Comrise

Compensation

Full Description

Location: Nashville, TN Duration: 6 months Pay Rate: $41-43/hour on W2 Hours: M-F 8am to 5pm Summary: • Works with the Financial Services team to support the reimbursement staff in the areas of Medicare DSH claimed on the Filed Cost Reports. • They will also prepare the S-10 Charity/Uninsured and Bad Debt Analysis for the cost report filings. Major Responsibilities: • Medicare DSH Reimbursement • Accumulate Medicaid eligible days for the Disproportionate Share Reimbursement Calculation on the Filed Cost Report • Assist in supporting all DSH Audits • Completing Appeal Package for DSH related appeals • Performing Medicaid eligibility rematches as needed on a hospital by hospital basis. • Compile all documentation to support the DSH related protest calculations on the filed cost report. Worksheet S-10: • Complete S-10 Charity/Uninsured Analysis for the filed cost report based upon the current regulations, by performing the steps in the Access model as required • Complete the Bad Debt GL Reconciliation between S-10 and the hospital’s general ledger • Assist with supporting all S-10 audits • Compile the 1115 waiver protest days for the states in which this protest applies • Cost Report Simplification • Assist the Financial Services team with supporting the Dodeca tools used by the reimbursement stafff • Compile the CR statistics Dodeca tool for each hospital • Performs other duties as assigned Requirements: • Bachelor’s degree in finance, accounting, or related field • 5 years of experience in healthcare reimbursement, demonstrating a working understanding of Medicare regulations and reimbursement principles • Highly proficient in Microsoft Office (strong analytical skills using Excel and Access – using tables, queries, and forms) with the ability to efficiently process and interpret significant amount of patient related data • Knowledge of patient accounting systems • Must have an expert command of Microsoft Office (tables, queries, and forms) and the ability to interpret large volumes of patient-related data. • Must have strong knowledge of Medicare third-party billing, reimbursement, and regulatory compliance.