Reimbursement Analyst

OhioHealth • Columbus, OH

22h

About The Position

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more – in our careers and in our communities. Job Description Summary: This position will prepare supporting schedules of the Medicare and Medicaid cost reports for all OhioHealth entities while also learning the Medicare and Medicaid cost rules and regulations. • This position will be responsible for learning to ensure the appropriate governmental Medicare and Medicaid reimbursement that is received for all of OhioHealth’s entities. • This position is primarily responsible for learning and being proactive on calculations and modeling of new regulatory changes and impacts as well as variance analysis of third-party liability accounts. Provides supporting work papers and documentation for management. • This position has no supervisory oversite. • This positon supports and works with the Sr. Reimbursement Analyst, Sr. Reimbursement Consultant, Reimbursement Advisor and Manager of Reimbursement as needed on projects and processes. • The Reimbursement Analyst will learn to be a subject matter expert over time from exposure in the following areas, S-10, Wage Index, Bad Debts, Medicare Audits, Disproportionate Share, Indirect Medical Education, Graduate Medical Education, and Governmental Logs, (HCAP, UPL and Franchise Fee programs in the state of Ohio) as well as special projects as assigned. The Reimbursement Analyst will work on partial and full parts of these subject matter areas. • Extensive ongoing engagement of learning of Medicare and Medicaid cost reporting and reimbursement regulatory requirements, both federal and state is required. • The Reimbursement Analyst is required to use extensive interpersonal skills in communicating with all reimbursement department levels as well as outside departmental contacts at OhioHealth. • This role functions in a heavily matrixed environment and requires strong prioritization, communication and planning skills.

Requirements

• Bachelor's Degree: Finance (Required)
• BS or BA in Accounting or Finance.
• Minimum of 4-6 months experience in addition to bachelor's degree requirement, may include summer internship.
• Strong team player and communication and skills.
• Proficiency in Microsoft applications, knowledge of clinical & financial patient management systems, demonstrated ability in financial analysis and cost reporting.

Nice To Haves

• CPA, MHA or MBA.
• Experience with Medicare/Medicaid cost reporting 1-2 years as a Reimbursement Analyst or similar position(s).

Responsibilities

• This position will prepare and learn sections of the Medicare and Medicaid cost reports for all OhioHealth entities.
• Subject matter learning on CMS cost reporting, disproportionate share (DSH), Uncompensated Care, Bad debt reporting, IME/GME, Medicare Wage Index, S-10 reporting, Tricare and 855’s, Ohio Medicaid, HCAP, UPL and Franchise Fee programs.
• Subject matter learning on Acute Care Hospitals, Critical Access Hospitals, Sole Community Hospitals and Rural Health Clinics.
• Subject matter learning of reimbursement in specialty areas such psych, inpatient rehabilitation units, Home Health and Hospice.
• Projects support as assigned by the Manager of Reimbursement
• Provide the Manager of Reimbursement with updates.
• CGS audits and auditors support as directed by oversite role.
• Special projects / analysis as assigned by the Manager of Reimbursement.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level