Senior Analyst - Reimbursement and Revenue Integrity - FT - Days - MHS

CO010 Memorial Healthcare System; United States; On-site; USD 95,000 - 125,000; Full time

Job summary

Memorial Healthcare System is seeking a Senior Reimbursement Analyst to support financial sustainability and regulatory compliance through expert preparation and analysis of Medicare and Medicaid cost reports and other governmental filings.

You will ensure accuracy and timeliness of complex submissions, analyze regulatory changes, and support audits and strategic reimbursement initiatives in a hospital setting.

Qualifications

• Bachelor's degree in Accounting, Finance, Business Administration, or related field required.
• Minimum of five (5) years of progressively responsible experience overseeing reimbursement operations, audit, or consulting projects related to reimbursement.
• Thorough knowledge of Medicare, Medicaid and Champus rules and regulations and third party audit techniques.

Responsibilities

• Prepare annual Medicare, Medicaid and Champus cost reports and related schedules.
• Compile data and supporting schedules for cost reports; monitor cost report statistics.
• Provide information to other departments for reporting needs and support audits and regulatory submissions.
• Assist in monthly close and annual financial statement preparation related to net revenue.
• Serve as primary backup to Directors in the monthly close process.
• Collaborate across departments to maximize reimbursement opportunities.

Skills

Accountability

Accuracy

Financial analysis

Regulatory awareness

Auditing

Education

Bachelor's degree in Accounting, Finance, Business Administration, or related field

Tools

Cost Reporting Software

Microsoft Office

Epic

Workday

Job description

Location: Fort Lauderdale, Florida At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience.

Summary

The Senior Reimbursement Analyst plays a key role in supporting the financial sustainability and regulatory compliance of Memorial Healthcare System through expert preparation and analysis of Medicare and Medicaid cost reports, and other governmental filings. This position is responsible for ensuring the accuracy and timeliness of complex regulatory submissions, analyzing the financial impact of state and federal regulatory changes, and supporting audits and strategic reimbursement initiatives.

Responsibilities

• Other duties, as assigned.
• Obtaining supporting materials from other MHS departments and external sources.
• Maintains registration for access to all state and federal databases.
• Participate in the preparation of the annual Medicare, Medicaid and Champus cost reports.
• Compile data and supporting schedules for the cost reports.
• Monitor and maintain various cost report statistics such as time studies, meal count and square footage.
• Provide key information to other MHS departments to enable business support systems to operate properly.
• Support department leadership with both external and internal reporting needs.
• Maintains roll forward schedule of third-party settlement balances and their application as part of the monthly close process and annual financial audit.
• Extracts required data from MHS systems and prepares schedules supporting reimbursement activities.
• Participate in the monthly close and annual financial statement preparation related to net revenue and supports annual accounting audit of same.
• Function as primary backup to the Directors in the monthly close process.
• Compile data for Medicaid DSH and Low Income Pool (LIP) supporting schedules.

Competencies

• ACCOUNTABILITY
• ACCOUNTING - COST REPORTS
• ACCURACY
• ANALYSIS OF FINANCIALS
• CUSTOMER SERVICE
• HEALTHCARE REGULATORY ENVIRONMENT
• MANAGING WORKLOADS
• REGULATORY COMPLIANCE
• RESPONDING TO CHANGE
• STANDARDS OF BEHAVIOR

Education and Certification Requirements

• Bachelors (Required)
• Additional Education Info: Bachelor's degree in Accounting, Finance, Business Administration, or related field required.

Required Work Experience

• Minimum of five (5) years of progressively responsible experience overseeing reimbursement operations, audit, or consulting projects related to reimbursement.

Additional Information

Complexity of Work: Requires critical thinking skills, effective communication skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate timely action. Essential to have thorough knowledge of Medicare, Medicaid and Champus rules and regulations and third party audit techniques. Strong command of regulatory reporting requirements. Proficient in Microsoft Office products and Cost Reporting Software. Exceptional analytical skills. Ability to collaborate across departments to drive operational excellence and maximize reimbursement opportunities. Knowledge of Hospital systems (Epic, Workday) preferred. Experience with Florida Medicaid and supplemental programs is highly desirable.

Working Conditions and Physical Requirements

Bending and Stooping = 40% Climbing = 0% Keyboard Entry = 80% Kneeling = 0% Lifting/Carrying Patients 35 Pounds or Greater = 0% Lifting or Carrying 0 - 25 lbs Non-Patient = 40% Lifting or Carrying 2501 lbs - 75 lbs Non-Patient = 20% Lifting or Carrying > 75 lbs Non-Patient = 0% Pushing or Pulling 0 - 25 lbs Non-Patient = 40% Pushing or Pulling 26 - 75 lbs Non-Patient = 20% Pushing or Pulling > 75 lbs Non-Patient = 20% Reaching = 20% Repetitive Movement Foot/Leg = 0% Repetitive Movement Hand/Arm = 0% Running = 0% Sitting = 60% Squatting = 0% Standing = 60% Walking = 60% Audible Speech = 60% Hearing Acuity = 60% Smelling Acuity = 0% Taste Discrimination = 0% Depth Perception = 60% Distinguish Color = 60% Seeing - Far = 60% Seeing - Near = 60% Bio hazardous Waste = 0% Biological Hazards - Respiratory = 0% Biological Hazards - Skin or Ingestion = 0% Blood and/or Bodily Fluids = 0% Communicable Diseases and/or Pathogens = 0% Asbestos = 0% Cytotoxic Chemicals = 0% Dust = 0% Gas/Vapors/Fumes = 0% Hazardous Chemicals = 0% Hazardous Medication = 0% Latex = 0% Computer Monitor = 80% Domestic Animals = 0% Extreme Heat/Cold = 0% Fire Risk = 0% Hazardous Noise = 0% Heating Devices = 0% Hypoxia = 0% Laser/High Intensity Lights = 0% Magnetic Fields = 0% Moving Mechanical Parts = 0% Needles/Sharp Objects = 0% Potential Electric Shock = 0% Potential for Physical Assault = 0% Radiation = 0% Sudden Decompression During Flights = 0% Unprotected Heights = 0% Wet or Slippery Surfaces = 0% Shift: Primarily for office workers - not eligible for shift differential

Disclaimer

This job description is not intended, nor should it be construed to be an exhaustive list of all responsibilities, skills, efforts or working conditions associated with the job. It is intended to indicate the general nature and level of work performed by employees within this classification. Wages shown on independent job boards reflect market averages, not specific to any employer. Memorial Healthcare System is proud to be an equal opportunity employer committed to workplace diversity. Memorial Healthcare System recruits, hires and promotes qualified candidates for employment opportunities without regard to race, color, age, religion, gender, sexual orientation, national origin, veteran status, disability, genetic information, or any factor prohibited by law. We are proud to offer Veteran’s Preference to former military, reservists and military spouses (including widows and widowers). You must indicate your status on your application to take advantage of this program. Employment is subject to post offer, pre-placement assessment, including drug testing. If you need reasonable accommodation during the application process, please call 954-276-8340 (M-F, 8am-5pm) or email [e-mail] Be where care matters. At Memorial Healthcare System, we are dedicated to improving the health, well-being, and quality of life of the people entrusted to our care. This unwavering commitment to our service vision makes the difference and is the foundation of The Memorial Experience. Deeper Caring. Smarter Healthcare. Talk to our patients and their families about “Deeper Caring,” and they'll tell you stories about miracle babies, lives saved through sheer determination, and the comforting kindness of others. About people who advocated for the family’s best interests and cared for them in body, mind, and spirit. For our employees, “Smarter Healthcare” means constantly improving how we deliver care. It could be a new technology, a streamlined process, or a cutting-edge program leveraging our system strengths. But, no matter how you look at it, our service vision is integral to our culture today and what we strive to be tomorrow. We invite you to share in the Memorial Experience – where touching lives, lifting spirits, and healing the human body is our profession’s greatest privilege and reward. Be where you are valued. Memorial Healthcare System provides preference as part of our commitment to honoring the service and sacrifice of veterans in alignment with state regulations. Veteran’s Preference allows for the first choice in interviewing, hiring, retention, and promotion after deployment when all other applicant qualifications are equal. However, Veteran's Preference does not guarantee a job. Who is eligible for Veteran’s Preference? We are proud to offer preference to internal and external applicants who identify within these categories: veterans, disabled veterans, spouse of a disabled veteran, unremarried veteran widow/widower, certain family members, active reservists and members of the National Guard. What should I do if I am eligible for Veteran’s Preference? You must claim your Veteran’s Preference status on your application. If selected for a job, you must provide documentation regarding your status. How does Memorial verify that someone is eligible for Veteran’s Preference? We require specific documentation as determined by the basis for which someone claims preference. For example, the documentation for a disabled veteran is different from the documentation required for the spouse of a veteran killed in the line of duty. How often can an eligible person claim Veteran's Preference at Memorial? There is no limit to how often internal or external applicants can use preference when a job is posted externally on our career website or elsewhere. What if there are two equally qualified, preference-eligible job applicants? In this case, the selection is based on the eligibility category in accordance with Florida law. First preference is given to: An honorably discharged veteran who has served on active duty and has a service-connected, compensable disability. A spouse of a person who has a total, permanent, service-connected disability and cannot qualify for employment. A spouse of a person missing in action, captured or forcibly detained or interned by a foreign government or power. What do I do if I am denied Veteran's Preference? If you feel you have been unfairly denied Veteran’s Preference by Memorial Healthcare System, please contact [e-mail]. You may also file a complaint with the Florida Department of Veterans’ Affairs (FDVA). Florida Civil Rights Act Equal Employment Opportunity is the Law (EEO) Family and Medical Leave Act (FMLA) Employee Polygraph Protection Act (EPPA) E-Verify™ Participation Notice – English Right To Work Notice – English E-Verify™ Participation Notice – Spanish Right To Work Notice – Spanish Memorial Healthcare System is subject to the Florida Public Records Law. All information provided in connection with your application for employment will be a public record and subject to release upon request, unless considered exempt or confidential.