The Sr. Reimbursement Specialist directs development & illustrates the impact of proposed & final Federal/State regulations to staff and senior Management. Directs the development of contractual allowances for budget projections & monthly & year-end financial statements. Manages and directs the preparation and/or review of preliminary & filed Medicare/Medicaid cost reports.

Job Responsibilities:

Directs development & illustrates the impact of proposed & final Federal/State regulations to staff and senior Management. Directs the preparation of reimbursement studies as needed by senior management. Researches regulations related to the implementation of new programs, services, & ventures. Directs the development of contractual allowances for budget projections & monthly & year-end financial statements. Directs the evaluation of interim payments from third-party payors for accuracy & adequate cash flow. Coordinates with Information Systems the production of reports for cost reporting/cost analysis purposes. Develops & conducts reimbursement seminars for staff of IHS operating units. Manages & directs the preparation and/or review of preliminary & filed Medicare/Medicaid cost reports. Reviews of Medicare/Medicaid settlements for accuracy & impact on reimbursement for all IHS entities. Coordinates the support & documentation needed by independent & Medicare & Medicaid auditors.

Requirements:

Education: Bachelors Degree in Business Administration or Accounting. Experience: Four years of reimbursement experience in a healthcare setting with comprehensive knowledge of Medicare/Medicaid reimbursement

 

This position is eligible for remote work for candidates residing in the following states – AL, AZ, DC, DE, FL, GA, KY, ME, MD, MO, NC, OH, PA, SC, TN, TX, UT, VA, WV.