Lead Reimbursement Analyst - Finance

Position Overview: * Department: General Finance * Schedule: Full-time, Monday-Friday, 8am-5pm or 7am-4pm - Partial Remote * Work Location: UAB St. Vincent's Birmingham, Daniel Building * Benefits for eligible positions include: generous paid time off, paid parental leave, Associate Assistance Program, Tuition Reimbursement Program, and more

What You Will Do

Perform the calculations and analysis of accounts receivable and valuation and third party reimbursement reporting, coordination of audits and monitoring of regulation changes. With minimal supervision prepares and files the Medicare and Medicaid cost reports and Blue Cross cost studies to ensure the maximization

of reimbursement received by UAB St. Vincent’s Health System; acts as liaison between Hospital and local intermediary; prepares quarterly mini cost reports; and prepares monthly journal entries for reimbursement adjustments.

• Assist in the preparation, review, and filing of Medicare and Medicaid cost reports.
• Review supporting schedules and coordinate with external advisor and fiscal intermediary for preparation of annual reports.
• Ensure compliance with CMS regulations, state Medicaid rules, and payer-specific requirements.
• Prepare applications and accounting for any state supplemental payment programs.
• Prepare reports and prepare month end journal entries in general ledger.
• Maintain documentation supporting reimbursement calculations and regulatory filings.
• Prepare Retro models.
• Analyze payer reimbursement methodologies including Medicare, Medicaid, managed care, and commercial contracts and calculates financial impact of changes in reimbursement.
• Prepare reimbursement calculations and projections for inpatient, outpatient, physician, and ancillary services.
• Identify reimbursement variances, underpayments, and revenue opportunities; recommend corrective actions.
• Support managed care contract analysis, modeling, and negotiation preparation.
• Assist w...