All the benefits and perks you need for you and your family:
Benefits from Day One
Whole Person Wellbeing Resources
Mental Health Resources and Support
Our promise to you:
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.
Job Location: Remote
The role you’ll contribute:
The Senior Reimbursement Analyst is responsible for preparing and filing the annual Medicare, Medicaid, and Champus/Tricare cost reports; preparation of reopening and appeal papers, audit preparation and other cost report settlement activity and related analysis for third party financial statement reporting for the Adventist Health System. Additionally, this position collaborates with management in the reimbursement regulations and regulatory, operational, and financial impacts of proposed operational decisions. Duties assigned are performed under the oversight of the Reimbursement Manager.
The value you’ll bring to the team:
Prepare and submit accurate and timely cost reports as required by Medicare, Medicaid and other State or Federal agencies for the Adventist Health System’s hospitals
Coordinate the Medicare, Medicaid and other State or Federal agency cost report audits, providing supporting documentation, reviewing audit adjustments, and responding to audit findings in a timely and efficient manner
Communicate technical positions/arguments effectively to Medicare, Medicaid and other State or Federal agencies’ auditors to support positions taken on the hospital cost report, or other required reporting
Update, review, and maintain supporting documentation for the Medicare and Medicaid Uniform Contractual Worksheet-Third Party Settlement (UCW-TPS) templates of each Adventist Health System hospital according to standardized policies and procedures to properly reflect the financial reporting of third party balances of Adventist Health System
Review the reasonableness of hospital interim reimbursement rates and special payments received from Medicare and Medicaid and follow-up as appropriate
Discuss hospital third party settlement results with hospitals’ financial leadership
Maintain a working knowledge of current laws and regulations of the Federal Medicare and State Medicaid programs, including changes affecting hospital reimbursement of Medicare bad debt, graduate medical education, disproportionate share hospital adjustment, and uncompensated care payments
Complete special projects assigned by the department manager or director within the time frame requested
The expertise and experiences you’ll need to succeed:
Bachelor’s degree in Accounting or Finance
Minimum of 4 years of relevant experience in healthcare reimbursement including Medicare, Medicaid reimbursement and regulatory cost reporting
Certified Public Accountant (CPA)
Proficient using Health Financial Systems (HFS) cost reporting software
At AdventHealth, Extending the Healing Ministry of Christ is our mission. It calls us to be His hands and feet in helping people feel whole. Our story is one of hope — one that strives to heal and restore the body, mind and spirit. Our more than 80,000 skilled and compassionate caregivers in hospitals, physician practices, outpatient clinics, urgent care centers, skilled nursing facilities, home health agencies and hospice centers are committed to providing individualized, wholistic care.