Senior Reimbursement Specialist

Senior Reimbursement Specialist

Summary:

Responsible for managing and performing tasks related to reimbursement issues for healthcare clients.  Must have a working knowledge of the healthcare industry that includes familiarity with Medicare and Medicaid cost reporting, reopenings/appeals, healthcare surveys, financial reporting and provider enrollment issues.

Essential Functions:

  • Prepare and file Medicare Cost Reports ensuring strict compliance with all Medicare regulations, policies, procedures and guidelines
  • Serve as an expert resource in the areas of Medicare and Medicaid regulatory/settlement matters for the firm
  • Lead firm-wide service line development related to reimbursement issues
  • Prepare reimbursement work papers and analyze client information
  • Work as an effective team member to complete project assignments and engagement tasks.
  • Identify clients’ needs and opportunities
  • Perform a detailed review of the team’s work to ensure quality and thoroughness.
  • Assist in training and mentoring junior staff
  • Participate in recruitment of new & experienced staff

Qualifications:

  • College degree (Accounting or Healthcare Administration preferred)
  • 2 to 7 years of healthcare reimbursement experience
  • Strong verbal and written communication skills
  • Advanced knowledge of Medicare and Medicaid regulations and principles
  • Excellent analytical, organizational and project management skills
  • Be able to coach, motivate and direct staff
  • Team player with a positive “can do” approach

Senior Reimbursement Specialist

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