TITLE: Sr. Reimbursement Analyst / Medicare Medicaid Cost Reports DEPT: Reimbursement SHIFT: Days-Remote ESSENTIAL DUTIES & FUNCTIONS: โข Collects, analyzes all underlying data and prepares ...
TITLE: Sr. Reimbursement Analyst / Medicare Medicaid Cost Reports DEPT: Reimbursement SHIFT: Days-Remote ESSENTIAL DUTIES & FUNCTIONS: โข Collects, analyzes all underlying data and prepares ...
**This is a 100% remote work-from-home position** TITLE: Sr. Reimbursement Analyst / Medicare Medicaid Cost Reports DEPT: Reimbursement SHIFT: Days-Remote ESSENTIAL DUTIES & FUNCTIONS: Collects ...
**This is a 100% remote work-from-home position** TITLE: Sr. Reimbursement Analyst / Medicare Medicaid Cost Reports DEPT: Reimbursement SHIFT: Days-Remote ESSENTIAL DUTIES & FUNCTIONS: Collects ...
**This is a 100% remote work-from-home position** TITLE: Sr. Reimbursement Analyst / Medicare Medicaid Cost Reports DEPT: Reimbursement SHIFT: Days-Remote ESSENTIAL DUTIES & FUNCTIONS: Collects ...
**This is a 100% remote work-from-home position** TITLE: Sr. Reimbursement Analyst / Medicare Medicaid Cost Reports DEPT: Reimbursement SHIFT: Days-Remote ESSENTIAL DUTIES & FUNCTIONS: Collects ...
TITLE: Sr. Reimbursement Analyst / Medicare Medicaid Cost Reports DEPT: Reimbursement SHIFT: Days-Remote ESSENTIAL DUTIES & FUNCTIONS: โข Collects, analyzes all underlying data and prepares ...
TITLE: Sr. Reimbursement Analyst / Medicare Medicaid Cost Reports DEPT: Reimbursement SHIFT: Days-Remote ESSENTIAL DUTIES & FUNCTIONS: โข Collects, analyzes all underlying data and prepares ...
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Remote Medicare Analyst information
See salary details
$29.5K - $38K
0% of jobs
$38K - $46.5K
12% of jobs
$54.2K is the 25th percentile. Wages below this are outliers.
$46.5K - $55K
15% of jobs
$55K - $63.5K
18% of jobs
The median wage is $65.6K / yr.
$63.5K - $72K
23% of jobs
$76.7K is the 75th percentile. Wages above this are outliers.
$72K - $80.5K
14% of jobs
$80.5K - $89K
4% of jobs
$89K - $97.5K
3% of jobs
$97.5K - $106K
7% of jobs
$106K - $114.5K
2% of jobs
$114.5K - $123K
2% of jobs
$29.5K
$71.5K
$123K
How much do remote medicare analyst jobs pay per year?
What does a Remote Medicare Analyst do?
What are the key skills and qualifications needed to thrive as a Remote Medicare Analyst, and why are they important?
How can I make 2000 a week working from home?
What job makes $10,000 a month without a degree?
How can I make $70,000 a year working from home?
What is the difference between Remote Medicare Analyst vs Remote Health Insurance Underwriter?
| Aspect | Remote Medicare Analyst | Remote Health Insurance Underwriter |
|---|---|---|
| Required Credentials | Health-related certifications, Medicare knowledge, sometimes a license | Insurance licenses, actuarial or underwriting certifications often preferred |
| Work Environment | Remote, healthcare or insurance companies, government agencies | Remote, insurance companies, underwriting firms |
| Employer & Industry | Healthcare, government programs, insurance providers | Insurance carriers, health plans, underwriting firms |
| Common Search & Comparison | Yes | Yes |
The Remote Medicare Analyst and Remote Health Insurance Underwriter roles share similarities in working remotely within the healthcare and insurance industries, often requiring related certifications. While the Medicare Analyst focuses on analyzing Medicare claims, compliance, and program data, the Underwriter assesses insurance applications and determines risk. Both roles serve the health insurance sector but differ in their specific responsibilities and expertise areas.
What does a Medicare analyst do?
What are some common challenges faced by Remote Medicare Analysts, and how can they be addressed?
- Remote United Healthcare Claims
- Seasonal Medicaid Claims Processing
- Flex Schedule Claims Recovery Analyst
- Work From Home Medical Claim Review
- Remote Accelerated Claims
- Outpatient Medical Billing
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- Remote Cigna Claims Representative
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SR REIMBURSEMENT ANALYST / REMOTE / Medicare Medicaid Cost Reports
Premier HealthDayton, OH โข On-site, Remote
Full-time
Posted 12 days ago
Job description
TITLE: Sr. Reimbursement Analyst / Medicare Medicaid Cost Reports
DEPT: Reimbursement
SHIFT: Days-Remote
ESSENTIAL DUTIES & FUNCTIONS:
โข Collects, analyzes all underlying data and prepares supporting documentation for:
โข the Medicare cost report Worksheet S-10. Reviews outside consultant logs and schedules. Reviews audit adjustments for accuracy.
โข the Medicare cost report Medicaid DSH eligibility. Prepares additional provider research files and reviews outside consultant logs.
โข the Medicare cost reports Traditional Medicare Bad Debt and Dual Eligible logs.
โข the Medicare cost report Wage Index. Reviews audit adjustments for accuracy.
โข Prepares the calculation of accounts receivable and third-party reserves including the timely submission of the monthly journal entry along with additional analyses as needed.
โข Collects and analyzes all underlying data and prepares the Medicaid pending conversion calculations.
โข Prepares 340 B trial balances for inclusion with the annual HRSA submissions.
โข Prepares Medicare gain/loss analysis for Schedule H of Form 990.
โข Assists in the annual net revenue budget and three-year forecasting process. Research and completion of all governmental modeling is the primary focus.
โข Assists with the preparation of E&Y audit workpapers.
โข Reviews CMS/MAC rate reviews and audit adjustments for accuracy.
โข Prepares amended Medicare and Medicaid cost reports and Tricare capital and direct medical education reports and supporting schedules as needed.
โข Reviews tentative cost report settlements and final cost report settlements including audit adjustments for accuracy.
โข Prepares Medicare and Medicaid reimbursement factors and reimbursement calculators for Inpatient, Outpatient, Psych, and Rehab.
โข Collects and analyzes all underlying data in conjunction with the Rehab Unit and prepares the submission for the Inpatient Rehab Unit 75% compliance report for exemption from the Inpatient Prospective Payment System.
โข Collects and analyzes all underlying data, prepares all supporting documentation, and submits in a timely and accurate manner the Medicare occupational mix surveys. Reviews audit adjustments for accuracy.
โข Prepares HCAP logs and obtains supporting documentation for independent consultant review. Also, prepares the matching data in the formats used for the Medicaid cost report.
โข Prepares Myers & Stauffer logs for the federal DSH audits that match the Medicaid cost report in the required format in a timely and accurate manner.
โข Submits documentation for the Kentucky Workers' Compensation Hospital Fee Schedule cost-to-charge ratio calculation.
โข Collects all underlying data, prepares detail and summary invoices, and payment reconciliations for the Montgomery County Indigent Ill Levy submissions.
โข Acts as a liaison between Reimbursement and the report writing team to assist in regulatory data revisions.
โข Prepares detailed analysis of regulatory changes to determine the reimbursement impact to PHP.
โข Ensures compliance with Federal and State laws when using PHP provider numbers, including Provider Based Status rules.
โข Maintains current working knowledge of Medicare, Medicaid, and other regulations. Assists in providing education with Federal rules and regulations.
EDUCATION:
Minimum Level of Education Required:
Bachelor's Degreein Business Administration majoring in Accounting, Finance or related business field required.
EXPERIENCE:
Minimum Level of Experience Required:
ยง 3-5 years of job-related experience required.
ยง Hospital reimbursement required, including Medicare and Medicaid cost report experience required.
ยง Current working knowledge of the financial statement process, running ad-hoc patient financial system and/or general ledger financial reports, and strong financial skills required.
Preferred experience: Experience in Medicare medical education reimbursement (IME/DGME) and Medicare provider enrollment system (PECOS)