Senior Reimbursement Analyst - Remote (Medicare/Medicaid)

Texas Health Resources, Inc.; Arlington (TX); Teletrabalho; USD 75 000 - 110 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Remote position

Mentorship

Training and leadership resources

Resumo da oferta

Texas Health Resources, Inc. in Arlington, TX, seeks a Senior Reimbursement Analyst to lead Medicare/Medicaid cost reporting and related audits for assigned hospitals. The role involves coordination of wage index reviews, enrollment activities, and regulatory guidance to facility leadership.

The position supports cost reporting accuracy, waiver tools, and financial risk management, with remote work possible at manager's discretion and a strong mentorship culture within the finance team.

Responsabilidades

• Coordinate, prepare, and submit timely and accurate Medicare and Medicaid cost reports for assigned hospitals.
• Coordinate and submit annual Waiver related UC Tools.
• Monthly monitoring of Medicare and Medicaid contractuals related to the filing of the cost report and maintain accurate cost report-related liability and reserve accounts.
• Coordinate Medicare cost report audits, desk reviews, reopenings, and appeals.
• Lead and support Medicaid, Disproportionate Share Hospital (DSH), Uncompensated Care (UC), and Worksheet S-10 audits, and assist with financial audits as needed.
• Provide reimbursement consulting, financial analysis, and regulatory guidance to facility leadership on Medicare and Medicaid reimbursement matters.
• Manage Medicare enrollment activities, including CMS-855A applications for new hospitals, revalidations, and updates to organizational and facility information.
• Prepare and submit CHAMPUS/TRICARE medical education and capital reimbursement filings.
• Coordinate Medicaid provider enrollments, revalidations, and related program participation requirements.
• Perform annual Medicare wage index reviews and support occupational mix survey submissions.
• Research, interpret, and communicate changes in Medicare/Medicaid regulations and changes in cost reporting instructions and assess their financial impact.

Descrição da oferta de emprego

Texas Health Resources, Inc. in Arlington, TX, seeks a Senior Reimbursement Analyst to lead Medicare/Medicaid cost reporting and related audits for assigned hospitals. The role involves coordination of wage index reviews, enrollment activities, and regulatory guidance to facility leadership.

The position supports cost reporting accuracy, waiver tools, and financial risk management, with remote work possible at manager's discretion and a strong mentorship culture within the finance team.