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Reimbursement Analyst | PAM Health Corporate

Reimbursement Analyst | PAM Health Corporate

PAM Health Rehabilitation Hospital of KyleEnola, PA, US
30+ days ago
Job type
  • Full-time
Job description

Reimbursement Analyst

Reporting directly to the VP of Reimbursement, the Reimbursement Analyst is responsible for providing accurate information for Medicare, Medicaid, and State cost report preparation.

Responsibilities

  • Analyze regulations and calculate financial impact of changes in reimbursement.
  • Track changes of and account for any state supplemental payment programs.
  • Assist VP of Reimbursement with inquiries from MAC auditors to address questions related to Medicare bad debt and Medicaid eligibility documentation.
  • Conduct monthly settlement reviews; identify aberrations and find solutions; provide impact summary of all reviewed settlement files.
  • Help with compliance review for PAM hospitals, including ALOS review for LTACHs and 60% compliance review for IRFs.
  • Prepare and analyze Medicare bad debt logs and any other support workpapers for cost report purposes.

Leadership

  • Inclusiveness : Promotes cooperation, fairness, and equity; shows respect for people and their differences; works to understand perspectives of others; demonstrates empathy; brings out the best in others and in his / her team.
  • Managing Staff : Coaches, evaluates, develops, and inspires staff; sets expectations; recognizes achievements.
  • Stewardship and Resource Management : Demonstrates accountability and sound judgment in managing company resources; appropriate understanding of confidentiality and company values; adheres to and supports company policies, procedures, and safety guidelines.
  • Problem-Solving : Identifies problems and involves others in seeking solutions; conducts appropriate analysis and searches for best solutions; effectively and efficiently implements appropriate responses to correct problems; responds promptly and effectively to new challenges.
  • Decision-Making : Makes clear, consistent decisions; acts with integrity in all decisions; distinguishes relevant from irrelevant information; makes timely, appropriate decisions.
  • Strategic Planning and Organizing : Understands company vision and aligns priorities; accordingly, measures outcomes; uses feedback to redirect as required; evaluates alternatives; appropriately organizes complex issues to desirable resolution.
  • Communication : Connects with peers, subordinate employees and all customers; actively listens; clearly and effectively shares information; demonstrates effective oral and written communication skills; negotiates effectively.
  • Quality Improvement : Strives for efficient, effective, high-quality performance in self and in the department; delivers timely and accurate results; resilient when responding to matters that are challenging; takes initiative to make improvements.
  • Leadership : Motivates others; accepts responsibility; maintains high morale in department; develops trust and credibility; expects honest and ethical behavior of self and staff.
  • Teamwork : Encourages cooperation and collaboration; builds effective teams; works in partnership with others; is flexible; responsive to the needs of others.
  • Development : Maintains up-to-date skills through involvement with professional organizations and / or continuing education.

    • Customer Service

  • Maintains the highest level of customer service via courtesy, compassion, and positive communication.
  • Promotes the mission and vision of PAM Health within the work environment and the community.
  • Respects dignity and confidentiality by adherence to all applicable policies and procedures.

    • Health and Safety

  • Works in a manner that promotes safety, wears clothing appropriate to the performance of the job.
  • Participants in OSHA required training.
  • Follows universal precautions as appropriate for position; comply with Employee Health requirements for continued employment.
  • Reports unsafe practices to management.
  • Knows own role in case of an emergency.

    • Qualifications

    Education and Training :

  • Bachelor's degree in Accounting, Finance or Healthcare Management.

    • Experience :

  • 3 plus years of accounting and / or financial analysis experience in healthcare environment.

    • Knowledge, Skills, and Abilities :

  • Knowledge of Medicare cost report, Medicare, Medicaid and other State and Federal regulations is a plus.
  • Strong analytical skills required, including knowledge of patient management information systems, proficient skills in Excel.
  • Excellent communication skills.
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