[Hiring] Reimbursement Analyst/Accounta @Appalachian Regional Healthcare, Inc.

Role Description

The Reimbursement Analyst/Accountant is responsible for the effective filing of Medicare/Medicaid and other Third Party Cost Reports to maximize the cash flow through the interim rates and final settlement.

• Files Medicare, Medicaid and other third party cost reports to determine interim rate and periodic interim payments.
• Monitors adequacy of interim rate and recommends alternate arrangements that will improve reimbursement.
• Reviews Federal Register and CCH updates regarding impact of proposed and newly activated regulations.
• Develops and submits comments to appropriate agency and advises administration of exposure and alternative action available.
• Maintains and monitors statistical system to support cost reports.
• Reviews and revises systems used for monthly estimates of allowances.
• Periodically prepares interim cost reports to support the reasonableness of monthly estimates.
• Reviews operation and organization of individual hospitals and corporate structure to determine statistics, billing and other systems resulting in maximum reimbursement.
• Reviews contractual arrangements with physicians and others such as insurance companies.
• Assesses reimbursement impact and recommends alternate arrangements that will improve reimbursement.
• Assists ARH units that are developing and implementing new and revised programs by determining reimbursement impact.
• Monitors the audits performed by intermediaries; assesses the impact of adjustments.
• Determines the reasonableness and acceptability of adjustments and proposes necessary appeals relating to unacceptable adjustments.
• Participates in the preparation of the monthly financial statement, related exhibits and accompanying memorandums in accordance with generally acceptable accounting principles.
• Participates in the preparation of schedules used by various auditors in their determination of the accuracy of accounting records.
• Participates in the preparation of various tax returns and financial surveys.
• Performs other related duties as assigned.

Qualifications

• B.S. Degree in accounting.
• Minimum of 2 years experience in preparation of Medicare/Medicaid cost reports.

Company Description