6 days old

902029 Reimbursement Specialist

Penn Medicine
Philadelphia, PA 19104
The NJ Reimbursement Specialist will provide reimbursement and financial support to both corporate and hospital leadership in an efficient and customer-focused manner. The specialist will report to the Reimbursement Manager. The major focus of this position will be on New Jersey specific reimbursement filings and regulatory issues.Accountabilities:Patient/Customer:¢\tProvide technical and consultative support for entities and Corporate Services in all applicable facets of Reimbursement and Financial Planning in a professional manner¢\tDevelop and maintain a customer service driven work environment within all areas of responsibility¢\tMaintain Project Logs for all assigned projects¢\tPerform special projects, as assignedOperations: ¢\tAd Hoc Analyses and Information¢\tReview request and collect data from appropriate sources¢\tReview data received and forward to requesting party¢\tMedicare, Medicaid, Champus, CRC, Regulatory Compliance, Required Cost Report and PIP Filings:¢\tAssist in the analysis of the impact of new State regulations on New Jersey Hospitals¢\tAssist with all aspects of the cost report related activities, including PIP filings, Wage Index submission and regulation interpretation¢\tRequest, analyze and summarize data for input from entity Finance personnel and departments¢\tPrepare cost reports in accordance with third-party rules and regulations for entity review and approval¢\tAssist in the proper and timely filing of cost reports and other New Jersey state regulatory submissions¢\tGraduate Medical Education Finance:¢\tAssist Graduate Medical Education Department in the development of resident FTE budgets¢\tAssist department leadership and GME office with Resident billing analysis¢\tAssist residency coordinator with resident financial issues when needed¢\tNew Jersey Regulatory assistant¢\tWork with team liaison to Penn Medicine Princeton Health on cost report and reimbursement issues¢\tDevelop a strong knowledge on New Jersey Medical Assistance and Uncompensated Care Regulatory requirements¢\tAssist in the completion of all necessary interim and final submissions relative to Princeton Cost Reports¢\tAs needed, work with Reimbursement Manager and external consultant performing work related to Princeton and/or New Jersey requirements; assist Reimbursement Manager with completing submissions with minimal use of external consultants¢\tAssist with audit requests and the preparation of re-openings, as necessaryStaff Development: ¢\tMutually develop and implement learning and development plans for teaching New Jersey regulations to the analysts and others in the departmentOther:¢\tPerforms duties in accordance with Penn Medicine and entity values, policies, and procedures¢\tOther duties as assigned to support the unit, department, entity, and health system organization

Required Education and Experience\n•\tBachelor’s Degree required; preferably in Accounting, Finance, or Business Administration.\n•\t3+ years of third-party governmental reimbursement experience is required (including compliance analysis, revenue budgeting, and cost reporting activities from PIP establishment to final settlement)\n•\t3+ years New Jersey Regulatory filings is preferred\n\n Licenses, Registrations, and Certifications\n•\tHFMA Certified Healthcare Finance Professional (CHFP) - Preferred\n\nRequired Skills and Abilities\n•\tStrong quantitative and analytical abilities\n•\tAbility to communicate with internal and external constituents\n•\tAble to translate complex information into simple explanations\n•\tAbility to manage concurrent projects while meeting project deadlines\n•\tFamiliarity with Graduate Medical Education training programs\n•\tClear and demonstrated understanding of health care financing\n•\tUnderstanding of Federal Regulatory process impacting Medicare Reimbursements\n•\tUnderstanding the New Jersey regulatory process impacting Medicaid Reimbursements\n•\tKnowledge of Hospital Medicare and Medicaid Reimbursement

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Posted: 2022-05-13 Expires: 2022-06-12

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902029 Reimbursement Specialist

Penn Medicine
Philadelphia, PA 19104

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