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Reimbursement Analyst

CommonSpirit Health Englewood, Colorado
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Requisition ID 2022-266775 Employment Type Full Time Department Reimbursement Hours/Pay Period 80 Shift Day Weekly Schedule Monday - Friday (8:00 AM - 5:00 PM Remote Yes Category Accounting and Finance
Overview

CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.


Responsibilities
Position Summary:
The Reimbursement Analyst is responsible for providing cost report preparation, cost report appeals, audit preparation and other duties related to the regulatory reimbursement services of Dignity Health. The position maintains current knowledge of Medicare, Medicaid and other State and Federal regulations. The Reimbursement Analyst interacts with customers and ensures value is delivered and customer satisfaction is achieved. The Reimbursement Analyst also assists in the improvement of internal business processes and meeting future reimbursement service needs.
The Reimbursement Analyst carries out his/her duties by adhering to the highest standards of ethical and moral conduct, acts in the best interest of Dignity Health and fully supports Dignity Health’s Mission, Philosophy and core values of Collaboration, Dignity, Excellence, Justice, and Stewardship. The Reimbursement Analyst reports to the Reimbursement Managers and/or Directors.
Accountabilities:
  1. Prepares interim and annual cost reports for Medicare, Medicaid and other State or Federal agencies for Dignity Health facilities and regions
  2. Calculates periodic adjustments for deductions from revenue, revenue reserves, bad debt and other revenue adjustments related to regulatory reimbursement for all Dignity Health facilities and regions in accordance with Dignity Health policies and procedures
  3. Assist the Reimbursement Managers and/or Directors with recommendations for internal Dignity Health strategy by evaluating current growth, anticipating future needs, and assessing impact of services delivered
  4. Assists in the maintenance of standardized policies and procedures and third party settlement methodologies
  5. Reviews operational reports, identifies opportunities/problems, and makes recommendations for improving processes
  6. Assesses the impact of new products, technology, and processes on the existing organization and makes recommendations for improvement
Required Non-Technical Competencies:
  1. Commitment to Dignity Health Values
  2. Analytical Thinking
  3. Continuous Improvement
  4. Problem Solving
  5. Customer Orientation
  6. Team Orientation
  7. Flexibility
  8. Communication Ability
  9. Reasoning
Required Technical Competencies:
  1. Medicare
  2. Medicare Regulatory Reporting
  3. Medicaid (Medi-Cal)
  4. Medicaid (Medi-Cal) Regulatory Reporting
  5. Accounts Receivable and Cash Collection
  6. Capital and Fixed Assets
  7. Reimbursement – Monthly Analysis Process
  8. Decision Support
  9. General Accounting

A compensation range of $50,000 - $65,000 is the reasonable estimate that CommonSpirit Health in good faith believes it might pay for this particular job based on the circumstances at the time of posting. CommonSpirit Health may ultimately pay more or less than the posted range as permitted by law.
While you’re busy impacting the healthcare industry, we’ll take care of you with benefits that include health/dental/vision, FSA, matching retirement plans, paid vacation, adoption assistance, annual bonus eligibility and more!


Qualifications
Minimum Qualifications:
  • Minimum of one (1) years of experience with all aspects of Medicare and Medicaid (Medi-Cal) regulations monitoring and report processes required
  • Experience as hospital Reimbursement staff or auditing experiences with Fiscal Intermediary required
  • Minimum of one (1) years of experience and excellent working knowledge of general accounting, government reimbursement, appeals and audits in a complex organization, and maintaining relationships with internal and external entities such as general accounting, patient accounting, and fiscal intermediaries required
  • Experience and knowledge of current reimbursement regulations and applications in a complex healthcare environment required
  • Bachelor’s degree in Business Administration, Accounting or equivalent work experience required
  • Required at times but very limited
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Equal Opportunity

CommonSpirit Health™ is an Equal Opportunity/Affirmative Action employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law. For more information about your EEO rights as an applicant, please click here.

CommonSpirit Health™ will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c). External hires must pass a post-offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances. If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request. We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA). CommonSpirit Health™ participates in E-Verify.