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Avera Marshall Reimbursement Analyst in Sioux Falls, South Dakota

JOB SUMMARY: The Reimbursement Analyst assists with the preparation of Medicare, Medicaid, and Tricare cost reports for Avera hospitals, rural health clinics and nursing homes. The Analyst assists with net revenue analysis, including the calculation and reconciliation of contractual allowances and uncompensated care reserves for all Avera Health hospitals, clinics and nursing homes where the AR data is uploaded into the Crowe Revenue Cycle Analytics software (RCA). Assist with the preparation of Medicare and Medicaid 3rd Party Settlement Reserves analysis for all Avera Health PPS and CAH Hospitals, RHCs and nursing homes. Assists with ad hoc analysis and similar projects for the Avera Network.

EDUCATION and/or EXPERIENCE:

  • Bachelor’s degree in Accounting, Business or related field required.

  • 2-3 years of experience of working in the healthcare environment with regulatory and cost reporting experience required.

  • Experience with hospital, nursing home, RHC and CAH cost reporting is preferred.

  • Knowledge of clinic reimbursement rules and practices also preferred.

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