Senior Reimbursement Analyst- Cost Reporting

BayCare Health System; Tampa (FL); Hybrid; USD 75,000 - 110,000; Full time

Job summary

BayCare Health System in Clearwater, FL is seeking a Senior Reimbursement Analyst to manage government payer reimbursement, including Medicare Cost Reports, Medicaid/DSH, and audits. The role emphasizes independent work, leadership development, and cross-team collaboration within Revenue Management.

The ideal candidate has 5+ years in healthcare reimbursement, with direct Medicare cost report experience and MAC audit involvement. Hybrid work arrangement available in the Tampa Bay area.

Qualifications

• Five or more years of progressive healthcare reimbursement experience.
• Direct preparation of Medicare cost report working papers.
• Experience with MAC audits and reports.
• Experience in areas like Medicare bad debts, DSH, GME/IRIS, Allied Health reimbursement, wage index surveys.

Responsibilities

• Work independently within area of responsibility and develop leadership skills.
• Handle government payer reimbursement for Medicare, Medicaid, TRICARE/CHAMPUS, including Medicare Cost Reports and audits.
• Multitask while delivering excellent customer service.
• Lead or participate in Revenue Management projects to develop leadership skills.

Skills

Medicare cost reports

Medicare audits

HFS software

IRIS software

Regulatory changes (CMS)

Customer service

Education

Bachelor’s degree

Tools

HFS software

IRIS software

Job description

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