Description

Summary:

Responsible for all third-party reporting, with special emphasis on cost reporting, Government filings, and reserve levels.

Responsibilities:

1.Prepares all third-party cost reports with the goal of optimizing allowable reimbursement in compliance with state and federal regulations as well as assists with the preparation of the state's OHS filing.

2.Performs detailed reviews of third-party settlements, making appropriate adjustments, and properly recording reserves.

3.Participate in third party audits, providing work papers and further support to applicable audit teams

4.Prepares, organizes, and presents all arguments and appeals to the Fiscal Intermediary, the Provider Reimbursement Review Board, NYS, OHS and the OIG.

5.Reviews Medicare audit reports to seek opportunities for adjustments or appeals.

6.Works with Medicaid auditors to clear annual audit questions.

7.Prepares and reviews surveys from federal and state agencies.

8.Prepares all necessary analysis and back-up for year-end audit.

9.Maintains knowledge of changing healthcare issues and regulations regarding revenue enhancement.

10.Assists in preparation, analysis and filing of quarterly and yearly reports to the state and regulatory agencies. Assists with any questions.

11.Supports the finance area with special projects as required.

12.Fulfills all compliance responsibilities related to the position.

13.Performs other duties as assigned

Minimum Experience: Reimbursement experience, Hospital Finance experience, Excel

Desired: Medicare Audit experience

Working Conditions:

Manual: Some manual skills/motor coord & finger dexterity

Occupational: Little or no potential for occupational risk

Physical Effort: Sedentary/light effort. May exert up to 10 lbs. force

Physical Environment: Generally pleasant working conditions

Company: Nuvance Health

Org Unit: 1779

Department: Corporate Finance

Exempt: Yes

Salary Range: $33.66 - $67.05 Hourly

We are an equal opportunity employer

Qualified applicants are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other classification protected under applicable Federal, State or Local law.

We will endeavor to make a reasonable accommodation to the known physical or mental limitations of a qualified applicant with a disability unless the accommodation would impose an undue hardship on the operation or our business. If you believe you require such assistance to complete this form or to participate in an interview, please contact Human Resources at 203-739-7330 (for reasonable accommodation requests only). Please provide all information requested to ensure that you are considered for current or future opportunities.