Memorial Sloan-Kettering Cancer Center Reimbursement Specialist in New York, New York

Reimbursement Specialist

Job Posting Number: 16238

Professional – Finance

New York,NY

September 25, 2017

Company Overview:

At Memorial Sloan Kettering (MSK), we’re not only changing the way we treat cancer, but also the way the world thinks about it. By working together and pushing forward with innovation and discovery, we’re driving excellence and improving outcomes.

For the 27th year, MSK has been named a top hospital for cancer by U.S. News & World Report. We are proud to be on Becker’s Healthcare list as one of the 150 Great Places to Work in Healthcare in 2016, as well as Glassdoor’s annual Employees’ Choice Awards 2017. We’re treating cancer, one patient at a time. Join us and make a difference every day.

Job Details:

MSK’s Financial Planning team is seeking a Reimbursement Specialist . This position works directly with the Director, Financial Analysis and Regulatory Reimbursement Manager on all aspects of governmental reporting needed to obtain reimbursement. The person in this role will be involved in all aspects of the preparation of the Medicare Cost Report, New York State Cost Report and other regulatory and third party filings, as well as in the audits of the reports and the preparation of appeal documents in response to these audits.

You Will:

  • Prepare the cost schedules of the Medicare Cost Report and the NYS Institutional Cost Report.

  • Download data needed from the financial and revenue reporting systems to prepare the cost report schedules. Use Access and Excel to organize the data in the format needed.

  • Recognize and research unusual variances from prior year to ensure that information is being reported properly.

  • Prepare all necessary supporting documentation to be included with the filing.

  • Participate in the audits of the Medicare Cost Report and the NYS Institutional Cost Report performed by outside governmental agencies or their subcontractors.

  • Prepare responses to audit requests and inquiries. Work with the team to ensure that all responses are complete and handled in a timely fashion. Prepare schedules needed for any required refiling or ropening of a cost report.

  • Work with the team in preparation of the TEFRA and the audit adjustments appeals. Prepare schedules needed to complete these appeals as well as respond to questions from auditors on the appeals.

  • Participate in the preparation of other regulatory reporting including the patient care research rate agreement, the NYS DSH audit tool and the HCRA surcharge and statewide assessment audit tool.

  • Prepare responses to the various requests for data and information received throughout the year. This includes requests from various departments within the hospital and outside agencies. Prepare output that is responsive to each requestor’s specific needs.

  • Perform all other designated assignments as required by the position or as established by the Director, Financial Analysis and/or the Regulatory Reimbursement Manager.

You Are:

  • Action-oriented and eager to embrace new opportunities and tough challenges with a sense of urgency, high energy, and enthusiasm.

  • Resilient in recovering from setbacks and skilled at finding detours around obstacles.

  • Adept at learning on the run while tackling new problems, using both successes and failures as learning fodder.

  • An effective communicator, capable of determining how best to reach different audiences and executing communications based on that understanding.

  • Effective at building formal and informal networks inside and outside the organization to further departmental and institutional goals.

  • Effective at gaining the support and commitment of others by engaging them around your perspective and priorities.

  • Flexible in your approach and demeanor in order to align with the shifting demands of evolving circumstances.

  • Adept at planning and prioritizing work to meet commitments aligned with organizational goals.

  • Skilled at creating partnerships and working collaboratively with others to meet shared objectives and goals.

  • Able to operate effectively, even when things are not clear or the way forward is not obvious.

  • A good decision-maker, with proven success at making timely decisions that keep the organization moving forward.

  • Consistently achieving results, even under tough circumstances.

  • Able to work effectively in an environment notable for complex information.

You Have:

  • A Bachelor’s Degree in Accouting or Finance.

  • 2-4 years of experience in Hospital Reimbursement and/or Cost Reporting.

  • A strong understanding of Medicare and Medicaid regulations surrounding reimbursement and cost reports.

  • A strong technical aptitude of Medicare and NYS Software Packages needed to complete filings.

  • Knowledge of computers and software such as database management, spreadsheets and word processing.

  • Familiarity with COGNOS and GE Revenue systems is a plus.

  • A strong ability and understanding of how to collect, analyze, interpret and prepare data for use in various filings.

#LI-JN1

MSK is an equal opportunity and affirmative action employer committed to diversity and inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration without regard to race, color, gender, gender identity or expression, sexual orientation, national origin, age, religion, creed, disability, veteran status or any other factor which cannot lawfully be used as a basis for an employment decision.

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