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The UHealth system at the University of Miami has an exciting opportunity for a Reimbursement Analyst 3.
SUMMARY
The Reimbursement Analyst 3 - Central (H) establishes and maintains high-level accounting financial records and reports and assists the Director of Health System Pricing and Reimbursement in all physician and hospital charge master maintenance and reimbursement analysis aspects. The Reimbursement Analyst 3 - Central (H) partners with senior management to research, analyze, and communicate reimbursement matters and leads team projects, while training and assisting junior staff.
CORE FUNCTIONS
Monitors changes in Federal and State regulations regarding hospital and physician reimbursement requirements, focusing on billing changes impacting physician and hospital charge masters.
Prepares cost reports, monitoring compliance with CMS regulations, and attestations, and reports on all supplemental Federal and State reimbursement matters.
Administers Medicare and Medicaid audits and prepares all supporting work papers and documentation.
Analyzes Medicare Administrative Contractor (MAC) correspondence and interim rate setting to ensure accurate reimbursement and compliance with regulations.
Supports Provider-based attestations and all Federal and State reporting.
Examines changes in Federal and State regulations affecting the healthcare industry and assists with preparing pro-forma analysis related to third-party reimbursement.
Prepares the annual State of Florida, Agency for Health Care Administration Reports, including DSH, GME, and FHURS. Formulates and reviews the annual physician LIP reporting and other regulatory/contractually obligated reports.
Executes strategic pricing analysis and ongoing CDM maintenance.
Reviews the annual budget for charge master pricing and supplemental revenues.
Adheres to University and unit-level policies and procedures and safeguards University assets.
This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.
CORE QUALIFICATIONS
Education:
Bachelor's degree in relevant field.
Experience:
Minimum 7 years of relevant experience
Knowledge, Skills and Attitudes:
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