Sr accountant-reimbursement
Company Name:
Elliot Hospital
SR ACCOUNTANT-REIMBURSEMENT
Department: FINANCIAL DEVELOPMENT
Schedule: 8:00A-4:30P
Shift: Days
Hours: 40
Job
Summary: - if gte mso 9 >Normal0falsefalsefalseEN-USX-NONEX-NONEMicrosoftInternetExplorer4 endif ->
PRIMARY PURPOSE:
Monitors reimbursement by all payors through maintenance and utilization of contract monitoring software. Assists in development of Medicare cost report and annual Medicare audit.
DUTIES AND RESPONSIBILITIES
Under the direction of the Director, Financial Development and within established Elliot Hospital and departmental policies and procedures, the incumbent performs the following functions:
Essential Functions:
Monitors payor reimbursement against contracted terms using hospital information system, Surepay contract management system and through interaction with patient accounting staff. Follows discrepancies through process of resolution, and creates reports to show discrepancies, activities, and resolution.
Responsible for keeping Surepay contract monitoring system updated and accurate so it is available for payor reimbursement analysis. Includes ensuring daily payments uploaded, supplementary tables kept current, updating contract terms, and periodic testing of system to ensure reliability.
Coordinates the preparation of the Medicare cost report through data gathering, analysis, and input.
Monitors development of monthly logs and files as required by agreements with payors.
Assists Director in coordination of Medicare and Medicaid audits. Provides auditors with workpapers, schedules, and supporting documentation for audit related inquiries.
Investigates and reports on current reimbursement developments on the state and federal level
Prepares computation of third party contractual allowances and settlements for financial statement presentation. Reviews and evaluates actual and budget variances as they relate to Medicare, Medicaid, Blue Cross, Healthsource and all other third party payors.
Participates in preparation of contractual allowance section of operating budgets for Elliot Hospital and other entities with patient revenues.
Provides reimbursement and payor analysis assistance to Director of Financial Development in areas of new or existing program financial analysis.
Supports development of information requested by executive and departmental managers.
Secondary Functions:
Assists Director, Financial Development with special projects.
Participates in appropriate role in disasters, fire drills, fires and other emergency situations.
Exercises care in the use and operation of Elliot Hospital equipment and reference materials. Performs routine cleaning to ensures continuing functioning of equipment. Maintains work area in a clean and organized manner.
Performs similar or related duties as assigned or directed.
KNOWLEDGE, SKILLS AND ABILITIES:
Individuals must possess the knowledge, skills and abilities listed or be able to explain and demonstrate that the individual can perform the essential functions of the job, with or without reasonable accommodation, using some other combination of skills and abilities and to possess the necessary physical requirements, with or without the aid of mechanical devices, to safely perform the essential functions of the job.
Physical requirements include ability to extend hand(s) and arm(s) in any direction; pick, pinch, type or otherwise work primarily with fingers; raise objects from a lower to a higher position or move objects horizontally from position to position, sustain substantial movement of wrists, hands and/or fingers.
Ability to express or exchange ideas by means of the spoken word.
Ability to receive detailed information through oral communication and make fine discrimination in sound.
Ability to exert up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects.
Visual acuity sufficient to satisfactorily perform typing, filing, writing, calculation, reading and computer terminal operation.
Ability to plan and perform a wide variety of duties requiring general knowledge of policies and procedures; work independently toward general results, devising methods, modifying or adapting standard procedures to meet conditions, making decisions based on precedent and policy.
Ability to endure periods of heavy workload or excessive stress.
Ability to work with frequent interruptions and respond appropriately to unexpected situations.
Knowledge of general accounting.
Ability to operate microcomputer with appropriate spreadsheet and related software.
Must possess analytical and problem solving skills.
Qualifications:
Education:
Bachelors Degree required
Experience:
Four to five years accounting experience. Health care reimbursement experience preferred.
- if gte mso 9 > endif ->- if gte mso 10 > endif ->Estimated Salary: $20 to $28 per hour based on qualifications.
Elliot Hospital
SR ACCOUNTANT-REIMBURSEMENT
Department: FINANCIAL DEVELOPMENT
Schedule: 8:00A-4:30P
Shift: Days
Hours: 40
Job
Summary: - if gte mso 9 >Normal0falsefalsefalseEN-USX-NONEX-NONEMicrosoftInternetExplorer4 endif ->
PRIMARY PURPOSE:
Monitors reimbursement by all payors through maintenance and utilization of contract monitoring software. Assists in development of Medicare cost report and annual Medicare audit.
DUTIES AND RESPONSIBILITIES
Under the direction of the Director, Financial Development and within established Elliot Hospital and departmental policies and procedures, the incumbent performs the following functions:
Essential Functions:
Monitors payor reimbursement against contracted terms using hospital information system, Surepay contract management system and through interaction with patient accounting staff. Follows discrepancies through process of resolution, and creates reports to show discrepancies, activities, and resolution.
Responsible for keeping Surepay contract monitoring system updated and accurate so it is available for payor reimbursement analysis. Includes ensuring daily payments uploaded, supplementary tables kept current, updating contract terms, and periodic testing of system to ensure reliability.
Coordinates the preparation of the Medicare cost report through data gathering, analysis, and input.
Monitors development of monthly logs and files as required by agreements with payors.
Assists Director in coordination of Medicare and Medicaid audits. Provides auditors with workpapers, schedules, and supporting documentation for audit related inquiries.
Investigates and reports on current reimbursement developments on the state and federal level
Prepares computation of third party contractual allowances and settlements for financial statement presentation. Reviews and evaluates actual and budget variances as they relate to Medicare, Medicaid, Blue Cross, Healthsource and all other third party payors.
Participates in preparation of contractual allowance section of operating budgets for Elliot Hospital and other entities with patient revenues.
Provides reimbursement and payor analysis assistance to Director of Financial Development in areas of new or existing program financial analysis.
Supports development of information requested by executive and departmental managers.
Secondary Functions:
Assists Director, Financial Development with special projects.
Participates in appropriate role in disasters, fire drills, fires and other emergency situations.
Exercises care in the use and operation of Elliot Hospital equipment and reference materials. Performs routine cleaning to ensures continuing functioning of equipment. Maintains work area in a clean and organized manner.
Performs similar or related duties as assigned or directed.
KNOWLEDGE, SKILLS AND ABILITIES:
Individuals must possess the knowledge, skills and abilities listed or be able to explain and demonstrate that the individual can perform the essential functions of the job, with or without reasonable accommodation, using some other combination of skills and abilities and to possess the necessary physical requirements, with or without the aid of mechanical devices, to safely perform the essential functions of the job.
Physical requirements include ability to extend hand(s) and arm(s) in any direction; pick, pinch, type or otherwise work primarily with fingers; raise objects from a lower to a higher position or move objects horizontally from position to position, sustain substantial movement of wrists, hands and/or fingers.
Ability to express or exchange ideas by means of the spoken word.
Ability to receive detailed information through oral communication and make fine discrimination in sound.
Ability to exert up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects.
Visual acuity sufficient to satisfactorily perform typing, filing, writing, calculation, reading and computer terminal operation.
Ability to plan and perform a wide variety of duties requiring general knowledge of policies and procedures; work independently toward general results, devising methods, modifying or adapting standard procedures to meet conditions, making decisions based on precedent and policy.
Ability to endure periods of heavy workload or excessive stress.
Ability to work with frequent interruptions and respond appropriately to unexpected situations.
Knowledge of general accounting.
Ability to operate microcomputer with appropriate spreadsheet and related software.
Must possess analytical and problem solving skills.
Qualifications:
Education:
Bachelors Degree required
Experience:
Four to five years accounting experience. Health care reimbursement experience preferred.
- if gte mso 9 > endif ->- if gte mso 10 > endif ->Estimated Salary: $20 to $28 per hour based on qualifications.
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