Senior Remote Reimbursement Analyst – Medicare/Medicaid

BayCare Health System; Clearwater (FL); Remote; USD 90,000 - 120,000; Full time

Benefits offered by this job

Medical, Dental, and Vision Benefits

Paid Time Off

Tuition Reimbursement

401(k) Match and Additional Annual Con

Annual Performance Appraisals with Mer

Annual Team Award Bonus

Community Discounts

Career Growth Opportunities

Great place to work

Job summary

BayCare Health System seeks a Senior Reimbursement Analyst for a fully remote role serving FL, NC, GA, and SC residents. The position focuses on Medicare/Medicaid reimbursement, annual Medicare Cost Reports, and audits, with collaboration with MACs and regulatory bodies.

Ideal candidates hold a relevant degree and have deep hospital cost reporting experience, including TRICARE/CHAMPUS reimbursement knowledge, with strong leadership potential in Revenue Management.

Qualifications

• Bachelor’s degree in Accounting, Finance, Healthcare Administration, Business Administration, or related field; five years of qualifying reimbursement experience allowed with unrelated degree.
• Minimum of five years of progressive healthcare reimbursement experience.
• Minimum of two years direct experience preparing and filing hospital Medicare Cost Reports, including workpapers, audits, and settlements.
• Experience using HFS software for Medicare Cost Report preparation and submission.
• Experience working with Medicare Administrative Contractors (MACs) during audits and reimbursement reviews.
• Direct experience with hospital Medicare and Medicaid reimbursement methodologies.

Responsibilities

• Prepare, review, and file annual hospital Medicare Cost Reports and supporting workpapers.
• Coordinate with Medicare Administrative Contractors during audits, settlements, and reimbursement reviews.
• Analyze CMS, Federal, and State reimbursement regulations and proposed payment system changes.
• The Senior Reimbursement Analyst will work independently within their area of responsibility and interact with management.
• Develop leadership skills by leading projects within Revenue Management.

Skills

Healthcare reimbursement

Medicare Cost Reports

MACs interaction

Regulatory interpretation

Education

Bachelor's degree in Accounting/Finance/Healthcare Administration

Tools

HFS software

Job description

BayCare Health System seeks a Senior Reimbursement Analyst for a fully remote role serving FL, NC, GA, and SC residents. The position focuses on Medicare/Medicaid reimbursement, annual Medicare Cost Reports, and audits, with collaboration with MACs and regulatory bodies.

Ideal candidates hold a relevant degree and have deep hospital cost reporting experience, including TRICARE/CHAMPUS reimbursement knowledge, with strong leadership potential in Revenue Management.