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Corporate Government Reimbursement Specialist - Medical Billing & Coding

Date Posted: Jul 09, 2024

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Overview:

Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 45 hospitals and has more than 300 outpatient locations in 14 states providing more than 2.6 million patient visits annually. It is one of the nation’s leading health systems with nearly 50,000 employees and physicians. Fourteen of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team!

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf

Responsibilities:

JOB SUMMARY:

Involved in preparation of various government reports and support their audits. The Corporate Government Reimbursement Specialist will assist in preparing and understanding main sections of cost report. The Corporate Government Reimbursement Specialist should understand how one section of the report is linked to another and be able to evaluate the accuracy of the entire report.

Qualifications:

Required Qualifications:

Minimum 10 years in experience creating or supporting cost reports
Experience in preparing and completing entire Medicare and Medicaid cost reports, preferably for a multi-state hospital system and provide the support at audit
Knowledge of Medicare rules on Medicare DSH, Medicare bad debts, charity and hospital bad debts for S-10, Interns and Residents FTE counts. Apply the knowledge when preparing the cost report and its subsequent audit.
Experience working with Besler’s EZWP program, HFS, PS&R, 835 files, financial statement, and patient account systems.
Strong analytical skills and resourceful
Experience working with hospital GL and patient accounting systems (Lawson, EPIC, Meditech)
Strong communication skills

Preferred Qualifications:

Bachelor’s degree preferred or minimum four classes in accounting/finance.

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Prime Healthcare offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. Benefits may vary based on employment status, i.e. full-time, part-time, per diem or temporary. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $92,081.60 to $135,158.40 on an annualized basis. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.

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Medical Billing & Coding
Employer Name

Prime Healthcare Management Inc - Ontario, CA

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Corporate Government Reimbursement Specialist - Medical Billing & Coding

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