A cover letter is required for consideration for this position, and it should be attached as the first page of your resume. The cover letter should address your specific interest in the position and outline skills and experience that directly relate to this position.
Michigan Medicine Finance is seeking a reimbursement analyst to provide support for cost report preparation, cost report appeals, audit preparation, revenue recognition, ad-hoc reporting, and other duties related to the regulatory reimbursement services of Michigan Medicine and it’s affiliates. The service delivery model will involve multiple interactions with Michigan Medicine leadership, affiliated hospitals, payers, outside agencies and government entities.
The reimbursement analyst will maintain current knowledge of Medicare, Medicaid and other State and Federal regulations. The analyst also assists in the improvement of internal business processes and meeting future reimbursement service needs.
Ideal candidates are reliable and can successfully function with a high degree of autonomy. The position provides the opportunity to take on additional tasks to improve operational efficiency, make or prepare presentations, and represent the reimbursement team to multiple leadership levels within Michigan Medicine.
- Analyze and complete Medicare, Medicaid, Tricare and Blue Cross cost reports, settlements, audits and appeals and maintain all documentation
- Utilize various financial systems to perform routine and ad hoc analysis
- Maintain current knowledge of Medicare, Medicaid, Blue Cross, and other third-party regulations.
- Participate in and support Michigan Medicine and its affiliates’ initiatives and programs where third-party revenue/reimbursement advice is needed
- Assist with financial reporting, including monthly third-party payer accounting for net revenue and estimated settlements
- Monitor third party payments and perform impact contract analysis, to include price mix variance and payer mix reporting.
- Prepare, monitor, and reconcile reimbursement reports.
- Proactively work with payers and in-house resources to identify and resolve issues that hinder optimal and correct account payment.
- Knowledge of health care finance or accounting
- The ability to work autonomously
- Problem solving and analytic skills
- Effective communication and presentation skills
- Strong attention to detail
- Excellent teamwork and customer service orientation.
- Demonstrated competency with Excel and database software
BA/BS degree:
- 2-5 years of experience-Intermediate
- 5-7 years of experience-Senior
Experience:
Preferred candidate will have experience in healthcare finance and preferably experience with Medicare, Medicaid, Blue Cross and Tricare cost reports and their various payment methodologies.
Education:
This position requires a bachelor’s degree preferably in Finance, Accounting, or a related field.
- Knowledge of governmental and other third-party reimbursement methodologies
- Experience working with electronic cost reporting software used by Medicare, Medicaid, and Blue Cross
- Prior experience with an academic medical center, a healthcare system or large teaching hospital
- Working knowledge of Crowe Revenue Cycle Analytic (RCA) software
- Ability to present hospital facility month end financial data in clear and succinct manner to various finance leaders
- Prior experience as an auditor for a Medicare Administrative Contractor or other major third-party payer
- Experience with database design and query writing
This position may be underfilled at a lower classification depending on the qualifications of the selected candidate.
Michigan Medicine improves the health of patients, populations, and communities through excellence in education, patient care, community service, research, and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society.
Michigan Medicine Finance serves as the central finance group for Michigan Medicine and is comprised of six functional areas: Clinical Financial Planning & Analysis, Enterprise Financial Reporting & Forecasting, Academic Financial Planning & Analysis, Reimbursement, Medical School Finance, and Financial Systems.
Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing
