Remote Senior Medicaid & Medicare Reimbursement Consultant

OhioHealth Corporation; Ohio; Remote; USD 110,000 - 150,000; Full time

Job summary

OhioHealth is seeking a Senior Medicaid & Medicare Reimbursement Consultant to prepare and review cost reports for OhioHealth entities. The role focuses on ensuring Medicare and Medicaid reimbursement and leading proactive calculations and analyses.

You will supervise the Reimbursement Analyst, mentor staff, and work on regulatory changes, audits, and special projects across the revenue cycle. Remote position based in Ohio with a day shift; join a team committed to accuracy and financial

Qualifications

• Bachelor's Degree in Finance is required.
• Proficiency in Microsoft applications and knowledge of clinical & financial patient management systems.
• Demonstrated ability in financial analysis and cost reporting.

Responsibilities

• Consulting and oversight of reimbursement functions for OhioHealth facilities.
• Subject matter expert on CMS cost reporting, DSH, Uncompensated Care, IME/GME, and wage index programs.
• Lead and supervise Reimbursement Analyst activities and prioritize work.
• Coordinate with Director of Revenue and Reimbursement and Manager of Reimbursement on special projects.
• Support audits, CGS processes, and Medicare/Medicaid appeals work with vendors and partners.

Skills

Microsoft applications

Financial analysis

Cost reporting

Clinical & financial patient mgmt sys

Education

Bachelor's Degree: Finance

Tools

Clinical & Financial Patient Management Systems

Job description

OhioHealth is seeking a Senior Medicaid & Medicare Reimbursement Consultant to prepare and review cost reports for OhioHealth entities. The role focuses on ensuring Medicare and Medicaid reimbursement and leading proactive calculations and analyses.

You will supervise the Reimbursement Analyst, mentor staff, and work on regulatory changes, audits, and special projects across the revenue cycle. Remote position based in Ohio with a day shift; join a team committed to accuracy and financial