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Senior Reimbursement Specialist

Phoebe Putney Health System

Fort Valley, GA
1 month ago

Job Description

Join Phoebe Putney Health System as a Senior Reimbursement Specialist, where you'll take charge of reimbursement issues and ensure compliance with Medicare and Medicaid regulations. Your expertise will directly impact financial outcomes, providing essential support for cost reporting and maximizing revenue across the organization.

Key Responsibilities

  • Responsible for all reimbursement issues and reporting changes in regulations
  • Prepare supporting documentation for Medicare and Medicaid Cost Reports
  • Analyze and respond to Medicare/Medicaid inquiries or audits
  • Assist related departments with reimbursement issues
  • Prepare provider-based applications and changes related to provider enrollment
  • Ensure compliance with ICTF, DSH, 340b rules while maximizing revenue
  • Coordinate the ICTF process and determine intergovernmental transfer amounts
  • Complete month-end and year-end reimbursement journal entries
  • Analyze managed care contracts
  • File government payor provider applications

Required Qualifications

  • Bachelor's Degree
  • 5 - 6 Years hospital rehabilitation experience
  • 5 - 6 Years hospital cost report preparation

Preferred Qualifications

  • Master's Degree
  • Certified Public Accountant (CPA)