The Budget and Reimbursement department is searching for an experience Sr. Reimbursement Analyst to acquire front line responsibilities of all third-party reimbursement functions associated with ChristianaCare that includes all acute care hospitals and other related entities. Governmental regulation and third-party contracts significantly impact the organization's net revenue and must be understood and monitored for strategic planning, third party reporting, and various financial planning project purposes. In addition, this position will be responsible for providing consulting services to organizational leadership and staff, as well as representing the organization's interests during third-party audits and inquires.
ChristianaCare is ranked as Forbes 5th Best Health System to Work for in the U.S. for 2021! Guided by excellence and love, our Caregivers enjoy many employee benefits such as:
Competitive Pay and Benefits
Diverse and inclusive culture
PRINCIPAL DUTIES AND RESPONSIBILITIES:
Must maintain a working knowledge of all Medicare, other governmental and other third party regulations. This will be necessary to provide impact analyses and internal consulting.
Responsible for maintaining the contract modeling functions for the decision support system and monitoring the related expected payment calculations
Responsible for the completion of the Medicare Cost Report and all related supporting documentation.
Responsible for completion of all other governmental and commercial rate filings and data requests.
Responsible for the indirect cost rate filing in support of the Christiana Care research and grant programs.
Responsible for completion and/or input on various surveys and questionnaires, such as COTH, AHA and community benefit report.
Responsible for the maintenance of the Intern and Resident Information System (IRIS) and all medical education documentation to support Medical Education reimbursement.
Responsible as the organization's frontline representative during third-party audits and reimbursement inquiries and keeps Reimbursement Management adequately informed.
Responsible for supporting the reimbursement aspects and other general financial functions for all business planning and financial planning projects.
Understands the flow of information through the hospital patient billing system and the general ledger system to ensure accurate third-party accounts receivable and deductions to ensure no material audit adjustments are made.
Maintains an advanced level of software and mainframe knowledge of all data systems used by the organization and has an effect on the Departmental output. This includes, but is not limited to, downloading, uploading, and ad hoc reporting skills in all existing systems.
EDUCATION AND EXPERIENCE REQUIREMENTS:
Bachelor's degree in Accounting, Finance or related area of study. M.S. / M.B.A. preferred.
At least four years of experience with acute hospital reimbursement, or equivalent.
Internal Number: JR55976
About ChristianaCare Health System
ChristianaCare Health System is headquartered in Wilmington, Delaware and is one of the country's largest health care providers, ranking 21st in the nation for hospital admissions. Christiana Care is proudly a Nurse Magnet recognized institution. Christiana Care Health System is also one of the largest health care providers in the mid-Atlantic region, serving all of Delaware and portions of seven counties bordering the state in Pennsylvania, Maryland and New Jersey. A not-for-profit, non-sectarian health system, Christiana Care includes two hospitals with more than 1,100 patient beds, and is a major teaching hospital with two campuses. Christiana Care is continually recognized for excellence on a regional and national level. Our role in the community is expressed in the Christiana Care Way: "We serve our neighbors as respectful, expert, caring partners in their health. We do this by creating innovative, effective, affordable systems of care that our neighbors value."Christiana Care is a great place to work because we value diversity and recognize it to be a core part of our success. Because of the diversity of our employees, affiliated health professionals and volunteers, we are ...positioned to meet the unique needs of our patients and community. We acknowledge and celebrate the uniqueness and talent of each employee. Because of our talented workforce we are able to provide a quality healthcare experience to our patients and community. We strive to create an inclusive environment in which individual diversity can be leveraged and thrive. Christiana Care Health System is an equal opportunity employer, firmly committed to prohibiting discrimination, whose staff is reflective of its community and considers qualified applicants for open positions without regard to race, color, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law.