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About the Role

Ensures maximization of Reimbursement for facilities through the preparation, development, and analytical review of statistical and financial reports to be submitted to Third Party Payers abiding by Federal, State and payor reimbursement regulations and Generally Accepted Accounting Principles.

Responsibilities

Coordinates and prepares the Institutional Cost Report, Medicare Cost Report, Medicaid Cost Report, and any payor Supplemental reports for New York Eye and Ear (NYEE) or other facilities as needed.
Reviews all rate calculations received from various Third-Party Payers, ensuring the accuracy of data.
Prepares appeals to various Third-Party Payers, stating the Institutions position on proposed changes to the reimbursement regulations.
Analyzes the monthly activity and prepares schedules for the Bad Debt and Charity Care Pool accounts, recording and reviewing all payments and distributions made to and from the Pools.
Assist with developing charges for various inpatient and outpatient services for institutions, gathering all the cost information involved with the service and ensuring that the developed charge is comparable to other Health Care Institutions.
Prepares cash budget for the department.
Trains and assigns work of staff.
Responsible for updating department with all new regulations and proposed changes to the Medicare Reimbursement System, as set forth in the Health Care Financial Administration Publication 15-1, the Federal Register, and Part 86-1 of the Health’s Rules and Regulations.
Interfaces with auditors from fiscal intermediary and independent accounting firm to ensure the proper presentation of the facilities Revenues and Expenses and balance sheet items in the annual financial statements and Institutional Cost Report.
Responsible for preparation of Monthly Pool payments for NYS.
Performs other related duties.

Requirements

5 years' minimum experience, preferably in a health care setting

Location

42nd Street

Work Type

Full-Time
Hybrid

Education Level

Bachelor's Degree in Health Care Administration, Public Administration or related field; Master's Degree preferred

Salary/Compensations

$95,450.00 - $143,175.00 Annually

About the Company

Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time — discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients’ medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report’s “Best Children’s Hospitals” ranks Mount Sinai Kravis Children's Hospital among the country’s best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek’s “The World’s Best Smart Hospitals” ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally.

Equal Opportunity

The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization.