Senior Reimbursement Analyst

OhioHealth Corporation; Columbus (OH); On-site; USD 75,000 - 110,000; Full time

Job summary

OhioHealth in Columbus, OH is seeking a Senior Reimbursement Analyst to manage Medicare/Medicaid cost reporting across all entities. You will analyze regulatory changes, perform variance analysis, and collaborate with the Reimbursement team to ensure accurate government reimbursements.

Leadership and strong communication are essential. The role requires a Finance degree (CPA/MHA/MBA preferred) and 2–4 years in reimbursement cost reporting, with day shifts and a 40-hour work week in a hospital

Qualifications

• Bachelor’s degree in Finance required.
• CPA, MHA or MBA; Medicare/Medicaid cost reporting 2–4 years experience.
• Experience as a Reimbursement Analyst or similar role.

Responsibilities

• Prepare, review, and file Medicare/Medicaid cost reports for all OhioHealth entities.
• Model regulatory changes and perform variance analysis for third-party liability accounts.
• Provide supporting work papers and documentation for third-party inquiries.
• Supervise the Reimbursement Analyst daily workflow and priorities.

Skills

CMS cost reporting

Analytical thinking

Communication skills

Project prioritization

Education

Bachelor’s in Finance

Tools

Medicare software

Payor systems

Job description

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more – in our careers and in our communities.

Job Description Summary:

This position will prepare, review and file the Medicare and Medicaid cost reports for all OhioHealth entities.

• This position will be responsible for ensuring the appropriate governmental Medicare and Medicaid reimbursement that is received for all of OhioHealth’s entities.
• This position is primarily responsible for the proactive calculations and modeling of new regulatory changes and impacts as well as variance analysis of third-party liability accounts. Provides supporting work papers and documentation for third-party inquires.
• This position has supervisory oversight of the Reimbursement Analyst daily work schedule including flow of information, teaching of reimbursement fundamentals and principals, review of work and setting daily priorities.
• This positon supports and works with the Sr. Reimbursement Consultant, Reimbursement Advisor and Manager of Reimbursement as needed on projects and processes.
• The Senior Reimbursement Analyst will learn to become a subject matter expert over time from exposure in the following areas, S-10, Wage Index, Bad Debts, Medicare Audits, Disproportionate Share, Indirect Medical Education, Graduate Medical Education, and Governmental Logs, (HCAP, UPL and Franchise Fee programs in the state of Ohio) as well as special projects as assigned.
• Extensive ongoing engagement of learning of Medicare and Medicaid cost reporting and reimbursement regulatory requirements, both federal and state is required.
• The Senior Reimbursement Analyst is required to use extensive interpersonal skills in communicating with all reimbursement department levels as well as outside departmental contacts at OhioHealth.
• This role functions in a heavily matrixed environment and requires strong prioritization, communication and planning skills.
• This position has a matrix reporting structure and reports directly the Manager of Reimbursement as well as the, Sr. Reimbursement Consultant, Reimbursement Advisor and Director of Revenue Reimbursement.

Responsibilities And Duties:

This position will prepare, review and file the Medicare and Medicaid cost reports for all OhioHealth entities.

Knowledge in the following areas:

• Subject matter learning and expert on CMS cost reporting, disproportionate share (DSH), Uncompensated Care, Bad debt reporting, IME/GME, Medicare Wage Index, S-10 reporting, Tricare and 855’s, Ohio Medicaid, HCAP, UPL and Franchise Fee programs.
• Knowledge of Acute Care Hospitals, Critical Access Hospitals, Sole Community Hospitals and Rural Health Clinics.
• Knowledge of reimbursement in specialty areas such psych, inpatient rehabilitation units, Home Health and Hospice.
• Projects as assigned by Director of Revenue and Reimbursement and Manager of Reimbursement.
• Provide Director of Revenue and Reimbursement and Manager with updates.
• CGS audits and auditors
• Working with our legal vendor for Medicare Appeals.
• Working with OHA and CBSA facilities on wage index opportunities
• Special projects / analysis as assigned by the Director of Revenue and Reimbursement and Manager of Reimbursement

Minimum Qualifications:

Bachelor’s Degree: Finance (Required)

Additional Job Description:

CPA, MHA or MBA. Experience with Medicare/Medicaid cost reporting 2-4 years as a Reimbursement Analyst or similar position(s).

Work Shift:

Day

Scheduled Weekly Hours :

40

Department

Reimbursement

Join us!

• ... if your passion is to work in a caring environment
• ... if you believe that learning is a life-long process
• ... if you strive for excellence and want to be among the best in the healthcare industry

Equal Employment Opportunity

OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment