Senior Medicare/Medicaid Reimbursement Analyst (Remote)

Texas Health Resources; Texas; Hybrid; USD 90,000 - 130,000; Full time

Job summary

Texas Health Resources is seeking a Senior Reimbursement Analyst to support Medicare/Medicaid cost reporting and auditing for affiliated hospitals in Texas. The role requires strong accounting knowledge and experience with cost reports and regulatory guidelines.

You will coordinate annual audits, provide financial analysis and regulatory guidance to facility leadership, and manage Medicare enrollment activities.

Qualifications

• Bachelor's degree in Accounting (required).
• 7 years accounting experience (required).
• 2 years cost reporting experience in hospital or intermediary setting (preferred).
• Knowledge of Medicare/Medicaid regulations and general accounting principles.

Responsibilities

• Coordinate, prepare, and submit Medicare and Medicaid cost reports for assigned hospitals, including related UC tools.
• Coordinate Medicare cost report audits, desk reviews, reopenings and appeals; lead Medicaid/DSH/UC/Worksheet S-10 audits.
• Provide reimbursement consulting, financial analysis, and regulatory guidance to facility leadership on Medicare and Medicaid matters.
• Manage Medicare enrollment activities, including CMS-855A applications for new hospitals, revalidations, and updates to information.
• Prepare and submit CHAMPUS/TRICARE medical education and capital reimbursement filings; coordinate Medicaid provider enrollments and related requirements.

Skills

Medicare/Medicaid regulations

General accounting principles

Education

Bachelor's degree in Accounting

Job description

Texas Health Resources is seeking a Senior Reimbursement Analyst to support Medicare/Medicaid cost reporting and auditing for affiliated hospitals in Texas. The role requires strong accounting knowledge and experience with cost reports and regulatory guidelines.

You will coordinate annual audits, provide financial analysis and regulatory guidance to facility leadership, and manage Medicare enrollment activities.