Reimbursement Analyst/Accounta

The Reimbursement Analyst/Accountant is responsible for the effective filing of Medicare/Medicaid and other Third Party Cost Reports to maximize the cash flow through the interim rates and final settlement.

• Completes patient assessments, formulates plan of care, oversees implementation of plan of care, evaluate and adjust plan of care utilizing critical thinking skills
• The performance of other nursing acts which are authorized or limited by the board, and which are consistent either with American Nursing’s Association Standards of Practice or with Standards of Practice established by nationally accepted organizations of registered nurses.
• Care, counsel health teaching and promotion, utilizes Teach Back methodology as affirmation of comprehension
• The administration of medication, intravenous therapy and treatment as prescribed by a LIP
• Supervision, delegation and follow-through to other personnel in the performance of activities relating to nursing care.
• Mentors and precepts students and orient new staff as assigned
• Reports up chain of command Clinical Nurse Manager/Nurse Manager/House Nurse Coordinator pertinent information
• Participates on various teams, committees or performance improvement initiatives
• Ensures a safe and secure environment for patients, coworkers and self
• Participates in Discharge Planning and Transition of Care (able to define pt needs)
• Serves as a patient advocate and escalates patient related concerns timely
• Timely documents pertinent findings in medical record
• Assist patients in performing activities of daily living and functions as an active team member
• Assumes responsibility for personnel professional development
• Utilizes effective communication skills and active listening, exhibits compassionate and empathetic attitude
• Practices Hands Off communication utilizing SBAR; Performs Bedside Shift reporting utilizing SBAR (unless contradicted)
• Functions as a positive influence, role model and adheres to professional code of conduct
• Respects dignity and confidentiality of all matters relating to patients
• Refer to Special Addendum and Staff Nurse Position Description
• Performs other job duties as assigned.

• Bachelor of Science (B.S.) Degree in Accounting required.

• Minimum of two (2) years of experience in the preparation of Medicare and Medicaid cost reports required.

• Knowledge of Medicare and Medicaid reimbursement methodologies.

• Knowledge of healthcare financial reporting and cost reporting requirements.

• Ability to prepare and analyze Medicare and Medicaid cost reports accurately.

• Strong accounting, analytical, and problem-solving skills.

• Ability to interpret federal and state reimbursement regulations.

• Strong attention to detail and accuracy.

• Proficiency in financial systems, spreadsheets, and accounting software.

• Ability to communicate effectively with internal and external stakeholders.

• Ability to maintain confidentiality and handle sensitive financial information.