Note: The job is a remote job and is open to candidates in USA. Munson Healthcare is northern Michigan’s largest healthcare system, dedicated to providing exceptional care to the community. The Reimbursement Accountant will play a crucial role in financial decision-making and analysis, managing reimbursement processes and ensuring compliance with relevant regulations.
Responsibilities
- Demonstrates excellent project management skills. Integral to health system administrators and managers decision making related to financial information and analysis. Supports management in development of business plans and other special projects
- Completes accurate, compliant, and well documented third party cost reports. Analyzes financial and statistical data used in the reimbursement reports to determine accuracy, consistency from year to year, and effects upon institution’s reimbursement or final settlements
- Verifies and analyzes rate calculations and final settlements submitted by third-party payers and governmental agencies for accuracy
- Maintain up-to-date knowledge of principles and technical methods of reimbursement accounting and financial analysis of healthcare institutions and health systems
- Assist with third-party cost report audits and provide support in response to inquiries made by third-party auditors, external financial audits and internal audits as needed. Reconciles revenue between hospital financial reports and third-party payor/governmental agency reports
- Prepares interim cost reports for independent audit review, the annual budget internal contractual estimation, and the case mix system
- Provides up-to-date reimbursement rate information to the Accounting Department to enhance the monthly contractual allowance calculation. Periodically reviews the monthly contractual allowance calculation
- Participates in and suggests areas where formal appeals to third-party and governmental agencies are warranted. Prepares formal appeal work papers
- Assists in the preparation of special reimbursement and cost study analyses and in the accumulation of certain statistical data
Skills
- Bachelor's Degree in Accounting or Finance, with CPA
- Two to four years' experience in finance, preferably health care related
- Knowledge of federal and state laws and regulations affecting institutional healthcare providers
- Strong knowledge of principles and technical methods of accounting and financial analysis of healthcare institutions and health systems
- Ability to interpret statutes and regulations, CMS guidelines, GAAP, GAAS, professional audit guides and reimbursement principles
- Experience with computer applications, including Microsoft Office products, data extraction software, etc
- Master's Degree in Business Administration
Benefits
- Tuition reimbursement, in-person and online development, and access to our career hub to help you advance.
- Full benefits, paid holidays, generous PTO, employee discounts, and free individual retirement counseling.
- Free wellness platform for you and your family, plus personalized support for personal or family challenges.
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