Overview

Job Summary

• The Reimbursement Accountant is responsible for the accumulation and analysis of data used for the preparation of work-papers that support the HH System hospitals’ third party cost reports, to include inputting and importing data into each of the respective third party programs.
• Supports in clarifying any ensuing audit questions concerning submitted cost report data and conducts analysis of potential third party reimbursement impacts.
• Works independently in the preparation of the annual CMS S-10 form, Medicaid UCC annual calculations, and Wage Index required data and documents.
• Responsible for assigned hospital(s) Medicare Retro monthly calculations and monthly contractual and bad debt allowance estimate.
• Responsible for reconciliations to record general ledger journal entries, to include analyzing general ledger accounts and responding to internal management requests.

Responsibilities

Key Responsibilities and Essential Functions

• Assist in the preparation of Third Party Cost Reports per current rules and regulations. Cost report must be completed two weeks prior to due date for review by management.
• Assists auditors in resolving audit questions and prepare all work papers with the necessary data to support the issue being reviewed by the Financial & Third Party auditors.
• Analyzes general ledger accounts, maintaining documentation and making any necessary journal entries.
• Ensures that all general accounts related to reimbursement are analyzed monthly and adjusted appropriately.
• Assist with the Medicaid Enhancement and DSH Payment Data.
• Assist with calculation of system’s contractual adjustment and uncollectible accounts.
• Respond to internal management requests for information including data for monthly entries.
• Stays abreast of current third party reimbursement regulations and informs management of potential effects to the hospital. .
• Stays abreast of current UCC & Wage Index schedules and regulations
• Assists Senior Reimbursement Accountant with duties.
• Performs other duties as assigned

Qualifications

Education Required

• High School Diploma or GED required.
• Bachelor's Degree in Accounting/Finance – or closely related field – from an accredited college or university required. **can be actively working toward BSBA (4-year) degree if associate’s degree has been awarded.

Experience

• Minimum of 1 year of experience in healthcare reimbursement or a related field.

Additional Skills/Abilities

• Must be able to communicate effectively and work in a fast paced environment requiring the ability to set priorities, coordinate and organize multiple tasks and maintain control of work flow.
• Must be proficient in the use of a personal computer, including Microsoft Office Applications.
• Must be able to reason and solve problems independently.