Reimbursement Analyst at WVU Medicine: Remote Opportunity

Role Overview

As a Reimbursement Analyst at WVU Medicine, you will play a critical role in ensuring the accuracy and compliance of our financial reporting and reimbursement processes. This remote position offers the opportunity to leverage your expertise in third-party reimbursement regulations, cost reporting, and auditing to support our mission of providing exceptional healthcare services.

Your primary focus will be on analyzing data from various sources to address cost report and reimbursement filing audits, reviews, and rate adjustments required by regulatory agencies. You will utilize your extensive knowledge of Medicare and Medicaid regulations to provide accurate support and inform management about the impact of changing regulations and audits.

A Day in the Life

Here’s a glimpse into what your typical day might look like:

• Analyzing cost report data to identify potential issues and discrepancies.
• Preparing and submitting accurate and timely cost reports to Medicare and Medicaid.
• Responding to audit inquiries and providing supporting documentation.
• Coordinating with various departments to gather necessary data for cost reporting and audits.
• Monitoring changes in reimbursement regulations and assessing their impact on WVU Medicine.
• Developing and implementing process improvements to enhance the efficiency and accuracy of cost reporting.
• Collaborating with external auditors and consultants.
• Providing training and guidance to other staff members on reimbursement matters.
• Staying up-to-date on industry best practices and emerging trends in healthcare reimbursement.
• Participating in meetings and conference calls with regulatory agencies and industry organizations.

Why Remote Work?

This remote position offers numerous benefits, including:

• Flexibility: Enjoy a better work-life balance with the ability to set your own schedule and work from the comfort of your home.
• Independence: Take ownership of your work and manage your projects with minimal supervision.
• Productivity: Eliminate distractions and create a workspace that optimizes your focus and concentration.
• Cost Savings: Save money on commuting expenses, work attire, and meals.
• Location Independence: Live and work from anywhere within a commutable distance, expanding your opportunities.

Career Path

WVU Medicine is committed to providing opportunities for growth and advancement. As a Reimbursement Analyst, you can progress along a career path that leads to:

• Senior Reimbursement Analyst: Take on more complex projects and responsibilities, providing mentorship and guidance to junior analysts.
• Reimbursement Manager: Oversee the reimbursement department, managing staff and ensuring the accuracy and compliance of all cost reporting and audit activities.
• Director of Reimbursement: Lead the organization's reimbursement strategy, working closely with senior management to optimize financial performance.

Salary & Benefits

WVU Medicine offers a competitive salary and benefits package, including:

• Competitive salary commensurate with experience and qualifications (estimated range: $65,000 - $95,000 annually).
• Comprehensive health insurance (medical, dental, vision).
• Paid time off (PTO) for vacation, sick leave, and holidays.
• Retirement plan with employer matching contributions.
• Tuition reimbursement for continuing education.
• And more!

WVU Medicine Culture

WVU Medicine is a leading healthcare system in West Virginia, committed to providing high-quality patient care and advancing medical knowledge. We foster a culture of teamwork, collaboration, and innovation, where employees are empowered to make a difference.

Our values include:

• Patient-Centeredness: Putting the needs of our patients first.
• Integrity: Maintaining the highest ethical standards.
• Respect: Treating everyone with dignity and compassion.
• Excellence: Striving for continuous improvement in all that we do.
• Teamwork: Working together to achieve common goals.

How to Apply

To apply for the Reimbursement Analyst position, please submit your resume and cover letter through our online application portal. Be sure to highlight your relevant experience and qualifications, including your knowledge of third-party reimbursement regulations, cost reporting, and auditing.

Frequently Asked Questions (FAQ)

1. What are the key responsibilities of a Reimbursement Analyst? The main responsibilities include preparing and submitting cost reports, responding to audits, analyzing reimbursement regulations, and coordinating with various departments.
2. What qualifications are required for this role? A Bachelor’s Degree or HFMA Certified Hospital Cost Report Specialist (CHCRS) is required, along with experience in Medicare cost reporting and knowledge of relevant regulations.
3. Is this a fully remote position? Yes, this position is fully remote.
4. What software and systems should I be familiar with? Experience with hospital electronic health record systems (EPIC, Cerner), cost reporting applications, and general ledger/accounting systems is preferred.
5. What are the opportunities for career growth at WVU Medicine? WVU Medicine offers a clear career path for Reimbursement Analysts, with opportunities to advance to Senior Analyst, Manager, and Director positions.
6. What benefits does WVU Medicine offer? WVU Medicine offers a comprehensive benefits package, including health insurance, paid time off, retirement plan, and tuition reimbursement.
7. What is the work culture like at WVU Medicine? WVU Medicine fosters a culture of teamwork, collaboration, and innovation, with a strong emphasis on patient-centeredness, integrity, and respect.
8. What is the salary range for this position? The estimated salary range for this position is $65,000 - $95,000 annually, depending on experience and qualifications.
9. What are the essential skills for success in this role? Essential skills include analytical thinking, problem-solving, communication, and attention to detail.
10. How does WVU Medicine support employee development? WVU Medicine provides various opportunities for professional development, including training programs, conferences, and tuition reimbursement.