Senior Reimbursement Analyst (Remote)

Job Details

Are you looking for a career opportunity working for a healthcare organization that is based on excellence and love?

ChristianaCare is one of the country's most dynamic healthcare organizations, centered on improving health outcomes, making high-quality care more accessible, and lowering healthcare costs. ChristianaCare includes an extensive network of outpatient services, home health care, urgent care centers, three hospitals (1,299 beds), a free-standing emergency department, a Level I trauma center and a Level III neonatal intensive care unit, a comprehensive stroke center and regional centers of excellence in heart and vascular care, cancer care, and women's health. It also includes the pioneering Gene Editing Institute and was rated by IDG Computerworld as one of the nation's Best Places to Work in IT. ChristianaCare is a nonprofit teaching health system with more than 260 residents and fellows. It is continually ranked by U.S. News & World Report as the Best Hospital. With the unique CareVio data-powered care coordination service and a focus on population health and value-based care, ChristianaCare is shaping the future of health care.

ChristianaCare Offers

• Full Medical, Dental, Vision, Life Insurance, etc.
• Two retirement planning offerings, including 403(b) with company contributions
• Generous paid time off with annual roll-over and opportunities to cash out
• 12-week paid parental leave
• Incredible Work/Life benefits including annual membership to care.com, access to backup care services for dependents through Care@Work, retirement planning services, financial coaching, fitness and wellness reimbursement, and great discounts through several vendors for hotels, rental cars, theme parks, shows, sporting events, movie tickets and much more!

About This Position

ChristianaCare is searching for a Senior Reimbursement Analyst who has front line responsibility of all third-party reimbursement functions associated with ChristianaCare. This includes all acute care hospital and other related entities. Governmental regulation and third-party contracts significantly impact the organization’s net revenue and must be understood and monitored for strategic planning, third party reporting, and various financial planning project purposes. In addition, this position will be responsible for providing consulting services to organizational leadership and staff, as well as representing the organization’s interests during third-party audits and inquires.

Desired candidates must have:

• Acute hospital reimbursement experience
• Familiarity with contract terms
• independent worker and self-starter

Principal duties and responsibilities:

Must maintain a working knowledge of all Medicare, governmental and other third-party regulations. This will be necessary to provide impact analyses and internal consulting.

Supports the contract modeling functions for the decision support system and monitoring the related expected payment calculations.

Supports the completion of the Medicare Cost Report and all related supporting documentation.

Supports the completion of all other governmental and commercial rate filings and data requests.

Supports the indirect cost rate filing in support of the Christiana Care research and grant programs.

Supports the completion and/or input on various surveys and questionnaires, such as COTH, AHA and community benefit report.

Supports the maintenance of the Intern and Resident Information System (IRIS) and all medical education documentation to support Medical Education reimbursement.

Capable of being the organization’s frontline representative during third-party audits and reimbursement inquiries and keeps Finance Leadership adequately informed.

Supports the reimbursement aspects and other general financial functions for all business planning and financial planning projects.

Understands the flow of information through the hospital patient billing system and the general ledger system to ensure accurate third-party accounts receivable and deductions to ensure no material audit adjustments are made.

Education and experience requirements:

Bachelor’s degree in Accounting, Finance or related area of study. M.S. / M.B.A. preferred.

At least three years of experience with acute hospital reimbursement, or equivalent.

Post End DateJan 13, 2025

EEO Posting Statement

Christiana Care Health System is an equal opportunity employer, firmly committed to prohibiting discrimination, whose staff is reflective of its community, and considers qualified applicants for open positions without regard to race, color, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law.