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Senior Reimbursement Analyst

Reimbursement

Full-time-Exempt

Day shift

M-F

Job Summary: 

Under the direction of the Reimbursement Manager, the Senior Reimbursement Analyst is responsible for the reporting, analysis, and monitoring of third party reimbursements.

 

Essential Duties:

·         Prepare and file Medicare and Medicaid Cost Reports for Central Maine Healthcare hospitals as well as home office

·         Work with Medicare auditors, Medicaid auditors, and other third parties to ensure that settlements are complete and accurate

·         Prepare monthly adjusting entries for the contractual allowances and third party receivables and payables, and explain deductions from net revenue variances to budget

·         Prepare budget for deductions from net revenue

·         Identify, communicate, and assist with resolution of systemic issues causing incorrect reimbursement by maintaining and utilizing contract management software and other net revenue analysis by payer

·         Complete Ad Hoc analysis assigned by the Reimbursement Manager

 

Education and Experience: 

·         Bachelor's Degree in accounting or finance with at least five years' relevant experience.

·         CPA preferred

 

Knowledge, Skills and Abilities:

·         Ability to complete tasks with minimal direction

·         Knowledge of generally accepted accounting principles

·         Intermediate to advanced Excel skills

·         Analytical skills necessary to compile, summarize, and draw conclusions from financial and statistical data

·         Knowledge of Medicare law and State of Maine law related to reimbursement

·         Research skills necessary to interpret and draw conclusions from Medicare law, regulations, and published guidance

·         Knowledge of personal computers and ability to learn different information systems

·         Strong written and verbal communication skills.


*JIUS