Job Description

**Job Description:** Provides assistance to the Reimbursement Manager to control or review the following areas for government and third party payers for assigned facilities: cost reports and surveys; contractual allowances; financial accounting; budgeting; and complex analysis. **We are committed to offering flexible work options where approved and stated in the job posting. However, we are currently not considering candidates who reside or plan to reside in the following states: California, Connecticut, Hawaii, Illinois, New York, Rhode Island, Vermont, and Washington.** **Essential Functions** + Independent accountability for not only tasks, but also accurate and timely completion (and improvement) of entire processes. Ensures that all systems (i.e., ISeries, iCentra, Epic, Workday, PeopleSoft, etc.) for processing and monitoring third-party claims are appropriate and functioning. Performs quality and accurate work and acts as a resource for specific tasks and processes. Identifies issues that require the intervention of management; identifies alternative solutions and recommends plans to resolve the problems. + Ensures third-party accounting transactions (including logs and general ledger postings) are appropriately recorded, reviewed, and reconciled. Reviews or prepares monthly Medicare and Medicaid contractual allowance calculations using technically acceptable and reasonably conservative reimbursement methodologies. Prepares and provides schedules to support quarterly / annual audits and may interact with the financial auditors in support of quarterly and year-end audits. + Assists with training and development of personnel. + Ensures workloads are appropriately managed throughout the year so that required work can be completed accurately and timely during peak work periods. + Government Reporting Requirements: Prepares Medicare cost reports, surveys, and required supplemental information. Ensures reports are filed timely and that the methodologies used on the reports optimize reimbursement and are appropriately documented. Interacts with Medicare Administrative Contractor and other government agencies to ensure audits and interim and final payments are resolved in an acceptable and timely manner. + Prepares or reviews budgeted third-party contractual allowance and variance calculations. Works closely with the appropriate Budget Manager, Finance Director, and Chief Financial Officer to ensure that the computed contractual allowances reflect all new services and changes to existing services. Independently prepares pro-forma cost reports and other special analyses to determine the feasibility of and/or to estimate the reimbursement impacts of the proposed changes. Uses variance analyses to determine where changes need to be made in hospital operations and to refine future budgeted contractual allowance calculations, as needed. + Stays current on laws and regulations related to the reimbursement area. Prepares analyses of service changes that would enhance reimbursement and/or make operations more efficient, as needed. Coordinates the preparation of reimbursement exception, adjustment and exemption requests filed to increase the hospital's reimbursement. + Is responsible for 2+ hospitals or 1 hospital and Central Office assignments. + Will have supervisory responsibilities over 1 or more Reimbursement caregivers. **Skills** + Reconciliation + Accounting + Accounts Payable/Receivable Process + Governmental Reporting, ie, Medicare and Medicaid cost reports, Medicaid DSH surveys, Tricare Capital Reports, etc. + General Ledger + Financial Statements + Analytical Thinking + Reimbursement + Supervision and Leadership **Qualifications** + Bachelor's degree in accounting, Finance or other business related field with six years' experience two of which must be in Reimbursement/Governmental reporting. A degree must be obtained from an accredited institution. Education is verified. + Master's degree in accounting, Finance, or other business-related field with four years' experience two of which must be in Reimbursement/Governmental reporting. Education must be obtained from an accredited institution. Degree will be verified. + Demonstrated ability to work effectively in a team environment and work collaboratively with others. + Self-motivated with the demonstrated ability to work with limited direct supervision. + Demonstrated flexible and adaptable to change. + Demonstrated detailed oriented with strong analytical skills. + Demonstrated excellent communication skills (both written and oral) with the ability to communicate with all levels of the organization. + Computer skills including spreadsheets, databases, word processing, and Internet. Preferred Qualifications + MBA + Masters of Accountancy + CPA license. + Three years of health care experience in Medicare or governmental reporting. **Physical Requirements:** **Location:** Key Bank Tower **Work City:** Salt Lake City **Work State:** Utah **Scheduled Weekly Hours:** 40 The hourly range for this position is listed below. Actual hourly rate dependent upon experience. $37.31 - $58.75 We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged. Learn more about our comprehensive benefits package here ( . Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process. All positions subject to close without notice.

Job Tags

Hourly pay, For contractors, Interim role, Work at office, Flexible hours,

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