Description
Analyzes and completes Medicare, Medicaid, and other third-party payer cost reports, settlements, audits and appeals. Maintains current knowledge of reimbursement requirements and Medicare, Medicaid, Blue Cross and other third party regulations. Reconciles third party receivables/payables and analysis of reserves. Assists with financial reporting, including monthly third party payer accounting for net revenue and estimated settlements, perform impact contract analysis, to include price mix variance and payer mix reporting. Prepares, monitors and reconciles reimbursement reports. Assists in the improvement of internal business processes and meeting future reimbursement service needs. Bachelor?s degree and related professional experience. Knows and applies the fundamental concepts, practices and procedures of particular field of specialization. Some evaluation, originality or ingenuity is required. Employees in this classification typically analyze, compare and evaluate various courses of action and have the authority to make independent decisions on matters of significance, free from immediate direction, within the scope of their responsibilities. Primary activities and decision making authority are predominantly performed independently affecting business operations to a substantial degree. Under FLSA, this is the exempt job classification for this title. Incumbents in this position must meet the full criteria for exempt status: salary level, salary basis, and duties tests.