What are the responsibilities and job description for the Reimbursement Analyst position at avera?
Location: Avera Health Worker Type: Regular Work Shift: Day Shift (United States of America) Pay Range: The pay range for this position is listed below. Actual pay rate dependent upon experience. $67,080.00 - $100,880.00 Position Highlights You Belong at Avera Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter. A Brief Overview Accountable for assisting with the preparation of Medicare, Medicaid, and Tricare cost reports for Avera hospitals, rural health clinics and nursing homes. The Analyst assists with net revenue analysis, including the calculation and reconciliation of contractual allowances and uncompensated care reserves for all Avera Health hospitals, clinics and nursing homes where the AR data is uploaded into the Crowe Revenue Cycle Analytics software (RCA). Assist with the preparation of Medicare and Medicaid 3rd Party Settlement Reserves analysis for all Avera Health PPS and CAH Hospitals, RHCs and nursing homes. Assists with ad hoc analysis and similar projects for the Avera Network. What you will do Prepare and provide analysis of the Avera Health Medicare, Medicaid and Tricare hospital, RHC and nursing home annual cost reports and audits. Assists with the Medicare and Medicaid audits for the Avera Health. Assemble Medicare and Medicaid 3rd Party Settlement Reserves analysis for all Avera Health PPS and CAH Hospitals, RHCs and nursing homes. Assists with the monthly contractual reserve calculation for all Avera Health Hospitals, clinics, and nursing homes within RCA, and the AR reserve calculation for all other Avera Health operating units not included in RCA. Assist with the completion of the annual net revenue budget calculation for all Avera Health Hospitals, clinics, and nursing homes within RCA, and the budget calculation for all other Avera Health operating units not included in RCA. Assist in the monitoring and interpreting state and federal regulatory publications and announcements, providing notification and reimbursement impact analysis for Avera Health facilities. Assists with annual wage index audits for Avera Health. Responsible for the daily reconciling the data uploads into RCA and the liaison for reconciling the contractual allowances per the general ledger. Essential Qualifications The individual must be able to work the hours specified. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer. Required Education, License/Certification, or Work Experience: Bachelor's in Accounting, Business or related field Preferred Education, License/Certification, or Work Experience: 1-3 years Experience of working in the healthcare environment with regulatory and cost reporting experience. Knowledge of clinic reimbursement rules and practices. Expectations and Standards Commitment to the daily application of Avera’s mission, vision, core values, and social principles to serve patients, their families, and our community. Promote Avera’s values of compassion, hospitality, and stewardship. Uphold Avera’s standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity. Maintain confidentiality. Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment. Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable. Benefits You Need & Then Some Avera is proud to offer a wide range of benefits to qualifying part-time and full-time employees. We support you with opportunities to help live balanced, healthy lives. Benefits are designed to meet needs of today and into the future. PTO available day 1 for eligible hires. Up to 5% employer matching contribution for retirement Career development guided by hands-on training and mentorship Avera is an Equal Opportunity Employer - Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, Veteran Status, or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-605-504-4444 or send an email to talent@avera.org. At Avera, the way you are treated as an employee translates into the compassionate care you deliver to patients and team members. Because we consider health care a ministry, you can live out your faith, uphold the dignity and respect of all persons while not compromising high-quality services. Join us in making a positive impact on moving health forward.
Salary : $67,080 - $100,880