Senior Reimbursement Analyst - Texas Health Resources

Texas Health Resources; Texas; Hybrid; USD 90,000 - 130,000; Full time

Job summary

Texas Health Resources is seeking a Senior Reimbursement Analyst to support Medicare/Medicaid cost reporting and auditing for affiliated hospitals in Texas. The role requires strong accounting knowledge and experience with cost reports and regulatory guidelines.

You will coordinate annual audits, provide financial analysis and regulatory guidance to facility leadership, and manage Medicare enrollment activities.

Qualifications

• Bachelor's degree in Accounting (required).
• 7 years accounting experience (required).
• 2 years cost reporting experience in hospital or intermediary setting (preferred).
• Knowledge of Medicare/Medicaid regulations and general accounting principles.

Responsibilities

• Coordinate, prepare, and submit Medicare and Medicaid cost reports for assigned hospitals, including related UC tools.
• Coordinate Medicare cost report audits, desk reviews, reopenings and appeals; lead Medicaid/DSH/UC/Worksheet S-10 audits.
• Provide reimbursement consulting, financial analysis, and regulatory guidance to facility leadership on Medicare and Medicaid matters.
• Manage Medicare enrollment activities, including CMS-855A applications for new hospitals, revalidations, and updates to information.
• Prepare and submit CHAMPUS/TRICARE medical education and capital reimbursement filings; coordinate Medicaid provider enrollments and related requirements.

Skills

Medicare/Medicaid regulations

General accounting principles

Education

Bachelor's degree in Accounting

Job description

Senior Reimbursement Analyst - Texas Health Resources

Bring your passion to Texas Health. So We Are Better + Together

Work Location: Texas Health Corporate, 612 E. Lamar Blvd., Arlington, TX 76011

Work Hours: Full Time Days (8:00am-5:00pm) for 40 hrs/week (remote work allowed at manager's discretion)

Department Highlights:

• Remote Position
• Gain a sense of accomplishment by contributing to a teamwork environment.
• Receive excellent mentorship, comprehensive training, and dedicated leadership resources.

What You Will Do:

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.

What You Need:

• Education Bachelor's Degree Accounting Req
• Experience 7 Years Accounting Req
• 2 years cost reporting experience with either a hospital or intermediary setting Preferred
• Skills Knowledge of Medicare/Medicaid Regulations and General Accounting Principals
• Supervision Individual Contributor

ADA Requirements

• Extreme Heat 1-33%
• Extreme Cold 1-33%
• Extreme Swings in Temperature 1-33%
• Extreme Noise 1-33%
• Working Outdoors 1-33%
• Working Indoors 67% or more
• Mechanical Hazards 1-33%
• Electrical Hazards 1-33%
• Explosive Hazards 1-33%
• Fume/Odor Hazards 1-33%
• Dust/Mites Hazards 1-33%
• Chemical Hazards 1-33%
• Toxic Waste Hazards 1-33%
• Radiation Hazards 1-33%
• Wet Hazards 1-33%
• Heights 1-33%
• Other Conditions 1-33%

Physical Demands

• Sedentary