Senior Reimbursement Analyst- Cost Reporting

Baycare; Clearwater, Northern (FL, KY); Hybrid; USD 70,000 - 100,000; Full time

Benefits offered by this job

Benefits

Paid time off

Tuition reimbursement

401k match

Annual bonus

Team awards

Community discounts

Job summary

BayCare in Clearwater, FL is seeking a Senior Reimbursement Analyst - Cost Reporting to lead Medicare cost report filings and related audits within the Revenue Management team.

The role requires 5+ years in health care reimbursement, experience with Medicare/Medicaid cost reports, AHCA Florida Medicaid systems and CMS proposals, and collaboration with management.

BayCare offers a competitive benefits package including tuition reimbursement, 401(k) match, and performance-based bonuses.

Qualifications

• Five or more years of progressive, successful experience in health care reimbursement.
• Experience with Medicare cost reports and filings via HFS software or equivalent.
• Experience with Medicare bad debts, DSH, GME/IRIS and wage-index surveys.
• Ability to multi-task and work with management.
• Bachelor's degree acceptable with required reimbursement experience.

Responsibilities

• Prepare Medicare cost reports and related audits.
• Maintain AHCA Florida Medicaid payment systems knowledge and CMS/state proposals.
• Collaborate with Revenue Management on projects and continuous process improvements.

Skills

Healthcare reimbursement experience

Cost reporting familiarity

Education

Bachelor's degree

Tools

HFS software

Job description

Senior Reimbursement Analyst- Cost Reporting - 143991

Featured

Clearwater | Business and Administrative | Full Time

Description

At BayCare, we are proud to be one of the largest employers in the Tampa Bay area.Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a forward-thinking philosophy that’s built on a foundation of trust, dignity, respect, responsibility and clinical excellence.

Responsibilities:

• The Senior Reimbursement Analyst will work independently within their area of responsibility while developing leadership skills and may interact periodically with all levels of management.
• This position is responsible for government payer reimbursement related to Medicare, Medicaid and TRICARE/CHAMPUS, specifically completion of the annual Medicare Cost report filings and audits, AHCA (Agency for Healthcare Administration) Florida Medicaid payment systems and staying current on all government regulatory changes and CMS/Federal and State proposals to change reimbursement methodologies and payment systems.
• This team member will be able to multi-task while providing excellent customer service.
• Team member will develop leadership skills by participating in or leading projects within the Revenue Management department.

Required experience:

• Five or more years of progressive, successful experience in health care reimbursement is required, with at least two years direct preparation of the Medicare cost report working papers and filing of the reports via HFS software program (or equivalent) as well as working with the MAC on audits.
• Candidate should have experience in several of these areas: Medicare bad debts; DSH (Disproportionate Share); Graduate Medical Education and Interns and Residents Information System (IRIS) software; Allied Health reporting and reimbursement; Waged index and Occupational Mix surveys.
• Performs other duties as assigned.
• Will accept an unrelated Bachelor’s degree with five years professional-level reimbursement/revenue cycle experience.

BayCare offers a competitive total reward package including benefits, paid time off, tuition reimbursement, 401k match and additional yearly contribution, yearly performance appraisals with merit increases, yearly team award bonus, community discounts and the chance to be part of an amazing team and a great place to work!

Location: Clearwater, FL

Status: Full Time, Exempt: Yes

On Call: No

How often will this team member be working remotely? Hybrid

Equal Opportunity Employer Veterans/Disabled