Primary City/State:

　　Arizona, Arizona

　　Department Name:

　　Reimbursement Services-Corp

　　Work Shift:

　　Day

　　Job Category:

　　Finance

　　Great careers are built at Banner Health. We understand that talented professionals appreciate having options. We are proud to offer our team members many career and lifestyle choices including remote work options. Apply today, this could be the perfect opportunity for you.

　　The Reimbursement Services Department is responsible for complying with State and Federal reporting guidelines, including the preparation and filing of Medicare cost reports. Our team works closely with Medicare, Medicaid, and other governmental payors to ensure we are being properly reimbursed. We provide assistance to hospital CFOs identifying reimbursement opportunities based on the impact on regulatory reimbursement.

　　In this position you will work with cost report preparation, calculate reserve estimates, provide assistance to CFOs on Medicare reimbursement, provide assistance related to Medicaid state directed payment programs, and data analysis. You will work with programs such as Excel, MS4, EZ Workpapers, HFS, PowerBI, and Lawson.

　　This can be a remote position if you live in the following state(s) only: AL, AK, AR, AZ, CA, CO, FL, GA, IA, ID, IN, KS, KY, LA, MD, MI, MN, MO, MS, NC, ND, NE, NH, NY, NM, NV, OH, OK, OR PA, SC, TN, TX, UT, VA, WA, WI, WV

　　Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.

　　POSITION SUMMARY

　　This position is responsible for maximizing the Medicare/Medicaid/Champus reimbursement for all entities with multiple reimbursement variations and/or specialty areas (ex. Medical Education, Transplant Program, Bond Interest Reporting, etc.) reported through the annual cost reports and the Part B Carrier billing for professional fees. Serves as a resource for personnel for all Medicare/Medicaid/Champus reimbursement issues.

　　CORE FUNCTIONS

　　Calculates, reviews, and analyzes the monthly contractual allowance for Medicare, Medicaid , and/or Champus. Prepares a quarterly analysis of the accounts receivable reserve to ensure the provisions are adequate. Prepares the Medicare/Medicaid/Champus cost reports using data from multiple sources. Ensures the maximum third-party reimbursement is reported through the cost reports and to the Carrier for professional fees.

　　Provides information to the third-party auditors to support the data reported and ensures maximum reimbursement. Reviews proposed audit adjustments to ensure accuracy. Coordinates appeals and exception requests. Provides information to the financial auditors for reimbursement related accounts including current year and prior year reserves.

　　Calculates the reimbursement impacts for the organizational changes, regulatory changes in reimbursement, and/or payment changes by the intermediaries and carriers.

　　Acts as a resource for management, facility controllers, department directors, committees, teams, etc. related to all Medicare/Medicaid/Champus reimbursement issues. Maximizes reimbursement by working with various personnel. Provides Medicare/Medicaid/Champus reimbursement education/training to the Reimbursement Services staff and other financial/facility staff.

　　Obtains knowledge of source documents (General Ledger, Income and Expense Summary, Stat and Revenue Report, Patient Account System, Cost Accounting System, Accounts Payable System, etc.) to determine the most accurate information to be reported.

　　Requires the ability to work with a variety of personnel including system personnel, Internal and external auditors as appropriate, and external customers as appropriate.

　　MINIMUM QUALIFICATIONS

　　Requires a Bachelor degree in business, accounting or related field or equivalent experience.

　　Requires advanced knowledge of Medicaid/Champus reimbursement. Knowledge of Medicare reimbursement regulations to include different inpatient reimbursement methods, and specialty areas and maintain highly confidential data. Must be able to work with minimal supervision and prioritize multiple projects. Requires excellent human relations skills and the ability to effectively interact and communicate both verbally and in writing with all levels staff and outside professionals.

　　Proven advanced, analytical, and modeling skills are necessary. Must be proficient in the use of sophisticated software programs.

　　PREFERRED QUALIFICATIONS

　　Additional related education and/or experience preferred.

　　EOE/Female/Minority/Disability/Veterans (https://www.bannerhealth.com/careers/eeo)

　　Our organization supports a drug-free work environment.

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　　EOE/Female/Minority/Disability/Veterans

　　Banner Health supports a drug-free work environment.

　　Banner Health complies with applicable federal and state laws and does not discriminate based on race, color, national origin, religion, sex, sexual orientation, gender identity or expression, age, or disability