Professional reimbursement analyst with comprehensive expertise in healthcare finance and reimbursement processes. Adept at analyzing financial data, ensuring compliance, and optimizing reimbursement strategies. Strong focus on collaborative team efforts and achieving measurable outcomes, with high degree of adaptability to changing needs. Known for analytical skills, attention to detail, and results-driven approach.
Assisted in the preparation of the annual Medicaid and Medicare cost reports.
Prepared singularly the annual Pediatrics and Psychology department cost reports.
Assisted with the compilation of the data for the Humana Tricare cost settlement.
Organized and analyzed the square footage reports for the hospital and associated clinics for cost reporting purposes.
Reconciled weekly Medicaid Remittance Advices (RAs) to determine weekly Medicaid Adult and Infant days.
Prepared quarterly Intergovernmental Transfers (IGTs) for Medicaid Reimbursement and appropriate match payments made on behalf of the hospital.
Monitored and documented accounts receivable trends and account-specific profitability.
Calculated quarterly Physicians Supplemental Payments to be received by the hospital.
Reconciled contractual invoices and match payments.
Supported reimbursement processes by analyzing claims and identifying discrepancies.
Assisted in preparing reports on reimbursement trends and outcomes for management review.
Corresponded with Americans Essential Hospitals organization on annual hospital statistics survey.
Prepared monthly general ledger journal entries for entry.
Analyzed hospital click and claim system and reconciled payment receivables.
Assisted outside audit firm with audit statistics with relation to hospital residents.
Reviewed policy guidelines to ensure compliance with reimbursement regulations and standards.
Maintained accurate records of reimbursements and adjustments in tracking systems.
Maintained up-to-date knowledge of regulatory changes affecting reimbursements and proactively adapted processes accordingly.
Conducted regular audits of reimbursement data, ensuring compliance with industry regulations and internal policies.