HealthPartners

Integrated health system and health plans

Reimbursement Analyst 3

Financial AccountingConfirmed live in the last 24 hours

Full-timeBloomington, MN, USA$42.15 - $63.23 /hrRemote

About the Job

Requirements

A bachelor's degree in Accounting or Finance is required.
Three to five years of experience in Medicare cost reporting or a related healthcare finance area is required.
Advanced knowledge of hospital accounting and Medicare cost accounting fundamentals is required.
Knowledge of accounting, statistics, and general business principles and practices is required.
Ability to maintain effective working relationships is required.
Ability to communicate effectively in written and oral form is required.
Ability to handle confidential information with discretion is required.
Ability to use a personal computer, Microsoft Office, Excel, PowerPoint, and cost report preparation software is required.
Ability to work independently with light supervision is required.
Advanced knowledge of third-party reimbursement payment mechanisms and settlement procedures is required.
Knowledge of hospital payor relationships and accounting is required.

Responsibilities

Prepare hospital, hospice, home health agency, home office, and skilled nursing facility cost reports.
Support the annual external audit related to net revenue valuation, net accounts receivable valuation, and pay or settlement liabilities.
Maintain decision support system reimbursement modeling and audit it to ensure calculated net revenues reasonably match actual payments.
Perform special analysis related to patient services, government regulatory issues, and general accounting as assigned.
Analyze and value net patient services revenue monthly.
Update Medicare and third-party settlement liabilities on an interim basis.
Evaluate net patient accounts receivable quarterly and make adjustments as required.
Provide external audit documentation needed to audit net patient revenue and net patient accounts receivable valuation.
Prepare cost reports for Regions and HealthPartners affiliates.
Assist the Reimbursement Manager with Medicare audit support as needed.
Assist the Reimbursement Manager with preparation of Medicare appeal documentation and position papers as needed.
Model net revenue reimbursement for Medicare and Medicaid.
Audit decision support system reimbursement and costing.
Analyze regulatory and program changes using the decision support system.
File the annual Department of Health Hospital Annual Report based on existing State of Minnesota regulations.
File the annual Department of Health Medical Education and Research Cost grant application based on existing State of Minnesota regulations.
Complete trade association survey data related to patient services revenue and statistical data available from regular analytical records.
Prepare the annual net patient services revenue budget and associated other operating revenues.
Prepare assumption-driven inpatient and outpatient gross revenue, contractual allowance, and net patient services revenue budgets based on historical data and business volume changes communicated by management.
Prepare analysis for mid-year forecasting of net revenue.

HealthPartners is hiring a remote Reimbursement Analyst III.

The Reimbursement Analyst III is responsible for the preparation of hospital, hospice, home health agency, home office and skilled nursing facility cost reports, support for annual external audit related to net revenue valuation, net accounts receivable valuation, and pay or settlement liabilities. This position is also responsible for maintaining decision support system reimbursement modeling and auditing of same to ensure that calculated net revenues reasonably match actual payments. Other special analysis related to patient services, government regulatory issues and general accounting as assigned.

MINIMUM QUALIFICATIONS:

Education:	Bachelor’s degree in Accounting or Finance
Experience:	3- 5 years of experience in Medicare cost reporting or related healthcare finance area
Licensure/ Registration/ Certification:	None
Knowledge, Skills and Abilities:	Advanced knowledge of hospital accounting and Medicare cost accounting fundamentals Knowledge of accounting, statistics and general business principles and practices Ability to maintain effective working relationships with others Ability to communicate effectively both written and oral Ability to handle confidential information with discretion Ability to use a personal computer (Microsoft Office, Excel, PowerPoint) and cost report preparation software Ability to work independently with light supervision Advanced knowledge of third party reimbursement payment mechanisms and settlement procedures Knowledge of hospital payor relationships and accounting

MAJOR JOB DUTIES AND TASKS:	Percentage Of Time:

1.	Evaluation of Net Patient Services Revenue and Accounts Receivable	10%
	Monthly analysis and valuation of net patient services revenue
	Interim updating of Medicare and third party settlement liabilities
	Quarterly evaluation of net patient accounts receivable and adjustments as required
	External Audit resource for documentation needed to audit net patient revenue and net patient accounts receivable valuation

2.	Medicare Cost Report Preparation and Audit Support	50%
	Prepare cost reports for Regions and HealthPartners affiliates
	Assist the Reimbursement Manager with Medicare audit support as needed
	Assist the Reimbursement Manager with the preparation of Medicare appeal Documentation and position paper preparation as needed

3.	Decision Support System Modeling and Analysis	10%
	Modeling of Net Revenue Reimbursement for Medicare & Medicaid
	Auditing of Decision Support System reimbursement and costing
	Analysis of regulatory and program changes using decision support system

4.	Other Regulatory Reporting	20%
	Filing of annual Department of Health Hospital Annual Report based on existing State of Minnesota regulations
	Filing of annual Department of Health Medical Education and Research Cost grant application based on existing State of Minnesota regulations
	Completion of trade association survey data related to patient services revenue and statistical data available from regular analytical records
5.	Preparation of annual net patient services revenue budget and associated other operating revenues	10%
	Preparation of assumption driven inpatient and outpatient gross revenue, contractual allowance and net patient services revenue budget based on historical data and business volume changes as communicated by management direction
	Prepare analysis for mid year forecasting of net revenue

Pay Range: $42.15 - $63.23 hourly

Pay Range Statement: Compensation is based on the level and requirements of the role. Pay within our ranges may also be determined by education, experience, knowledge, skills, location, and abilities as well as internal equity. Hired candidates may be eligible to receive additional compensation based on role (e.g., shift differential, bonus, sales incentive, productivity pay, etc.).

About the Company

HealthPartners

Integrated health system and health plans

HealthPartners is an integrated health care organization that provides medical and dental care alongside health plan financing and administration. Its care system combines a multi-specialty physician network with health plans so members receive coverage and services within one organization. It differs from competitors through its nonprofit, consumer-governed structure and its large, in-house delivery system, which supports coordinated care under one umbrella. The goal is to improve the health of members and communities by offering affordable, accessible, and comprehensive health care and insurance.

Company size: 5,001-10,000
Company stage: Debt Financing
Total funding: $116M
Headquarters: Bloomington, MN
Founded: 1957

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