Reimbursement Specialist

Penn Medicine

Philadelphia, PA

JOB DETAILS
SKILLS
Accounting, Advertising Operations, Analysis Skills, Billing, Budget Management, Budget Reporting, Business Administration, Change Management, Communication Skills, Compensation and Benefits, Cost Reporting, Customer Relations, Customer Support/Service, Data Collection, Educational Administration, Employee Benefits, Federal Laws and Regulations, Finance, Financial Analysis, Financial Planning, Financial Regulations, Financial Statements, Financial Support, Government, Healthcare, Healthcare Reimbursement, Hospital, Interpret Regulations, Leadership, Medicaid, Medical Assistance, Medicare, Medicine, Organizational Skills, Patient Care, Project/Program Management, Quality of Care, Quantitative Analysis, Regulations, Regulatory Compliance, Regulatory Submissions, Reimbursement, Research Skills, Staff Development, State Laws and Regulations, Technical Support, Time Management, Training Program, Training/Teaching
LOCATION
Philadelphia, PA
POSTED
30+ days ago

Loading job Back to Search Results Previous Opportunity Next Opportunity Current UPHS employees must apply HERE Reimbursement Specialist Job ID: 299257 Category: Accounting/Finance Work Type: FT Location: Philadelphia, PA, United States Work Schedule: Hybrid, M-F, 8:30AM to 5:00PM Share: share to e-mail Apply Now Save Job Saved Description Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your lifes work? Entity: Corporate Services Department: Government Reimbursement Location: 3535 Market Street, Suite 1400 Hours: Hybrid, M-F, 8:30AM to 5:00PM The Reimbursement Specialist will provide reimbursement and financial support to both corporate and hospital leadership in an efficient and customer-focused manner. The Specialist will report to the Reimbursement Manager. The major focus of this position will be on reimbursement filings and regulatory issues. Accountabilities Patient/Customer: Provide technical and consultative support for entities and Corporate Services in all applicable facets of Reimbursement and Financial Planning in a professional manner. Develop and maintain a customer service driven work environment within all areas of responsibility. Maintain Project Logs for all assigned projects. Perform special projects, as assigned. Operations: Ad Hoc Analyses and Information • Review request and collect data from appropriate sources. • Review data received and forward to requesting party. • Medicare, Medicaid, Champus, CRC, Regulatory Compliance, Required Cost Report and PIP Filings • Assist in the analysis of the impact of new State regulations. • Assist with all aspects of the cost report related activities, including PIP filings, Wage Index submission and regulation interpretation. • Assist in the completion of all necessary interim and final submissions relative to Penn Medicine Cost Reports. • Assist with audit requests and the preparation of re-openings, as necessary. Graduate Medical Education Finance • Assist Graduate Medical Education Department in the development of resident FTE budgets. • Assist department leadership and GME office with Resident billing analysis, including the VAMC and CHOP • Assist residency coordinator with resident financial issues when needed Monthly Financial Statement Support • Prepare timely Medicare cash analysis • Support department leadership with analysis for month-end and year-end close Staff Development: Mutually develop and implement learning and development plans for teaching regulatory changes to the analysts and others in the department. Performs duties in accordance with Penn Medicine and entity values, policies, and procedures Other duties as assigned to support the unit, department, entity, and health system organization Minimum Requirements Required Education and Experience Bachelors Degree Accounting, Finance, or Business Administration is required. 3+ years Experience of third-party governmental reimbursement (including: compliance analysis, revenue budgeting and cost reporting activities from PIP establishment to final settlement) is required. 3+ years Experience with state/regulatory filings is required. Licenses, Registrations, and Certifications HFMA Certified Healthcare Finance Professional (CHFP) is preferred Required Skills and Abilities ANALYTICS: Strong quantitative and analytical abilities COMMUNICATION: Ability to communicate with internal and external constituents COMMUNICATION: Able to translate complex information into simple explanations PROJECT/CHANGE MANAGEMENT: Ability to manage concurrent projects while meeting project deadlines OPERATIONS: Familiarity with Graduate Medical Education training programs FINANCE: Clear and demonstrated understanding of health care financing REGULATORY: Understanding of Federal Regulatory process impacting Medicare We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives. Live Your Lifes Work We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law. Current UPHS employees must apply HERE Share: mail Apply Now

About the Company

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Penn Medicine