Reimbursement Analyst 3
University of Miami

Job Info

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Current Employees:

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The UHealth system at the University of Miami has an exciting opportunity for a full time Reimbursement Analyst 3.

SUMMARY

The Reimbursement Analyst 3 - Central (H) establishes and maintains high-level accounting financial records and reports and assists the Director of Health System Pricing and Reimbursement in all physician and hospital chargemaster maintenance and reimbursement analysis aspects. The Reimbursement Analyst 3 - Central (H) partners with senior management to research, analyze, and communicate reimbursement matters and leads team projects, while training and assisting junior staff.

CORE JOB FUNCTIONS

• Monitors changes in Federal and State regulations regarding hospital and physician reimbursement requirements, focusing on billing changes impacting physician and hospital charge masters.
  
• Prepares cost reports, monitoring compliance with CMS regulations, and attestations, and reports on all supplemental Federal and State reimbursement matters.
  
• Administers Medicare and Medicaid audits and prepares all supporting work papers and documentation.
  
• Analyzes Medicare Administrative Contractor (MAC) correspondence and interim rate setting to ensure accurate reimbursement and compliance with regulations.
  
• Supports Provider-based attestations and all Federal and State reporting.
  
• Examines changes in Federal and State regulations affecting the healthcare industry and assists with preparing pro-forma analysis related to third-party reimbursement.
  
• Prepares the annual State of Florida, Agency for Health Care Administration Reports, including DSH, GME, and FHURS.
  
• Formulates and reviews the annual physician LIP reporting and other regulatory/contractually obligated reports.
  
• Executes strategic pricing analysis and ongoing CDM maintenance.
  
• Reviews the annual budget for charge master pricing and supplemental revenues.
  
• Adheres to University and unit-level policies and procedures and safeguards University assets.
  

This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.

CORE QUALIFICATIONS

Education:

Bachelor's degree in relevant field.

Experience:

Minimum 5 years of relevant experience

Knowledge, Skills and Attitudes:

• Knowledge of business and management principles.
  
• Ability to assist in managing and implementing department goals and operations.
  
• Ability to work independently as well as in a team environment.
  
• Ability to communicate effectively in both oral and written form.
  
• Knowledge of budget control methods, policies, and procedures.
  

DEPARTMENT ADDENDUM

Department Specific Functions

• Flexibility to meet and work with different UM departments Knowledge of CMS regulations and ability to research any changes impacting UM.
  

#LI-CM1

The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.

UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.

The University of Miami is an Equal Opportunity Employer - Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here for additional information.

Job Status:
Full time

Employee Type:
Staff

Pay Grade:
H11

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