SR Reimbursement Analyst

Methodist Mansfield Medical Center

Dallas (TX)

On-site

USD 85,000 - 120,000

Full time

8 days ago

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Job summary

Methodist Health System in Dallas seeks a Senior Reimbursement Analyst to support the regulatory compliance and government programs teams. The role focuses on Medicare/Medicaid cost reporting, wage index, and related hospital reimbursement activities across multiple facilities.

The candidate should have a four-year accounting degree, extensive knowledge of governmental programs, and strong Excel skills. CPA preferred; hospital experience is highly regarded.

Qualifications

Bachelor's degree in accounting with knowledge of accounting theory.
Graduate degrees in healthcare/business preferred.

Responsibilities

Assist with annual Medicare/Medicaid cost reports and cost statements for hospitals.
Prepare Champus reports after annual hospital cost reports.
Support regulatory compliance reporting and wage index reviews.
Monitor changes in Medicare/Medicaid regulations and reporting instructions.
Analyze impacts of regulatory changes on program payments.

Skills

Accounting degree

CPA Preferred

Advanced Excel

HFS software

Medicare/Medicaid knowledge

Regulatory compliance

Healthcare accounting

Communication skills

Education

Bachelor's degree in accounting

Graduate degree preferred

CPA certification preferred

Tools

HFS software

Job description

Hours of Work :

40
Days Of Week :
Monday - Friday
Work Shift :

Job Description :

The SR REIMBURSEMENT(MEDICARE) ANALYST will assist the Manager of Regulatory Compliance, the Manager of Governmental Accounting, Director of Government Programs and the Vice President/Controller in the reporting of governmental accounting for Methodist Health Systems.

Your Job :

Your Job Requirements:

Four-year college accounting degree with demonstrated knowledge of accounting theory, particularly financial systems, financial analysis technique and managerial accounting. Graduate degrees in relevant healthcare/business studies preferred.

CPA Preferred

Position requires extensive knowledge of governmental programs ( Medicare and Medicaid).

Good written and oral communication skills.

Good interpersonal skills.

Must be able to manage time in order to meet concurrent deadlines

Able to maintain and exhibit professionalism

Excellent communication skills (written and verbal)

Demonstrated experience using Advanced Excel skills

Work Experience: 4 years experience in either a hospital or intermediary setting

Experience using HFS software preferred

Working knowledge of Hospital Medicare reimbursement areas of Wage Index, Medical Education, Organ Transplant, 10, Medicare & Medicaid DSH, Charity Care and Bad Debts

Your Job Responsibilities:

Assist with the preparation of the annual MHS hospital Medicare/Medicaid cost reports and home office cost statement, applying the Medicare/Medicaid regulations and policy requirements of the Federal and State governments for these programs, and the timely filing of these cost reports.

Assist with any amended reports, reopening reports, and Medicare/Medicaid settlement audits, and wage index reviews.

Prepare the required Champus reports for all hospitals at completion of the annual hospitals’ Medicare cost reports to obtain payment from Champus for Capital and Medical education costs and file timely.

Prepare the required Medicaid UC/DSH applications and reconciliations for each hospital according to State of Texas guidelines for timely filing

Prepare the required Trauma applications for each trauma designated hospital according to the State guidelines for timely filing.

Prepare departmental components of the annual Community Benefits and AHA Surveys

And submit to hospital liaison for timely filing.

Provide the necessary information related to special projects as required for the Director of Reimbursement and Manager of Regulatory Compliance

Keeping aware of changing Medicare and Medicaid regulations and changes in cost reporting Instructions.

Monitoring State and Federal regulations related to State Directed Programs / 1115 Waiver Programs.

Analyze impacts of regulatory changes on program payment for the system.

Monthly accounting entries and annual settlement analysis and entries for Medicaid Supplemental Programs and related accounting reconciliations.

Methodist Health System is a faith-based organization with a mission to improve and save lives through compassionate, quality healthcare. For nearly a century, Dallas-based Methodist Health System has been a trusted choice for health and wellness. Named one of the fastest-growing health systems in America by Modern Healthcare , Methodist has a network of 12 hospitals (through ownership and affiliation) with nationally recognized medical services, such as a Level I Trauma Center, multi-organ transplantation, Level III Neonatal Intensive Care, neurosurgery, robotic surgical programs, oncology, gastroenterology, and orthopedics, among others. Methodist has more than two dozen clinics located throughout the region, renowned teaching programs, innovative research, and a strong commitment to the community. Our reputation as an award-winning employer shows in the distinctions we’ve earned: