Senior Reimbursement Analyst - Texas Health Resources

Senior Reimbursement Analyst - Texas Health Resources

_Bring your passion to Texas Health So We Are Better + Together_

Work Location: Texas Health Corporate, 612 E. Lamar Blvd., Arlington, TX 76011

Work Hours: Full Time Days (8:00am-5:00pm) for 40 hrs/week (remote work allowed at manager's discretion)

Department Highlights:

+ Remote Position

+ Gain a sense of accomplishment by contributing to a teamwork environment.

+ Receive excellent mentorship, comprehensive training, and dedicated leadership resources.

What You Will Do:

Coordinate, prepare, and submit timely and accurate Medicare and Medicaid cost reports for assigned hospitals.

Coordinate and submit annual Waiver related UC Tools.

Monthly monitoring of Medicare and Medicaid contractuals related to the filing of the cost report and maintain accurate cost report-related liability and reserve accounts.

Coordinate Medicare cost report audits, desk reviews, reopenings, and appeals.

Lead and support Medicaid, Disproportionate Share Hospital (DSH), Uncompensated Care (UC), and Worksheet S-10 audits, and assist with financial audits as needed.

Provide reimbursement consulting, financial analysis, and regulatory guidance to facility leadership on Medicare and Medicaid reimbursement matters.

Manage Medicare enrollment activities, including CMS-855A applications for new hospitals, revalidations, and updates to organizational and facility information.

Prepare and submit CHAMPUS/TRICARE medical education and capital reimbursement filings.

Coordinate Medicaid provider enrollments, revalidations, and related program participation requirements.

Perform annual Medicare wage index reviews and support occupational mix survey submissions.

Research, interpret, and communicate changes in Medicare/Medicaid regulations and changes in cost reporting instructions and assess their financial impact.

What You Need:

Education

Bachelor's Degree Accounting Req

Experience

7 Years Accounting Req

2 years cost reporting experience with either a hospital or intermediary setting Preferred

Skills

Knowledge of Medicare/Medicaid Regulations and General Accounting Principals

Supervision

Individual Contributor

ADA Requirements

Extreme Heat 1-33%

Extreme Cold 1-33%

Extreme Swings in Temperature 1-33%

Extreme Noise 1-33%

Working Outdoors 1-33%

Working Indoors 67% or more

Mechanical Hazards 1-33%

Electrical Hazards 1-33%

Explosive Hazards 1-33%

Fume/Odor Hazards 1-33%

Dust/Mites Hazards 1-33%

Chemical Hazards 1-33%

Toxic Waste Hazards 1-33%

Radiation Hazards 1-33%

Wet Hazards 1-33%

Heights 1-33%

Other Conditions 1-33%

Physical Demands

Sedentary

Texas Health requires a resume when an application is submitted.Employment opportunities are only reflective of wholly owned Texas Health Resources entities.

We are an Equal Opportunity Employer and do not discriminate against any employees or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.