Description
Responsible for Medicare, Medicaid, and other third-party payer cost reports, settlements, audits and appeals. Utilizes financial system to perform routine and ad hoc analysis. Analyze new regulations, payment methods and contractual arrangements and advise department/leaders of changes. Implement as appropriate. Act as advisor to others in Michigan Medicine initiatives and programs where revenue/reimbursement advice is needed. Participate in financial reporting including third party accounting for net revenue and estimated settlements. Partner with operational contacts to provide reimbursement advice and attain common goals. Maintains and disseminates updated knowledge of reimbursement requirements and Medicare, Medicaid, Blue Cross and other third party regulations Bachelor?s degree and four to five years 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.