Position Description

POSITION SUMMARY

 

The Medicare Cost Report & Reimbursement Coordinator will have a pivotal role in Northside Hospital’s Government Reimbursement Function. The coordinator will drive the completion of Medicare Cost Reports and other similar government financial filings, as well as support subsequent audits and act as Northside’s subject matter expert (SME) on government reimbursement policy and reporting. Additionally, the coordinator will assist in handling communication with Medicare Administrative Contractors (MACs), Georgia Medicaid / Department of Community Health (DCH), and other government entities and related contractors on matters related to our financial filings, audits, and other reimbursement topics.

 

The successful candidate will have experience in the hospital reimbursement function and will ideally have experience working in a team and training / managing analysts. The candidate should be able to work autonomously as an individual contributor to successfully complete filings and audits in the necessary timeframe with minimal oversight. This position will require leadership skills and will also require maintaining a high degree of knowledge on Medicare Cost Report instructions, data inputs, and changes to Medicare and Medicaid regulations related to Reimbursement. Additionally, this position will require familiarity with hospital finance and accounting principles, such as charity and bad debt write-offs.

Position Requirements

KNOWLEDGE SKILLS AND ABILITIES/LICENSE OR CERTIFICATION REQUIRED

 

B.S. Degree in Accounting, Business, Healthcare Administration, or other related field. May substitute relevant years of experience for a B.S. Degree (twelve (12) years direct, progressive, relevant experience = B.S. Degree). Minimum of five (5) years relevant experience in the healthcare industry with at least three (3) years in a directly related leadership role. Experience in Cost Report preparation and review. Knowledge and understanding of government payor reimbursement. Excellent communications, and interpersonal skills. Must demonstrate strong analytical skills and attention to detail. Intermediate skill level with Excel Experience managing analysts a plus

KNOWLEDGE SKILLS AND ABILITIES/LICENSE OR CERTIFICATION PREFERRED

 Advanced excel experience (including using Pivot tables to manipulate large data sets). Experience writing or using SQL code. Experience pulling data from patient financial systems.

Service Area Overview