Senior Cost Reporting Analyst

Franciscan Health; Indiana (PA); Remote; USD 70,000 - 90,000; Full time

Job summary

A leading healthcare system is seeking a Finance Coordinator to manage Medicare and Medicaid cost reports and regulatory filings. The ideal candidate will have extensive experience in healthcare reimbursement and financial analysis. This role requires strong analytical skills and the ability to communicate effectively with stakeholders. Join a compassionate team dedicated to providing comprehensive care in the communities we serve.

Qualifications

• 5 years of Medicare and Medicaid reimbursement experience in a hospital environment or consulting firm.
• 3 years of Medicare and Medicaid cost report preparation experience.

Responsibilities

• Coordinate and complete Medicare / Medicaid cost reports and regulatory filings.
• Analyze financial impacts and prepare documentation for audits.
• Develop relationships with Medicare Administrative Contractors.

Skills

Financial Analysis

Regulatory Compliance

Communication

Education

Bachelor's Degree in Accounting or Finance

Master's Degree

Job description

Work From Home, Indiana 46544

WHO WE ARE

With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. We pride ourselves on hiring coworkers who provide compassionate, comprehensive care for our patients and the communities we serve.

WHAT YOU CAN EXPECT

1. Coordinate and complete Medicare / Medicaid cost reports and other regulatory filings, including the development, implementation, and maintenance of time studies, statistics, revenue, and expense information.
2. Manage and submit information requests for Medicare / Medicaid audits.
3. Identify and evaluate financial impacts, prepare documentation, and file appeals for final settled Medicare / Medicaid cost reports.
4. Analyze the impact of audit adjustments and ensure consistency with Medicare / Medicaid regulations.
5. Possess knowledge of current Medicare and Medicaid rules and regulations; act as a technical resource regarding all reimbursement issues.
6. Develop and maintain documentation for wage index and occupational mix surveys; evaluate their accuracy and impact on Medicare reimbursement.
7. Prepare data submissions for Medicare and Medicaid disproportionate share reporting and audits.
8. Analyze critical computations such as disproportionate share, medical education, wage index data, and bad debts.
9. Manage analysis of rate calculations from third-party payers and government agencies for accuracy.
10. Coordinate completion of provider-based attestations and update enrollment forms as needed.
11. Develop and maintain relationships with Medicare Administrative Contractors.
12. Perform other related duties as assigned.
13. Communicate significant changes in third-party settlement accounts to CFOs and stakeholders.
14. Review and prepare financial analyses related to third-party settlements for senior management.
15. Assist in annual base rate calculations and related documentation.
16. Support documentation and account analysis for annual audits and work papers.
17. Prepare and review third-party settlement account analyses for accuracy.
18. Review financial statement schedules related to third-party settlements.

QUALIFICATIONS

• Bachelor's Degree in Accounting or Finance - Required
• Master's Degree - Preferred
• 5 years of Medicare and Medicaid reimbursement experience in a hospital environment or consulting firm - Required
• 3 years of Medicare and Medicaid cost report preparation experience - Required
• Certified Public Accountant (CPA) - Preferred
• Travel: Never or Rarely

EQUAL OPPORTUNITY EMPLOYER

Franciscan Alliance is committed to providing equal employment opportunities and respects religious rights and beliefs. We reserve the right to object to ordinances that conflict with our values.