• Financial Reimbursement Specialist (Medicare/Medicaid)

    Job Locations USA-NY-New York
    Posted Date 9 hours ago(10/15/2018 12:52 PM)
    Requisition ID
    2018-23621
    Category
    Professional - Finance
  • Company Overview

    At Memorial Sloan Kettering (MSK), we’re not only changing the way we treat cancer, but also the way the world thinks about it. By working together and pushing forward with innovation and discovery, we’re driving excellence and improving outcomes.
     
    For the 28th year, MSK has been named a top hospital for cancer by U.S. News & World Report. We are proud to be on Becker’s Healthcare list as one of the 150 Great Places to Work in Healthcare in 2018, as well as one of Glassdoor’s Employees’ Choice Best Place to Work for 2018. We’re treating cancer, one patient at a time. Join us and make a difference every day.

    Job Description

    MSK's Financial Planning team is seeking a Reimbursement Specialist with a strong finance background in Healthcare and analytical skills to collect and analyze the data needed to accomplish these tasks.

    You will:

    • Work directly with the Senior Director of Financial Analysis and Senior Manager of Regulatory Reimbursement on Medicare Cost Report Reimbursement.
    • Involved in preparing the initial cost report filing as well as resubmission of any previously filed cost report that requires adjustment.
    • Help to bring closure to over 10 years of open Medicare appeals which will result in incremental reimbursement for the Hospital.

    Prepare:

    • Schedules needed for the Medicare Cost Report and the NYS Institutional Cost Report as resolved by management
    • All necessary supporting documentation included with the filing.
    • Agreed upon analytics and schedules needed to resolve open Medicare audit adjustment appeals to close the year
    • Revise schedules necessary to amend any previously filed and open Medicare Cost Report as needed. Follow the same procedures as when the original cost report was prepared. Estimate the impact to reimbursement of each revision so the amount owed to or due from the Medicare program is known and accounted for properly.
    • Responses to the various requests for data and information received throughout the year. This includes requests from AHA, GNYHA and various departments within the hospital.

    Additional tasks include:

    • Download data needed from the financial and revenue reporting systems to prepare the cost report schedules. Use Access and Excel to organize the data in the format needed.
    • Recognize and research unusual variances from prior year to ensure that information is being reported properly.
    • Assist the Sr. Manager, Regulatory Reimbursement in the preparation of special projects required by senior management related to governmental reimbursement. This includes the modeling of any proposed changes to the reimbursement system.

    You Are:

    • Willing to take action and eager to pursue new opportunities and tough challenges with a sense of urgency, high energy, and enthusiasm.
    • Adept at learning on the run while taking on new problems, using both successes and failures as learning fodder.
    • An effective communicator, capable of figuring out how best to reach different audiences and executing communications based on that understanding.
    • Effective at gaining the support and dedication of others by engaging them around your point of view and priorities.
    • Flexible in your approach and demeanor in order to align with the shifting demands of evolving circumstances.
    • Adept at planning and prioritizing work to meet commitments aligned with organizational goals.
    • Skilled at building partnerships and working as a team to meet shared objectives and goals.
    • Able to operate effectively, even when things are not clear or the way forward is not obvious.
    • A good decision-maker, with shown success at making timely decisions that keep the organization moving forward.
    • Consistently achieving results, even under tough circumstances.
    • Able to work effectively in an environment notable for complex information.

    You Have:

    • A Bachelor's Degree in Accounting or Finance
    • 2-4 years of experience in Hospital Finance/Reimbursement
    • CPA and/or MBA preferred
    • Knowledge of computers and software such as database management, spreadsheets and word processing
    • Familiarity with COGNOS and GE Revenue systems is a plus.
    • Proficient in Medicare and Medicaid regulations surrounding reimbursement and cost reports preferred
    • A strong ability and understanding of how to collect, analyze, interpret and prepare data for use in various filings

     

    #LI-POST

    Closing

    MSK is an equal opportunity and affirmative action employer committed to diversity and inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration without regard to race, color, gender, gender identity or expression, sexual orientation, national origin, age, religion, creed, disability, veteran status or any other factor which cannot lawfully be used as a basis for an employment decision.  

     

    Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for a job or to perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter, or using specialized equipment.

     

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