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Job Description Summary:

This position will prepare supporting schedules of the Medicare and Medicaid cost reports for all OhioHealth entities while also learning the Medicare and Medicaid cost rules and regulations.

• This position will be responsible for learning to ensure the appropriate governmental Medicare and Medicaid reimbursement that is received for all of OhioHealth’s entities.
• This position is primarily responsible for learning and being proactive on calculations and modeling of new regulatory changes and impacts as well as variance analysis of third-party liability accounts. Provides supporting work papers and documentation for management.
• This position has no supervisory oversite.
• This positon supports and works with the Sr. Reimbursement Analyst, Sr. Reimbursement Consultant, Reimbursement Advisor and Manager of Reimbursement as needed on projects and processes.
• The Reimbursement Analyst will learn to be a subject matter expert over time from exposure in the following areas, S-10, Wage Index, Bad Debts, Medicare Audits, Disproportionate Share, Indirect Medical Education, Graduate Medical Education, and Governmental Logs, (HCAP, UPL and Franchise Fee programs in the state of Ohio) as well as special projects as assigned. The Reimbursement Analyst will work on partial and full parts of these subject matter areas.
• Extensive ongoing engagement of learning of Medicare and Medicaid cost reporting and reimbursement regulatory requirements, both federal and state is required.
• The Reimbursement Analyst is required to use extensive interpersonal skills in communicating with all reimbursement department levels as well as outside departmental contacts at OhioHealth.
• This role functions in a heavily matrixed environment and requires strong prioritization, communication and planning skills.

Minimum Qualifications:

Bachelor's Degree: Finance (Required)

• BS or BA in Accounting or Finance.
• Minimum of 4-6 months experience in addition to bachelor degree requirement, may include summer internship.  Strong team player and communication and skills.

SPECIALIZED KNOWLEDGE

Min: Proficiency in Microsoft applications, knowledge of clinical & financial patient management systems, demonstrated ability in financial analysis and cost reporting.

DESIRED ATTRIBUTES

CPA, MHA or MBA. Experience with Medicare/Medicaid cost reporting 1-2 years as a Reimbursement Analyst or similar position(s).

 

MAJOR DUTIES/RESPONSIBILITIES & ESSENTIAL FUNCTIONS

• This position will prepare and learn sections of the Medicare and Medicaid cost reports for all OhioHealth entities.

Knowledge in the following areas:

• Subject matter learning on CMS cost reporting, disproportionate share (DSH), Uncompensated Care,  Bad debt reporting, IME/GME, Medicare Wage Index, S-10 reporting, Tricare and 855’s, Ohio Medicaid, HCAP, UPL and Franchise Fee programs.
• Subject matter learning on Acute Care Hospitals, Critical Access Hospitals, Sole Community Hospitals and Rural Health Clinics.
• Subject matter learning of reimbursement in specialty areas such psych, inpatient rehabilitation units, Home Health and Hospice.  
• Projects support as assigned by the Manager of Reimbursement
• Provide the Manager of Reimbursement with updates.
• CGS audits and auditors support as directed by oversite role.
• Special projects / analysis as assigned by the Manager of Reimbursement.

Work Shift:

Day

Scheduled Weekly Hours :

40

Department

Reimbursement

Join us!
... if your passion is to work in a caring environment
... if you believe that learning is a life-long process
... if you strive for excellence and want to be among the best in the healthcare industry

Equal Employment Opportunity

OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment