Reimbursement Analyst | PAM Health Corporate
PAM Health Rehabilitation Hospital of KyleEnola, PA, USjob_description.job_card.30_days_ago
serp_jobs.job_preview.job_type
- serp_jobs.job_card.full_time
job_description.job_card.job_descriptionInclusiveness : 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. 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. 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. Bachelor's degree in Accounting, Finance or Healthcare Management. 3 plus years of accounting and / or financial analysis experience in healthcare environment. 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.
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
Customer Service
Health and Safety
Qualifications
Education and Training :
Experience :
Knowledge, Skills, and Abilities :
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Reimbursement Analyst • Enola, PA, US
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