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Truman Medical Centers Corporate Reimbursement Specialist - UH Truman Support Center (Tiffany Springs) in Kansas City, Missouri

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Corporate Reimbursement Specialist - UH Truman Support Center (Tiffany Springs)

TMC Truman Medical Centers

Job Location

Truman Support Center

Kansas City, Missouri

Department

Corporate Reimbursement

Position Type

Full time

Work Schedule

8:00AM - 4:30PM

Hours Per Week

40

If you want to work where the action is, University Health (UH) is the place for you. Known as “Kansas City’s Essential Hospital,” UH is the safety net healthcare system for Jackson County/Kansas City. We are an academic medical center, serving as the primary teaching institution for the UMKC Schools of Medicine, Nursing, Dentistry, and Pharmacy. A 547-bed, not-for-profit health system, UH delivers the highest-quality medical care for our patients, with compassion, empathy, and unparalleled dedication to service. During the 2020 pandemic, we also stepped forward as a regional leader in COVID care and testing. UH is comprised of three campuses:

UH Truman Medical Center is located in the Health Sciences District of downtown Kansas City, Missouri. The Health Sciences District represents a robust academic community, leading the forefront of biomedical research and cutting edge technology. Partnered with UMKC and Children’s Mercy Hospital. University Health serves as the cornerstone in educating the next generation of healthcare practitioners. As a Level 1 Trauma Center, we’re a leader in Emergency Medicine and Critical Care, with world-class expertise in chronic disease management and women’s services, including high-risk maternity care. The Health Sciences District is also home to the University Health 1 and 2 buildings. UH 1 is UH’s beautiful specialty outpatient clinics and day-surgery center and UH 2 is the location for all of our primary care and women’s care clinics.

UH Lakewood Medical Center is located between Kansas City and Lee’s Summit, Missouri, offering residents of Eastern Jackson County access to a modern community hospital with a continuum of outpatient services designed to meet the needs of families. UH Lakewood specializes in high-risk maternal and child care, and serves as one of the few Kansas City metro area institutions accredited by The Joint Commission in Orthopedics and Palliative Care. It also is home to a 188-bed, fully accredited long-term care center.

UH Behavioral Health is the KC metro area’s largest, most comprehensive provider of mental health services. The Crossroads Building , located in Kansas City’s vibrant Crossroads Arts District, is its epicenter, providing a broad list of outpatient services. We also offer psychiatric inpatient care, and we deliver therapeutic services through our community outreach clinics. We are a leader in the Trauma-Informed Care Movement, and provide training, coaching and consulting to outside organizations.

Job Description

Responsible for the collection, preparation and reporting of data for third party reimbursement. Work with independence and must be able to balance a schedule for completing required work for both facilities and home office. Work closely with others in the department.

  1. Prepares cost reports and supporting cost reporting workpapers for government and third party agencies ensuring compliance with both Federal and State regulations. This includes duties from coordinating activities to analysis follow-up of time studies and data requests to summarized reports of the information.

  2. Monitors various Medicare and Medicaid logs including Medicare remittance advices for accuracy. Prepares PIP reports as requested by Medicare. Reviews analysis of unpaid claims and informs appropriate contacts of issues. Prepares Medicare charity/bad debt log.

  3. Prepares IRIS report complying with CMS requirements. Accumulates and maintains a log of intern/resident rotations reconciling to billing invoices and with the other rotation hospitals. Reviews auditor adjustments and verifies accuracy. Coordinates education of relevant departments on resident regulations and requirements.

  4. Assists in the Charge Description Master (CDM) maintenance.

  5. Identifies system enhancement opportunities and recommends appropriate changes. Performs file maintenance for personal computer software program with appropriate I.T. network and hardware support.

  6. Promotes quality improvement, staff and patient safety, and cultural diversity through department operations and by personal performance

  7. Presents a courteous and helpful demeanor, appropriate for age, to all patients, visitors, other Truman employees/medical staff members, or any other person an employee encounters while representing Truman Medical Center. 8. Maintains current knowledge related to applicable statutes, regulations, guidelines and standards necessary to perform job duties in accordance with the requirements of the Corporate Compliance Plan. Complies with the requirements of the Code of Conduct, Corporate Compliance Plan and Compliance Policies and Procedures, including training requirements. Participates in compliance activities under the direction of the Department Manager and Corporate Compliance Officer.

Minimum Requirements

  1. Bachelor’s Degree with major in Accounting or Finance.

  2. Five years hospital reimbursement, Fiscal Intermediary/MAC auditing or reimbursement consulting experience.

  3. Knowledge of Medicare reimbursement regulations.

  4. Ability to gather information from various sources, creates accurate detail spreadsheets, and then evaluates the information for reasonableness.

  5. Ability to organize work and meet deadlines without supervision.

  6. Proficient in the use of Excel, Word, and Outlook.

Preferred Qualifications

  1. Knowledge of Access.

  2. Knowledge of coding and CDM maintenance.

  3. Knowledge of STAR patient accounting system.

  4. Knowledge of TRENDSTAR.

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