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    Reimbursement Analyst I - Phoenix, United States - Dignity Health

    Dignity Health
    Dignity Health Phoenix, United States

    3 weeks ago

    Default job background
    Full time
    Description
    Overview

    CommonSpirit Health was established by the merging of Catholic Health Initiatives (CHI) and Dignity Health. With over 700 care sites across the nation, from clinics and hospitals to home-based and virtual care services, CommonSpirit is easily accessible to approximately one in four U.S. residents. In our rapidly changing world, compassion is more crucial than ever. Our communities seek kindness, our families require protection. Through our combined efforts, CommonSpirit is dedicated to fostering healthy communities, championing the underprivileged, and redefining the boundaries of healing, both within our facilities and out in the community.

    Responsibilities
    Position Summary:
    The Reimbursement Analyst role entails handling cost report preparation, appeals, audit readiness, and other tasks related to Dignity Health's regulatory reimbursement services. The position requires staying updated on Medicare, Medicaid, and other State and Federal regulations. The Analyst engages with clients to ensure value delivery and customer satisfaction. Moreover, they contribute to enhancing internal processes and meeting future reimbursement service demands. Upholding the highest ethical standards, the Analyst prioritizes Dignity Health's best interests and upholds its Mission, Philosophy, and core values. Reporting to the Reimbursement Managers or Directors, the Analyst is accountable for:
    • Preparing interim and annual cost reports for Medicare, Medicaid, and relevant agencies.
    • Calculating periodic revenue adjustments in line with policies.
    • Providing recommendations for internal Dignity Health strategy.
    • Assisting in maintaining policies, procedures, and settlement methodologies.
    • Reviewing operational reports, identifying opportunities, and suggesting process enhancements.
    • Evaluating the impact of new technology on the organization and proposing improvements.
    Required Non-Technical Competencies:
    • Commitment to Dignity Health Values
    • Analytical Thinking
    • Continuous Improvement
    • Problem Solving
    • Customer Orientation
    • Team Orientation
    • Flexibility
    • Communication Ability
    • Reasoning
    Required Technical Competencies:
    • Medicare
    • Medicare Regulatory Reporting
    • Medicaid (Medi-Cal)
    • Medicaid Regulatory Reporting
    • Accounts Receivable and Cash Collection
    • Capital and Fixed Assets
    • Reimbursement – Monthly Analysis Process
    • Decision Support
    • General Accounting
    Qualifications
    Minimum Qualifications:
    • Minimum of 1 year experience with Medicare and Medicaid regulations monitoring.
    • Prior experience in hospital reimbursement or auditing with Fiscal Intermediary.
    • 1 year of experience with general accounting, government reimbursement, appeals, and audits in a complex organization.
    • Familiarity with reimbursement regulations and applications in a healthcare setting.
    • Bachelor's degree in Business Administration, Accounting, or equivalent.
    • Occasional travel may be required.
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