Reimbursement Accountant

Post Date

Apr 15, 2024

Location

Topeka,
Kansas

ZIP/Postal Code

66612
US
Jul 25, 2024 Insight Global

Job Type

Contract

Category

Accounting

Req #

KCM-697463

Pay Rate

$29 - $43 (hourly estimate)

Job Description

Statement Limit Reports

Complete annual upper payment limit claim, payment, and rate review reporting for the following services: Inpatient, outpatient, clinic, and physician.

Complete additional upper payment limit reports as requested to accompany state plan amendments.

Communicate with CMS and/or CMS contractor to submit reports, answer questions, and update reporting methodology.



Graduate Medical Education (GME) Payment Programmatic Operations & Oversight:

Communication, collaboration, and compliance with hospital providers qualifying for quarterly claim-based education reimbursement.



Data Analytics: Establish and maintain operating knowledge of data systems, reporting software, and secure data delivery services. Create and maintain program specific data queries, Excel workbooks, and formulas to accurately calculate payments and reports in accordance with state and federal regulation. Design comprehensive ad-hoc data sets to calculate

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to [email protected].

To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ .

Required Skills & Experience

Statement Limit Reports

Complete annual upper payment limit claim, payment, and rate review reporting for the following services: Inpatient, outpatient, clinic, and physician.

Complete additional upper payment limit reports as requested to accompany state plan amendments.

Communicate with CMS and/or CMS contractor to submit reports, answer questions, and update reporting methodology.



Graduate Medical Education (GME) Payment Programmatic Operations & Oversight:

Communication, collaboration, and compliance with hospital providers qualifying for quarterly claim-based education reimbursement.



Data Analytics: Establish and maintain operating knowledge of data systems, reporting software, and secure data delivery services. Create and maintain program specific data queries, Excel workbooks, and formulas to accurately calculate payments and reports in accordance with state and federal regulation. Design comprehensive ad-hoc data sets to calculate

Benefit packages for this role will start on the 31st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.