Reimbursement Specialist Sr - Financial Reporting

Overview

A large not-for-profit health system in Oklahoma is seeking a Senior Reimbursement Specialist to join their Financial Reporting team. This remote position involves supporting hospital reimbursement processes, cost reporting, and revenue analysis to ensure compliance with CMS regulations and optimize financial performance.

Responsibilities

• Collect, record, and review documentation required by CMS for Organ Acquisition, Bad Debts, and Disproportionate Share Hospital (DSH) submissions
• Collect, record, review, and reconcile Physician Time Studies
• Participate in ad hoc revenue analysis projects
• Prepare and submit accurate and timely Medicare and other third-party cost reports in compliance with CMS regulations
• Manage and coordinate Medicare cost report audits, including wage index, EHR, and other special audits; review proposed audit adjustments
• Assist in identifying Medicare issues for appeal or reopening
• Review interim reimbursement rates and special payments from Medicare and third-party payors; follow up with Medicare Administrative Contractor (MAC) as needed
• Prepare monthly contractual allowances for Medicare and Medicaid
• Prepare monthly cost report reserve schedules
• Prepare and submit annual Medicaid DSH surveys; participate in Medicaid DSH audits and year-end cost report filings
• Monitor proposed and final changes in Medicare regulations and reimbursement; update schedules for the reimbursement department

Physical demands include sedentary work with occasional standing/walking and frequent keyboarding. The role requires a high degree of accuracy, the ability to manage multiple projects, and effective verbal communication.

Required Qualifications

• 3-5 years of experience in hospital third-party reimbursement
• Bachelor's degree in Accounting, Finance, or a related business field, or five years of equivalent work experience

Preferred Qualifications

• Experience working with the Medicare Administrative Contractor (MAC)
• Experience with PeopleSoft and Epic systems

Compensation & Benefits

The organization offers increased compensation plans and an enhanced benefits package for eligible employees, including front-loaded paid time off, 100% employer-paid short-term disability, increased retirement match, and paid family leave.

Location

This is a remote position supporting a health system based in Oklahoma.