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Reimbursement Analyst

Company: University of Missouri Health Care
Location: Columbia
Posted on: March 26, 2020

Job Description:

Job Summary: -- Provide governmental payer reimbursement support for MU Health Care entities which entails highly complex analysis with potential negative implications for the entities. -- Detailed Description: -- Assist in identification of Medicare and Medicaid reimbursement and compliance issues that should be reported and/or appealed, recommend appropriate outside resources for pursuing appeals, monitor the process to ensure that appeals or exception requests are filed in a timely manner and follow-up to ensure timely resolution. -- Assist in the preparation of monthly and year-end contractual allowance estimates for various third-party payers. Assist in the preparation of reimbursement estimates for the Region's long-range financial plan and annual budget, consistent with approved guidelines and assumptions with reimbursement and payment trend projections. -- Compile Medicare, Medicaid and Tricare Cost Reports for University of Missouri Health Care System including preparing work papers, coordinating the gathering of pertinent information from departments and computerized records, analysis of information and reviewing all data to assure compliance with Medicare and Medicaid guidelines and policy. -- Coordinate the Medicare and Medicaid audits of filed cost reports and Medicaid DSH program. Liaison with auditors to provide accurate explanatory information, retrieve and verify data as requested, and review audit adjustments. Data may include, but not limited to, financial and patient accounting documents, payroll information, asset and transaction records. -- Develop and maintain the hospital's cost accounting system. Duties include compiling, analyzing and validating statistics and general ledger data along with cost variance analysis and reconciliation. -- Model expected payment in the financial decision support system, Avega, for Medicare and Tricare by analyzing CMS regulations and Tricare payment methodologies, respectively. -- Participate in the performance of special data accumulations, studies, and projects requested by internal management, CMS or other external sources, as necessary. -- Qualifications --Requires Bachelor's Degree in Accounting, Business Administration or related field or an equivalent combination of education and experience from which comparable knowledge and abilities can be acquired. -- -- Requires three or more years of experience in accounting or a healthcare reimbursement setting. KNOWLEDGE, SKILLS & ABILITIES Strong analytical, problem-solving, detail and deadline oriented, and the ability to handle multiple task simultaneously with high quality results -- Excellent interpersonal, written and verbal communication and presentation skills. -- Proficient in Microsoft Office applications such as Excel, Access and Word. Ability to create complex programs for spreadsheet software such as creating financial models, regression analysis, or setting up or maintaining databases. -- Strong math/analytical skills including variance analysis, statistical formulas, algebraic formulas, percentages, multiplication and division, fractions and reasonableness tests. -- -- -- Applicants with diverse backgrounds are encouraged to apply.

Keywords: University of Missouri Health Care, Columbia , Reimbursement Analyst, Accounting, Auditing , Columbia, Missouri

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