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Job Description
Responsible for preparation and review of third-party report filings, including cost reports, appeals and payment calculations, for a large academic Medical Center with over 550 GME/IME FTE's, $23,000,000 of Medicare DSH reimbursement, and a TEFRA Cancer Exempt Hospital. The Reimbursement Consultant reviews monthly analysis of contractual and bad debt allowance accounts, including comparisons to the prior month and to budget. Responsible for the maintenance and development of payment factors, costing ratios and reporting formats.
The position performs variance analysis of third-party liability accounts. Also, provides supporting work papers and documentation for third-party inquiries along with reimbursement and regulatory analysis on Health System projects. Also, manages workflow processes, projects, and cost report filings for Medicare, Medicaid, and Tricare.
The Reimbursement Consultant must have the ability to articulate complex reimbursement healthcare concepts in a simplified manner to departmental and Sr. business unit leadership with regards to month end close and strategic projects throughout the organization. Also, responsible for preparing the annual forecast of the third-party reimbursement factors for the budget. Responsible for the maintenance and development of payment factors, costing ratios and reporting formats. This position provides reimbursement and regulatory analysis on Health System projects. Also, assists in evaluating the cost/quality and feasibility of new and existing programs.
This position manages workflow processes and projects and department clerical associates and Student employee associates. Under the supervision of the Administrative Director of Reimbursement, the Reimbursement Consultant is responsible for the annual filing of third-party cost reports and providing financial analysis for special projects. The Reimbursement Consultant also is responsible for achieving accurate third-party reimbursement.
Minimum Qualifications
Bachelors degree in Business Administration or related field with a major in Accounting or Finance and 6 years of hospital reimbursement experience.
A CPA certification or a Master’s degree is preferred, as well as HFMA certification. Candidates should demonstrate strong technical proficiency in Microsoft Office (including Excel, Access, Word, and PowerPoint), patient accounting systems (EPIC/IHIS preferred), and HFS cost reporting software.
Our Comprehensive Employee Benefits Include:
Final candidates are subject to successful completion of a background check. A drug screen or physical may be required during the post offer process.
Thank you for your interest in positions at The Ohio State University and Wexner Medical Center. Once you have applied, the most updated information on the status of your application can be found by visiting the Candidate Home section of this site. Please view your submitted applications by logging in and reviewing your status. For answers to additional questions please review the frequently asked questions.
The university is an equal opportunity employer, including veterans and disability.