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Senior Reimbursement & Financial Analyst- Hybrid

Company: Palomar Health
Location: Escondido
Posted on: March 10, 2023

Job Description:

Responsible for preparation of quarterly OSHPD reports, annual OSHPD reports, ALIRTS, AHA Annual Survey and Occupational Mix Survey. Assist the Senior Reimbursement Analyst in preparing annual Medicare and Medi-Cal Cost Reports for submission to CMS and DCHS. Assist the Senior Reimbursement Analyst in filing various cost report appeals and re-openings. Perform cost report data gathering to be used in cost report preparation. Perform reasonableness testing for all data gathered to determine propriety of data received. Assist in Medi-Cal and Medicare audits. Assist the Senior Reimbursement Analyst in other projects as assigned. Responsible for PS&R crosswalk and data request from CMS. Responsible for Paid Claims Report request and analysis. Work closely with individuals preparing/appealing cost reports and reconciles third-party due to and due from accounts. Perform complex analysis and comparisons. Work closely with staff from PBS, Managed Care Contracting and HIM. Be trained to run financial reports from Lawson, Cerner and other software programs as necessary. Speak and read English at a level that is sufficient to satisfactorily perform the essential functions of the position. Knowledge of standard office equipment (i.e., calculator, fax, photocopier) and personal computer and computer software skills (i.e., MS Windows, Excel, Access, Word, Powerpoint, internet, e-mail). Windows computer skills including proficient use of keyboarding, use of mouse or keys for functions such as selecting items, use of drop down menus, scroll bars, opening folders, copying and similar operations required upon employment or within the 1st two weeks of employment to perform the essential functions of the job. Performs other duties as assigned. Follows Palomar Health rules, policies, procedures, applicable laws and standards. Carries out the mission, vision, and quality commitment of Palomar Health.Job RequirementsMinimum Education: Bachelor's Degree in Accounting or FinancePreferred Education: Not ApplicableMinimum Experience: 2 - 4 years of progressive and comprehensive reimbursement experience3 years financial accounting and 3 years healthcare financeAdvanced working knowledge of Excel and Access and ability to perform manipulations of large amounts of dataPreferred Experience: Previous experience with fiscal intermediaries or a CPA firmExperience in a multi-hospital settingRequired Certification: Not ApplicablePreferred Certification: Certified Public Accountant (CPA)Required License: Not ApplicablePreferred License: Not Applicable

Keywords: Palomar Health, Escondido , Senior Reimbursement & Financial Analyst- Hybrid, Accounting, Auditing , Escondido, California

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