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Senior Reimbursement Analyst – Revenue Management
Mercy Health. Provide analytical and reimbursement support for Medicare, Medicaid, and other third-party cost reports, related audits, appeals, disproportionate share hospital (DSH), 340B drug discount program, and CPT/HCPCS code changes for assigned 4–6 entities .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Medicare and Medicaid reimbursement processes, including cost report preparation and regulatory compliance. Proficient in analytical reporting and data integration to support financial decision-making in a multi-hospital health system.
Highest-signal resume keywords
Medicare ReimbursementMedicaid ReimbursementCost Report PreparationAnalytical SkillsOrganizational Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Cost Report PreparationData AnalysisFinancial ReportingBudgetingRegulatory Compliance
Soft Skills
Critical ThinkingEffective CommunicationInterpersonal SkillsIndependent WorkOrganizational Skills
Tools & Technologies
Microsoft ExcelFinancial Software
Industry Keywords
MedicareMedicaidDisproportionate Share Hospital (DSH)340B Drug Discount ProgramCPT/HCPCS Codes
About the role
Key responsibilities & impact- Provide analytical and reimbursement support for Medicare, Medicaid, and other third-party cost reports, related audits, appeals, disproportionate share hospital (DSH), 340B drug discount program, and CPT/HCPCS code changes for assigned 4–6 entities
- Prepare workpapers and review and submit annual Medicare and Medicaid cost reports and required regulatory filings
- Coordinate Medicare and Medicaid cost report reviews and audits, including overall cost report, wage index, bad debt, S-10, Medicaid log, and Medicaid eligible days
- Prepare monthly settlement reserve entries
- Research reimbursement and regulatory issues and provide analyses to the System Director and other stakeholders
- Review net revenue analytics and identify areas requiring additional analysis
- Assist in the annual budgeting process for net revenue
- Produce reports, analyze and integrate data, and complete other projects accurately and efficiently
- Prepare reimbursement-related reports and analyses for reimbursement leadership
Requirements
What you’ll need- Bachelor’s degree in Accounting or Finance required
- Minimum 3 years experience in consulting or multi-hospital acute-care health system regarding Medicare and Medicaid reimbursement and cost report preparation
- Experience with Ohio, Kentucky, Virginia, and/or South Carolina Medicaid reimbursement, Medicare medical education reimbursement, Medicare wage index and/or Medicare critical access hospital reimbursement preferred
- Ability to research reimbursement issues and provide practical and concise interpretations
- Strong organizational skills and critical thinking to query appropriate data for projects
- Excellent analytical and computer skills
- Ability to effectively communicate and interact with regional and corporate office associates
- Excellent oral and written skills and strong interpersonal skills
- Ability to work independently and proactively with limited supervision
Benefits
Comp & perks- Competitive pay
- Incentives
- Referral bonuses
- 403(b) with employer contributions (when eligible)
- Medical coverage
- Dental coverage
- Vision coverage
- Prescription coverage
- HSA/FSA options
- Life insurance
- Mental health resources and discounts
- Paid time off
- Parental leave
- FMLA leave
- Short-term disability
- Long-term disability
- Backup care for children and elders
- Tuition assistance
- Professional development
- Continuing education support