.
• Coordinating any bad debt audits by effectively working with Patient Accounting.
• Research as needed via Internet, relevant publications, reimbursement manuals, etc. to ensure compliance and maximize reimbursement strategies within regulations.
• Support with select Medicare and Medicaid audits as needed including acting as the point person.
• Review of audit adjustments including effective communication with outside auditors in resolving any issues as needed.
• Software input of the cost report data as needed.
• Performance of financial analysis of relevant reimbursement issues as they arise.
• Assistance with completion of Form 990, schedule H, as needed.
• Maintenance of the hospitals IACS access in order to generate PS&R settlement data as requested or needed.
• Special projects and other duties as assigned by Management.

Qualifications

Education, Knowledge, Skills and Abilities Required:

• Bachelors Degree or equivalent experience in Finance, Accounting, and /or Economics.
• 2-3 years hospital reimbursement experience including preparation of cost reports.
• Demonstrated proficiency in Microsoft Excel and Word.
• Excellent analytical skills including ability to complete detailed workpapers for an audit trail.
• Effective written and verbal communication skills.
• Ability to establish effective working relationships with all levels of the Hackensack Meridian Health organization as needed.

Compensation

Minimum rate of $83,782.40 Annually

HMH is committed to pay equity and transparency for our team members. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package.

Job Duties

The starting rate of pay is provided for informational purposes only and is not a guarantee of a specific offer. Posted hourly rates may be stated as an annual salary in the offer and posted annual salaries may be stated as an hourly rate in the offer, depending on the level and nature of the job duties and credentials of the candidate. The base compensation determined at the time of the offer may be different than the posted rate of pay based on a number of non-discriminatory factors, including but not limited to:

• Labor Market Data: Compensation is benchmarked against market data to ensure competitiveness.
• Experience: Years of relevant work experience.
• Education and Certifications: Level of education attained, including specialized certifications, credentials, completed apprenticeship programs or advanced training.
• Skills: Demonstrated proficiency in relevant skills and competencies.
• Geographic Location: Cost of living and market rates for the specific location.
• Internal Equity: Compensation is determined in a manner consistent with compensation ranges for similar roles within the organization.
• Budget and Grant Funding: Departmental budgets and any grant funding associated with the job position may impact the pay that can be offered.

Some jobs may also be eligible for performance-based incentives, bonuses, or commissions not reflected in the starting rate. Certain positions may also be eligible for shift differentials for work performed on evening, night, or weekend shifts.

In addition to our compensation for full-time and part-time (20+ hours/week) job positions, HMH offers a comprehensive benefits package, including health, dental, vision, paid leave, tuition reimbursement, and retirement benefits.

HACKENSACK MERIDIAN HEALTH (HMH) IS AN EQUAL OPPORTUNITY EMPLOYER

All qualified applicants will receive consideration for employment without regard to age, race, color, creed, religion, sex, sexual orientation, gender identity or expression, pregnancy, breastfeeding, genetic information, refusal to submit to a genetic test or make available to an employer the results of a genetic test, atypical hereditary cellular or blood trait, national origin, nationality, ancestry, disability, marital status, liability for military service, or status as a protected veteran.

Our Network

Hackensack Meridian Health (HMH) is a Mandatory Influenza Vaccination Facility