Coordinator Reimbursement Lead - Accounting

Coordinator Reimbursement Lead - Accounting at Christus Health summary:

The Coordinator Reimbursement Lead oversees the implementation and quality control of reimbursement processes across regional hospitals, ensuring compliance with federal regulations and timely submission of government-required filings. This role involves training staff on standardized reimbursement software and conducting detailed cost report analyses to optimize Medicare, Medicaid, and CHAMPUS reimbursements. The Coordinator also reviews third-party accounts and supports external audits by providing necessary documentation and analysis.

Summary:

The Coordinator Reimbursement Lead is responsible for quality control and implementing the reimbursement functions at the Regional hospitals in order to complete Government required filings, determine the impact of federal regulations on hospital operations and maintain proper account analysis. This position is also responsible for review of third party accounts throughout the System all Regions. The position serves as the champion and educator of uniformed software (easy papers) for all Regions and has the responsibility to train and maintain this software knowledge.

Responsibilities:

• Coordinate and review processes throughout the System specific to Medicare cost report software implementation, usage and maintenance for HFS cost report software and EZ WPs work paper preparation software
• Responsible for teaching all Regions new reimbursement software to standardize a uniform Reimbursement processes during site visits, webinars and annual reimbursement meeting updates
• Prepare and review cost reports, completing comparative analysis of the cost report versus the financial statement and compliance checklist prior to submission, for assigned facilities
• Timely completion of work is required to ensure Medicare, Medicaid and CHAMPUS cost reports are submitted by due dates to prevent loss of reimbursement to the facilities
• Identify and pursue proper reimbursement methodologies in an effort to receive all reimbursement due based upon Medicare, Medicaid and CHAMPUS Regulations
• Responsible for mid-year and annual reviews of third party payable/receivables and providing documentation and analysis as needed to external auditors

Requirements:

• Bachelor's Degree

Work Schedule:

8AM - 5PM Monday-Friday

Work Type:

Full Time

Keywords:

reimbursement coordinator, medicare cost report, medicaid compliance, hospital accounting, cost report analysis, healthcare finance, third party accounts, government filings, accounting software training, reimbursement methodology