Senior Reimbursement Analyst- Cost Reporting

BayCare Health System; United States; Remote; USD 90.000 - 120.000; Vollzeit

Benefits dieser Stelle

Medical, dental, vision benefits

Paid time off

Tuition reimbursement

401(k) match

Zusammenfassung

BayCare Health System is seeking a Senior Reimbursement Analyst for a fully remote position. The role focuses on hospital Medicare/Medicaid cost reporting, audits, and reimbursement programs, with periodic interaction with MACs and CMS guidance.

Required are five years of healthcare reimbursement experience, two years on hospital Medicare Cost Reports, and familiarity with HFS software, MACs, and reimbursement methodologies.

Qualifikationen

• Bachelor's degree in Accounting, Finance, Healthcare Administration, or related field required.
• Minimum of five (5) years of progressive healthcare reimbursement experience.
• Minimum of two (2) years of direct experience preparing and filing hospital Medicare Cost Reports.
• Experience utilizing HFS software (or equivalent) for Medicare Cost Report preparation and submission.
• Experience working directly with Medicare Administrative Contractors (MACs) during audits and reimbursement reviews.
• Direct experience with hospital Medicare and Medicaid reimbursement methodologies.

Aufgaben

• Work independently within area of responsibility while developing leadership skills and interacting with management.
• Handle government payer reimbursement related to Medicare, Medicaid, and TRICARE/CHAMPUS, including Medicare Cost Report filings and audits.
• Prepare, review, and file annual hospital Medicare Cost Reports and supporting workpapers.
• Coordinate with MACs during audits, settlements, and reimbursement reviews.
• Analyze CMS, Federal, and State reimbursement regulations and proposed payment changes.
• Multi-task effectively while providing excellent customer service.
• Develop leadership skills by participating in or leading projects within Revenue Management.
• Perform other duties as assigned.

Kenntnisse

Healthcare reimbursement

Regulatory analysis

Interdepartmental collaboration

Time management

Ausbildung

Bachelor's degree in Accounting, Finance, Healthcare Administration, or related field

Tools

HFS software

Medicare Cost Reports

Jobbeschreibung

Senior Reimbursement Analyst (Remote - FL, NC, GA & SC Residents Only)

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.

BayCare is seeking an experienced Senior Reimbursement Analyst for a fully remote position. Candidates must reside in Florida, North Carolina, Georgia, or South Carolina, as BayCare is only able to employ team members in these states for this role.

IMPORTANT: Due to the highly specialized nature of this position, only candidates with direct hospital Medicare and Medicaid cost reporting experience will be considered. Applicants without hands-on experience preparing and filing hospital Medicare Cost Reports and supporting reimbursement audits will not be reviewed.

Responsibilities

• The Senior Reimbursement Analyst will work independently within their area of responsibility while developing leadership skills and interacting with all levels of management.

• This position is responsible for government payer reimbursement related to Medicare, Medicaid, and TRICARE/CHAMPUS, including completion of annual Medicare Cost Report filings and audits, Medicaid reimbursement programs, and monitoring government reimbursement regulations and payment methodologies.

• Prepare, review, and file annual hospital Medicare Cost Reports and supporting workpapers.

• Coordinate with Medicare Administrative Contractors (MACs) during audits, settlements, and reimbursement reviews.

• Analyze and interpret CMS, Federal, and State reimbursement regulations and proposed payment system changes.

• Multi-task effectively while providing excellent customer service.

• Develop leadership skills by participating in or leading projects within the Revenue Management department.

• Perform other duties as assigned.

Required Experience & Qualifications

Minimum Qualifications

• Bachelor's degree in Accounting, Finance, Healthcare Administration, Business Administration, or a related field. An unrelated Bachelor's degree may be considered with five years of qualifying reimbursement experience.

• Minimum of five (5) years of progressive healthcare reimbursement experience.

• Minimum of two (2) years of direct experience preparing and filing hospital Medicare Cost Reports, including supporting workpapers, audits, and settlements.

• Experience utilizing HFS software (or equivalent) for Medicare Cost Report preparation and submission.

• Experience working directly with Medicare Administrative Contractors (MACs) during audits and reimbursement reviews.

• Direct experience with hospital Medicare and Medicaid reimbursement methodologies.

Preferred Experience

Candidates should have experience in several of the following areas:

• Medicare Bad Debts

• Disproportionate Share Hospital (DSH)

• Graduate Medical Education (GME)

• Interns and Residents Information System (IRIS)

• Allied Health reporting and reimbursement

• Wage Index Surveys

• Occupational Mix Surveys

• Government reimbursement regulatory analysis

Location & Work Arrangement

Location: Remote (Florida, North Carolina, Georgia, and South Carolina residents only)

Employment Restriction: Candidates must reside and be authorized to work in Florida, North Carolina, Georgia, or South Carolina at the time of hire and throughout employment. BayCare is unable to employ individuals residing outside of these states for this position.

Status: Full Time, Exempt

Shift Hours: 8:00 AM - 5:00 PM

Weekend Work: None

On Call: No

Remote Work: Fully Remote

BayCare Benefits

BayCare offers a competitive total rewards package including:

• Medical, Dental, and Vision Benefits

• Paid Time Off

• Tuition Reimbursement

• 401(k) Match and Additional Annual Contribution

• Annual Performance Appraisals with Merit Increases

• Annual Team Award Bonus

• Community Discounts

• Career Growth Opportunities

• The opportunity to be part of an amazing team and a great place to work

Equal Opportunity Employer Veterans/Disabled

Position Senior Reimbursement Analyst- Cost Reporting

Location Clearwater | Business and Administrative | Full Time