Senior Reimbursement Analyst - Texas Health Resources

Overview

This position involves coordinating and preparing Medicare and Medicaid reimbursement reporting and related audit, enrollment, and compliance activities for assigned hospitals.

Responsibilities

• Coordinate, prepare, and submit timely and accurate Medicare and Medicaid cost reports for assigned hospitals.
• Coordinate and submit annual Waiver-related UC Tools.
• Monitor Medicare and Medicaid contractuals related to cost report filings; maintain accurate cost report-related liability and reserve accounts.
• Coordinate Medicare cost report audits, desk reviews, reopenings, and appeals.
• Lead and support Medicaid, Disproportionate Share Hospital (DSH), Uncompensated Care (UC), and Worksheet S-10 audits; assist with financial audits as needed.
• Provide reimbursement consulting, financial analysis, and regulatory guidance to facility leadership regarding Medicare and Medicaid reimbursement.
• Manage Medicare enrollment activities, including CMS-855A applications for new hospitals, revalidations, and updates to organizational and facility information.
• Prepare and submit CHAMPUS/TRICARE medical education and capital reimbursement filings.
• Coordinate Medicaid provider enrollments, revalidations, and related program participation requirements.
• Perform annual Medicare wage index reviews and support occupational mix survey submissions.
• Research, interpret, and communicate changes in Medicare/Medicaid regulations, cost reporting instructions, and assess their financial impact.

Requirements

• Education: Bachelor’s Degree (Accounting)
• Experience: 7 years (Accounting)
• Preferred: 2 years cost reporting experience with either a hospital or intermediary setting
• Skills/Knowledge: Knowledge of Medicare/Medicaid regulations and general accounting principles

Supervision

• Individual Contributor

Compensation & Benefits

• Not provided in the source description.

Location

• Work Location: Texas Health Corporate, 612 E. Lamar Blvd., Arlington, TX 76011
• Work Hours: Full Time Days (8:00am–5:00pm) for 40 hrs/week; remote work allowed at manager’s discretion.

ADA Requirements / Physical Demands

• Extreme Heat: 1–33%
• Extreme Cold: 1–33%
• Extreme Swings in Temperature: 1–33%
• Extreme Noise: 1–33%
• Working Outdoors: 1–33%
• Working Indoors: 67% or more
• Mechanical Hazards: 1–33%
• Electrical Hazards: 1–33%
• Explosive Hazards: 1–33%
• Fume/Odor Hazards: 1–33%
• Dust/Mites Hazards: 1–33%
• Chemical Hazards: 1–33%
• Toxic Waste Hazards: 1–33%
• Radiation Hazards: 1–33%
• Wet Hazards: 1–33%
• Heights: 1–33%
• Other Conditions: 1–33%
• Physical Demands: Sedentary