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Reimbursement Specialist

Office of The Chief Financial Officer
Washington, District of Columbia, US
Full-time

Government of the District of Columbia

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Office of the Chief Financial Officer (OCFO)

Reimbursement Specialist

$89,965.00 - $115,094.00

The Office of the Chief Financial Officer (OCFO) whose mission is to enhance the fiscal and financial stability, accountability and integrity of the Government of the District of Columbia is in search of a Reimbursement Specialist.

This position is located in the Office of the Chief Financial Officer (OCFO), Human Support Services Cluster (HSSC), Department of Health Care Finance (DHCF).

The Reimbursement Specialist coordinates, monitors, and performs various functions related to, the analysis, identification, interpretation, reporting and resolution of provider reimbursement information and claims.

Duties include, but are not limited to :

  • Monitoring cost reports and supporting documentation
  • Researching, reviewing, and providing interpretation on federal and local rules and Medicaid policies
  • Reviewing submitted audited cost reports and providing information to audit contractors on policies and procedures
  • Searching for variances from prior periods and looking for trends in cost reporting data
  • Reviewing audited cost reports and responding to questions regarding cost reports
  • Providing documentation, explanations, and testifying as a government witness to assist DHCF legal staff with appeals before the Office of Administrative Hearings and the District courts
  • Communicating and responding to questions regarding healthcare provider taxes
  • Providing schedules, analysis, work papers, and explanations for the Medicaid Year End Accrual
  • Performs other duties as assigned
  • Minimum Qualifications : Four (4) years of progressive experience performing the related duties and responsibilities such as reviewing, analyzing, auditing cost reports and financial statements;

developing comprehensive oral and written reports; and assisting in the preparation and delivery of oral briefings and testimony.

Healthcare industry experience preferred.

For initial review, please submit your resume to the Office of the Chief Financial Officer, Human Resources Division, located at 1101 4th Street, SW, Suite W220, Washington, DC 20024.

The OCFO offers a competitive salary and benefits package including medical, dental, retirement, and educational assistance.

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3 days ago
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