GOVERNMENT REIMBURSEMENT ANALYST II
Apply NowCompany: MU Health
Location: Columbia, MO 65203
Description:
Shift : Monday - Friday, 8:00am - 5:00pm
Department: Reimbursement/Managed Care
Compensation:
Base Pay Range: $78,520 - $127,961 per year, based on experience
ABOUT THE JOB
The Government Reimbursement Analyst II will provide governmental payer reimbursement support for MU Health Care entities with a strong focus on maximizing reimbursement opportunities and minimizing negative reimbursement impacts. Perform highly complex analyses with potential fiscal implications for the entities. Act as a resource to the Reimbursement Analyst I and provide coaching and guidance as needed.
ABOUT MU HEALTH CARE
At MU Health Care, we have an inspired, hard-working and collaborative environment driven by our mission to save and improve lives. We believe anything is possible and rally around solutions. We celebrate innovation and offer opportunities to be a part of something bigger - to have a voice and role in the work that is serving our community and changing the field of medicine.
Our academic health system - the only in mid-Missouri - is home to multiple hospitals, including the region's only Level 1 Trauma Center and region's only Children's Hospital as well as over 90 specialty clinics. Here, you can define your career among our many clinical and nonclinical positions - with growth, opportunity and support every step of the way.
Learn more about MU Health Care.
Learn more about living in mid-Missouri.
EMPLOYEE BENEFITS
Health, vision and dental insurance coverage starting day one
Generous paid leave and paid time off, including nine holidays
Multiple retirement options, including 100% matching up to 8% and full vesting in three years
Tuition assistance for employees (75%) and immediate family members (50%)
Discounts on cell phone plans, rental cars, gyms, hotels and more
See a comprehensive list of benefits here .
DETAILED JOB DESCRIPTION
Assist in the identification of Medicare and Medicaid reimbursement and compliance issues that should be reported and/or appealed, recommend appropriate outside resources for pursuing appeals, monitor the process to ensure that appeals or exception requests are filed promptly, and follow up to ensure timely resolution.
Review, interpret, and implement new or revised regulations that affect reimbursement planning for MU Health Care and its affiliates.
Coordinate the Medicare, Medicaid, S-10, and Ground Emergency Medical Transport (GEMT) audits of filed cost reports and Medicaid Disproportionate Share Hospital (DSH) program. Liaison with auditors to provide accurate explanatory information, retrieve and verify data as requested, review audit adjustments, and coordinate necessary responses. Data may include, but is not limited to, financial and patient accounting documents, payroll information, and asset and transaction records.
Oversee the maintenance and development of contracting modules. Mentor and train Reimbursement Analysts on the expected payment modeling process in the financial decision support system for Medicare and Tricare by analyzing CMS regulations and Tricare payment methodologies, respectively. Project lead on any decision support contracting upgrades.
Participate in the performance of special data accumulations, studies, and projects requested by internal management, CMS, or other external sources, as necessary.
Coordinate the annual Medicare cost report, wage index review, and occupational mix survey. Liaison between the hospital and outside vendors.
Analyze data trends, identifying opportunities for process improvement, standardization, and automation.
Collaborate with internal and external partners to gather information and resolve issues or discrepancies.
Develop and maintain relationships with key governmental stakeholders (Federal and State) to facilitate proper governmental reimbursement.
May complete unit/department-specific duties as outlined in department documents. REQUIRED QUALIFICATIONS
Bachelor's degree in accounting, business administration or related field, or an equivalent combination of education and experience from which comparable knowledge and abilities can be acquired.
Three (3) years of experience in a healthcare reimbursement setting with experience in Medicare and Medicaid cost report preparation and submission.
PREFERRED QUALIFICATIONS
Additional license/certification requirements as determined by the hiring department.
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met with or without reasonable accommodation. The performance of these physical demands is an essential function of the job. The employee may be required ambulate, remain in a stationary position and position self to reach and/or move objects above the shoulders and below the knees. The employee may be required to move objects up to 10 lbs.Equal Opportunity Employer
The University of Missouri System is an Equal Opportunity Employer. Equal Opportunity is and shall be provided for all employees and applicants for employment on the basis of their demonstrated ability and competence without unlawful discrimination on the basis of their race, color, national origin, ancestry, religion, sex, pregnancy, sexual orientation, gender identity, gender expression, age, disability, or protected veteran status, or any other status protected by applicable state or federal law. This policy applies to all employment decisions including, but not limited to, recruiting, hiring, training, promotions, pay practices, benefits, disciplinary actions and terminations. For more information, visit https://www.umsystem.edu/ums/hr/eeo.
All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, religion, sex, pregnancy, sexual orientation, gender identity, gender expression, age, disability, or protected veteran status, or any other status protected by applicable state or federal law.
Department: Reimbursement/Managed Care
Compensation:
Base Pay Range: $78,520 - $127,961 per year, based on experience
ABOUT THE JOB
The Government Reimbursement Analyst II will provide governmental payer reimbursement support for MU Health Care entities with a strong focus on maximizing reimbursement opportunities and minimizing negative reimbursement impacts. Perform highly complex analyses with potential fiscal implications for the entities. Act as a resource to the Reimbursement Analyst I and provide coaching and guidance as needed.
ABOUT MU HEALTH CARE
At MU Health Care, we have an inspired, hard-working and collaborative environment driven by our mission to save and improve lives. We believe anything is possible and rally around solutions. We celebrate innovation and offer opportunities to be a part of something bigger - to have a voice and role in the work that is serving our community and changing the field of medicine.
Our academic health system - the only in mid-Missouri - is home to multiple hospitals, including the region's only Level 1 Trauma Center and region's only Children's Hospital as well as over 90 specialty clinics. Here, you can define your career among our many clinical and nonclinical positions - with growth, opportunity and support every step of the way.
Learn more about MU Health Care.
Learn more about living in mid-Missouri.
EMPLOYEE BENEFITS
Health, vision and dental insurance coverage starting day one
Generous paid leave and paid time off, including nine holidays
Multiple retirement options, including 100% matching up to 8% and full vesting in three years
Tuition assistance for employees (75%) and immediate family members (50%)
Discounts on cell phone plans, rental cars, gyms, hotels and more
See a comprehensive list of benefits here .
DETAILED JOB DESCRIPTION
Assist in the identification of Medicare and Medicaid reimbursement and compliance issues that should be reported and/or appealed, recommend appropriate outside resources for pursuing appeals, monitor the process to ensure that appeals or exception requests are filed promptly, and follow up to ensure timely resolution.
Review, interpret, and implement new or revised regulations that affect reimbursement planning for MU Health Care and its affiliates.
Coordinate the Medicare, Medicaid, S-10, and Ground Emergency Medical Transport (GEMT) audits of filed cost reports and Medicaid Disproportionate Share Hospital (DSH) program. Liaison with auditors to provide accurate explanatory information, retrieve and verify data as requested, review audit adjustments, and coordinate necessary responses. Data may include, but is not limited to, financial and patient accounting documents, payroll information, and asset and transaction records.
Oversee the maintenance and development of contracting modules. Mentor and train Reimbursement Analysts on the expected payment modeling process in the financial decision support system for Medicare and Tricare by analyzing CMS regulations and Tricare payment methodologies, respectively. Project lead on any decision support contracting upgrades.
Participate in the performance of special data accumulations, studies, and projects requested by internal management, CMS, or other external sources, as necessary.
Coordinate the annual Medicare cost report, wage index review, and occupational mix survey. Liaison between the hospital and outside vendors.
Analyze data trends, identifying opportunities for process improvement, standardization, and automation.
Collaborate with internal and external partners to gather information and resolve issues or discrepancies.
Develop and maintain relationships with key governmental stakeholders (Federal and State) to facilitate proper governmental reimbursement.
May complete unit/department-specific duties as outlined in department documents. REQUIRED QUALIFICATIONS
Bachelor's degree in accounting, business administration or related field, or an equivalent combination of education and experience from which comparable knowledge and abilities can be acquired.
Three (3) years of experience in a healthcare reimbursement setting with experience in Medicare and Medicaid cost report preparation and submission.
PREFERRED QUALIFICATIONS
Additional license/certification requirements as determined by the hiring department.
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met with or without reasonable accommodation. The performance of these physical demands is an essential function of the job. The employee may be required ambulate, remain in a stationary position and position self to reach and/or move objects above the shoulders and below the knees. The employee may be required to move objects up to 10 lbs.Equal Opportunity Employer
The University of Missouri System is an Equal Opportunity Employer. Equal Opportunity is and shall be provided for all employees and applicants for employment on the basis of their demonstrated ability and competence without unlawful discrimination on the basis of their race, color, national origin, ancestry, religion, sex, pregnancy, sexual orientation, gender identity, gender expression, age, disability, or protected veteran status, or any other status protected by applicable state or federal law. This policy applies to all employment decisions including, but not limited to, recruiting, hiring, training, promotions, pay practices, benefits, disciplinary actions and terminations. For more information, visit https://www.umsystem.edu/ums/hr/eeo.
All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, religion, sex, pregnancy, sexual orientation, gender identity, gender expression, age, disability, or protected veteran status, or any other status protected by applicable state or federal law.