Note: The job is a remote job and is open to candidates in USA. Appalachian Regional Healthcare (ARH) is seeking a Reimbursement Analyst/Accountant to effectively file Medicare/Medicaid and other Third Party Cost Reports to maximize cash flow. The role involves reviewing regulations, maintaining statistical systems, and assessing reimbursement impacts to improve financial outcomes.
Responsibilities
- Files Medicare, Medicaid and other third party cost reports to determine interim rate and periodic interim payments and monitors adequacy of interim rate and recommend alternate arrangements that will improve reimbursement
- Reviews Federal Register and CCH updates regarding impact of proposed and newly activated regulations; develop and submit comments to appropriate agency and advise administration of exposure and alternative action available
- Maintain and monitor statistical system to support cost reports
- Review and revise as necessary, systems used for monthly estimates of allowances and periodically prepares interim cost reports to support the reasonableness of monthly estimates
- Reviews operation and organization of individual hospitals and corporate structure to determine statistics, billing and other systems resulting in maximum reimbursement
- Reviews contractual arrangements with physicians and others such as insurance companies and assesses reimbursement impact and recommends alternate arrangements that will improve reimbursement
- Assists ARH units that are developing and implementing new and revised programs by determining reimbursement impact
- Monitors the audits performed by intermediaries; assesses the impact of adjustments and determines the reasonableness and acceptability of same; and proposes necessary appeals relating to unacceptable adjustments
- Participates in the preparation of the monthly financial statement, related exhibits and accompanying memorandums in accordance with generally acceptable accounting principles
- Participates in the preparation of schedules used by various auditors in their determination of the accuracy of accounting records
- Participates in the preparation of various tax returns and financial surveys
- Performs other related duties as assigned
Skills
- B.S. Degree in accounting
- Minimum of 2 years experience in preparation of Medicare/Medicaid cost reports
Company Overview
Appalachian Regional Healthcare (ARH), the Healthcare System of Appalachia, and ranked as one of the Top 10 Employers in Kentucky by Forbes Magazine, is a not-for-profit health system operating 13 hospitals in Barbourville, Hazard, Harlan, Hyden, Martin, McDowell, Middlesboro, Prestonsburg, South Williamson, West Liberty and Whitesburg in Kentucky; as well as Beckley and Hinton in West Virginia, as well as multi-specialty physician practices, home health agencies, home medical equipment stores and retail pharmacies. It was founded in 1956, and is headquartered in Barbourville, Kentucky, USA, with a workforce of 5001-10000 employees. Its website is https://arh.org.