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Reimbursement Consulting Manager, Cost Reporting

Company: Mueller Prost
Location: Irvine
Posted on: October 18, 2020

Job Description:

Description:

WHAT YOU'LL DO

Be assigned client responsibility

Review of both Skilled Nursing and Home Health and Hospice Medicare and Medicaid Cost Reports for clients nationwide

Medicare and Medicaid Reimbursement Optimization Consulting

Perform any special projects as needed by clients operationally

Proficient in State Facility Specific Reimbursement Medicaid Programs for Skilled Nursing (more specifically, knowledge of CA, TX, MO a plus)

Proficient in PDGM and PDPM Methodology

Support Medicaid/Medicare audit process to including gathering and reviewing audit documents and answering auditor's questions

Support Medicaid/Medicare appeals including proactively following-up with clients about Rate Setting Audit Reports issued, submitting appeals, researching and compiling documents needed for hearing, and attending and leading formal and informal appeal hearings

Writing of Quarterly Newsletters and Client Alerts (as needed)

Become proficient in MP cost report process / steps budgeted times, manage cost report production and margins and meet production goals

Work within a group setting and assist team members when available

Communicate effectively with internal and external clients

Association Involvement

Reimbursement/Finance Committees

Speaking Events

Trades shows (as needed)

Increase business with existing clients and market to prospective clients

.

Requirements:

WHAT WE SEEK

Minimum of 5 years of skilled nursing cost reporting, reimbursement and audit/appeal knowledge

Knowledge of Home Health and Hospice cost reporting requirements and reimbursement

Knowledge of reimbursement systems in California, Texas, Missouri a plus

Bookkeeping/Accounting background is an advantage

Client relationship development experience required along with the ability to actively maintain those relationships by providing optimum client service.

Competent knowledge of computer software programs with special emphasis on MS Excel spreadsheets, MS Outlook, HFS Software, Winlash, and MS Word

Strong analytical, research, organization, and written/verbal communication skills

Team-oriented but also a self-starter able to work independently

Ability to coordinate diverse tasks simultaneously within stringent time frames

Must be detail-oriented

Quick learner and open to new ideas

Have a positive attitude

Willing and able to travel if asked including periodic overnight travel for out of town engagements

ABOUT MUELLER PROST

Mueller Prost is an equal opportunity employer and a firm believer in work-life balance. We invite you to learn more about our firm by visiting our website at http://muellerprost.com.

Best Places to Work 2016, 2017, 2018, 2019 & 2020 Winner, St. Louis Business Journal

Largest Accounting Firms List, 2015, 2016, 2017, 2018, 2019, St. Louis Business Journal

The 2020 Regional Leaders - Top 100 Firms: Midwest, Accounting Today's Who's Who in Law and Accounting 2015

St. Louis Business Journal Top 200 Fastest Growing Firms, 2018, Inside Public Accounting

PM20

PI124911185

Keywords: Mueller Prost, Irvine , Reimbursement Consulting Manager, Cost Reporting, Other , Irvine, California

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