Reimbursement Specialist

To perform the functions of contractual allowances reimbursement cost reporting revenue budgeting and special projects. To implement changes resulting from research of laws and regulations issued by Medicare Medicaid and other third party payers. To prepare monthly analyses related to allowances for contractual adjustments and bad debts as well as cost report settlements receivable (payable). To prepare annual cost reports and be point of contact for intermediary audits reviews and appeals. To implement rate optimization analyses and changes. To closely interact with Director of Reimbursement on reimbursement budget and cost issues.

+ Determines transactions related to third-party reimbursement including contractual adjustments settlements receivable (payable) Medicare and Medicaid Cost Reports appeals amendments and re-openings.
+ Maintains competency in reimbursement by keeping knowledge of current developments at the State and Federal level and through continuing e...