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Full-time
bachelor degree
Posted 28d ago
~40 hrs/week
Responsibilities
Responsible for compiling information for claims submissions and preparing annual Medicare and Medicaid cost reports. The role involves analyzing reimbursement patterns, building financial models for GME, and providing guidance to junior team members.
Requirements
Requires a Bachelor's degree in Business Administration or Accounting and 8 years of government healthcare reimbursement experience. Proficiency with CMS software systems and comprehensive knowledge of Medicare/Medicaid principles are essential.
Full job description
Your job is more than a job
The Reimbursement Analyst Senior is responsible for compiling the information needed for claims submissions. Serves as a central resource for reimbursement analyses, audit and assists with the annual cost report preparation and other reporting requirements. Assists in building financial processes/models to estimate Medicare GME and other reimbursements based on current regulations and specific client circumstances. Provides and interprets reimbursement patterns and trend analyses for various departments. Provides guidance and support to junior team members as needed.
GENERAL DUTIES
Assists in the preparation of accurate government regulatory reports, including year end and interim Medicare/Medicaid cost reports for submission to the intermediary, within a designated timeframe:
Assists in preparation of Medicare, Medicaid and CHAMPUS annual cost reports.
Computes interim Medicare/Medicaid settlements and impact on reimbursement for the hospital.
Provides support and documentation needed by various auditors such as independent, Medicare and Medicaid.
Assists in providing all data and/or special reports and projects for Medicare/Medicaid appeals and/or reopening.
Stays up to date on changes to Medicare reimbursement in general and specifically federal regulations related to graduate medical education (GME) and providing education about their impact to other team members and clients.
Analyzes financial data. Designs and generates reports for management's use in operational decisions regarding new and existing programs:
Directs the preparation of reimbursement studies as needed by senior management.
Researches regulations related to the implementation of new programs, services, and ventures, and for developing techniques for maximizing reimbursement.
Develops techniques for effective analysis of billing and collections efforts.
Develops, prepares & presents financial impact of all new & proposed Medicare / Medicaid regulations to Senior Management:
Evaluates interim payments from the third-party payers for accuracy & adequate cash flow.
Coordinates with appropriate teams for the production of reports for cost reporting/cost analyses purposes.
Reviews generally accepted accounting principles & auditing standards as they apply to the reimbursement area.
Assists in the development of contractual allowances for budget projections:
Assists in the development of contractual allowances for budget projections.
EXPERIENCE QUALIFICATIONS
8 years government healthcare reimbursement and accounting experience in a healthcare setting
Experience and analytical skills related to case mix/reimbursement systems
Experience and knowledge with CMS PRM regulations manuals, the CMS 2552 software system and the CMS IACS/EIDM system
Experience with Medicare IRIS reporting system.
Experience with electronic cost reporting software systems
EDUCATION QUALIFICATIONS
BA In Business Administration or Accounting
SKILLS AND ABILITIES
PC skills (Excel, Access Word, PowerPoint).
Familiarity with EDP and microcomputer systems.
Comprehensive knowledge of Medicare. Medicaid reimbursement principles relating to Home Office, Hospitals, Nursing Homes and Home Health agencies.
REPORTING RELATIONSHIPS
Does this position formally supervise employees? No
WORK SHIFT:
Days (United States of America)
LCMC Health is a community.
Our people make health happen. While our NOLA roots run deep, our branches are the vessels that carry our mission of bringing the best possible care to every person and parish in Louisiana and beyond and put a little more heart and soul into healthcare along the way. Celebrating authenticity, originality, equity, inclusion and a little “come on in” attitude is the foundation of LCMC Health’s culture of everyday extraordinary
See opportunities, not problems – it’s all about perspective.
Cheerlead ideas, differences, and each other.
Love what makes you, you - because we do
You are welcome here.
LCMC Health is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law.
The above job summary is intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary.
Simple things make the difference.
1.To get started, take your time to fully and accurately complete the application for employment. Incomplete applications get bogged down and are often eliminated due to missing information.
2.To ensure quality care and service, we may use information on your application to verify your previous employment and background.
3.To keep our career applications up-to-date, applications are inactive after 6 months and, therefore, require a new application for employment to be completed.
4.To expedite the hiring process, proof of citizenship or immigration status will be required to verify your lawful right to work in the United States.
Eight hospitals + dozens of New Orleans area clinics and practices, all focused on keeping you well.
Industry
Hospitals and Health Care
Company size
10,001+ employees
Founded
2009
Headquarters
New Orleans, LA
LinkedIn followers
26,566
We believe a hospital should actually be hospitable.
We’re a New Orleans-based, non-profit health system on a mission: to provide the best possible care for every person and parish in Louisiana and beyond, and to put a little more heart and soul into healthcare along the way. And that means we do things a little differently around here.
Treating people like family is the LCMC Health way, and it always has been. Founded by Louisiana’s first freestanding children’s hospital, we’ve grown into a healthcare system that’s built to serve the unique needs of our communities and families across New Orleans, the Gulf Coast and beyond.
We believe in treating the whole patient, not just the condition. When you visit an LCMC Health facility, you will get the care that is best for you and your family because we believe that shared beliefs and positive outlooks are what drive our exceptional care.
We offer nine hospital locations: Children’s Hospital New Orleans, East Jefferson General Hospital, New Orleans East Hospital, Touro, University Medical Center New Orleans, West Jefferson Medical Center, Lakeview Hospital, and Lakeside Hospital. We also deliver world-class care close to home through a network of urgent care centers across the greater New Orleans area in addition to our physician practices. With over 2,200 board-certified physicians specializing in everything from head to toe, our community can count on us to provide the right care, right where they need it.
We’ve got a rich history, but our sights are set on what comes next. We’re committed to leading the way to a healthier future for the Gulf Coast. That’s why we partner with local universities to bring the latest in care to our patients, and to train the next generation of healthcare professionals that will make a difference right here in our communities.
Offices: 210 State St, New Orleans, LA 70118, US · 200 Henry Clay Ave, New Orleans, Louisiana 70118, US · 5620 Read Blvd, New Orleans, Louisiana 70127, US · 1401 Foucher St, New Orleans, Louisiana 70115, US · 2000 Canal St, New Orleans, Louisiana 70112, US
How many Healthcare jobs are open in New Orleans, LA right now?
There are currently 1,492 open healthcare positions in New Orleans, LA listed on Clera. New openings are added daily as companies post roles.
Which companies are hiring for Healthcare roles in New Orleans, LA?
Companies currently hiring include LCMC Health, Ochsner Health, Tulane University Center for Aging, Compass Group, Tulane SoPA Information Technology Program, among others. Browse the listings above to see every active employer.
Are there remote or hybrid Healthcare jobs in New Orleans, LA?
Yes — 82 of the 1492 open healthcare positions offer remote or hybrid work (47 remote, 35 hybrid).
How do I apply for Healthcare jobs in New Orleans, LA?
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.