Dignity Health

  • Senior Reimbursement Analyst

    Job ID
    2018-60062
    Employment Type
    Full Time
    Department
    Reimbursement
    Hours / Pay Period
    80
    Facility
    Corporate Service Center
    Shift
    Day
    Location
    Phoenix
    State/Province
    AZ
    Standard Hours
    varies
    Work Schedule
    8 Hour
  • Overview

     

    Dignity Health, one of the nation’s largest health care systems, is a 22-state network of more than 9,000 physicians, 63,000 employees, and 400 care centers, including hospitals, urgent and occupational care, imaging and surgery centers, home health, and primary care clinics. Headquartered in San Francisco, Dignity Health is dedicated to providing compassionate, high-quality, and affordable patient-centered care with special attention to the poor and underserved. In FY17, Dignity Health provided $2.6 billion in charity care, community benefit, and unpaid cost of government programs. For more information, please visit our website at www.dignityhealth.org. You can also follow us on Twitter and Facebook.

     

     

    Responsibilities

    Location: Systems Office - Phoenix, Sacramento and/or Pasadena
     
    Position Summary:
     
    The Senior Reimbursement Analyst is responsible for providing cost report preparation, cost report appeals, audit preparation and other duties related to the regulatory reimbursement services of Dignity Health. The position maintains current knowledge of Medicare, Medicaid and other State and Federal regulations. The Sr. Reimbursement Analyst interacts with customers and ensures value is delivered and customer satisfaction is achieved. The Sr. Reimbursement Analyst also assists in the improvement of internal business processes and meeting future reimbursement service needs.
     
    The Senior Reimbursement Analyst carries out his/her duties by adhering to the highest standards of ethical and moral conduct, acts in the best interest of Dignity Health and fully supports Dignity Health’s Mission, Philosophy and core values of Collaboration, Dignity, Excellence, Justice, and Stewardship. The Senior Reimbursement Analyst reports to the Reimbursement Managers and/or Directors.
     
    Accountabilities:
    1. Prepares interim and annual cost reports for Medicare, Medicaid and other State or Federal agencies for Dignity Health facilities and regions
    2. Calculates periodic adjustments for deductions from revenue, revenue reserves, bad debt and other revenue adjustments related to regulatory reimbursement for all Dignity Health facilities and regions in accordance with Dignity Health policies and procedures
    3. Assist the Reimbursement Managers and/or Directors with recommendations for internal Dignity Health strategy by evaluating current growth, anticipating future needs, and assessing impact of services delivered
    4. Assists in the maintenance of standardized policies and procedures and third party settlement methodologies
    5. Reviews operational reports, identifies opportunities/problems, and makes recommendations for improving processes
    6. Assesses the impact of new products, technology, and processes on the existing organization and makes recommendations for improvement
     
    Required Non-Technical Competencies:
    1. Commitment to Dignity Health Values
    2. Analytical Thinking
    3. Continuous Improvement
    4. Problem Solving
    5. Customer Orientation
    6. Team Orientation
    7. Flexibility
    8. Communication Ability
    9. Reasoning
    Required Technical Competencies:
    1. Medicare
    2. Medicare Regulatory Reporting
    3. Medicaid (Medi-Cal)
    4. Medicaid (Medi-Cal) Regulatory Reporting
    5. Accounts Receivable and Cash Collection
    6. Capital and Fixed Assets
    7. Reimbursement – Monthly Analysis Process
    8. Decision Support
    9. General Accounting

    Qualifications

    Minimum Qualifications: 
    • Minimum of five (5) years of experience with all aspects of Medicare and Medicaid (Medi-Cal) regulations monitoring and report processes required
    • Experience as hospital Reimbursement staff or auditing experiences with Fiscal Intermediary required
    • Minimum of five (5) years of experience and excellent working knowledge of general accounting, government reimbursement, appeals and audits in a complex organization, and maintaining relationships with internal and external entities such as general accounting, patient accounting, and fiscal intermediaries required
    • Experience and knowledge of current reimbursement regulations and applications in a complex healthcare environment required
    • Bachelor’s degree in Business Administration, Accounting or equivalent work experience required

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