Accounting Reimbursement Analyst II

Ensign Services; San Juan Capistrano (CA); Hybrid; USD 75,000 - 85,000; Full time

Benefits offered by this job

Medical/Dental/Vision

Life Insurance

401(k) with company match

Sick/Vacation plans

Onsite gym

Job summary

Ensign Services, Inc. is seeking an Accounting Reimbursement Analyst II to support Medicare and Medicaid reimbursement analysis at our San Juan Capistrano ServiceCenter. You will prepare cost reports, analyze data, and assist in rate setting and special payment programs.

The role requires independent work within a collaborative team and will involve interaction with a growing U.S. client base. The ideal candidate has a strong accounting foundation, 2–3 years of experience, and advanced Excel

Qualifications

• Bachelor’s degree or Masters in Accounting or Finance (or equivalent experience) preferred.
• Minimum of 2–3 years of accounting or reimbursement experience required.
• Proficiency with Outlook and Word; advanced Excel skills and large data handling (VLOOKUP, HLOOKUP, XLOOKUP, nested IF/AND/OR, pivot tables).
• Multi-state Medicare and Medicaid reimbursement experience is a plus, not required.
• Experience with or exposure to data analytics strongly preferred, but not required.

Responsibilities

• Prepare Medicare and Medicaid cost reports across multiple states, ensure accuracy and compliance.
• Analyze Medicaid reimbursement rates quarterly or annually, assess regulatory impact.
• Review reports to communicate cost report adjustments to asset and liability accounts.
• Collaborate with state auditors/regulators, assist with audits as needed.
• Analyze balance sheet and income statement accounts related to reimbursement.
• Reconcile receivable/payable tied to Medicare/Medicaid settlements (bad debt).
• Stay updated on Medicare/Medicaid changes to ensure compliant reporting.
• Review occupancy reports and support related calculations in reporting.
• Collaborate with service center accounting teams to support processes.
• Provide support for ad hoc projects and initiatives.

Skills

Excel (Advanced)

VLOOKUP/HLOOKUP/XLOOKUP

Pivot Tables

Data Analytics

Outlook/Word

Education

Bachelor’s or Master’s in Accounting or Finance

Tools

Microsoft Excel

Microsoft Outlook

Microsoft Word

Job description

Position Type:

Full Time, exempt employee.

Compensation:

$75,000 - $85,000 annually, DOE; may be eligible for bonus.

Location:

This position based onsite at our San Juan Capistrano, CA ServiceCenter and may offer a hybrid work option after a 90-day probationary period (not fully remote).

About the Company:

Ensign Services, Inc. (“ESI”) is a subsidiary of The Ensign Group, Inc., which is a national leader in the operation of skilled nursing, senior living, rehabilitation, home health, hospice, and other healthcare services. ESI is known as the “Service Center” and provides the facilities and leaders it serves with “back-office” support in areas such as accounting, construction, compliance, human resources, information technology, learning and development, legal and risk management and recruiting.

We take our core values of Celebration, Accountability, Passion for Learning, Love One Another, Intelligent Risk Taking, Customer Second, and Ownership (“CAPLICO”) seriously. We want an individual in this role who will demonstrate these values through actions and words.

About the Opportunity:

The Accounting Reimbursement Analyst II plays an important role in supporting Medicare and Medicaid reimbursement analysis. This position works largely independently while staying connected to a collaborative team environment. In this role, you will prepare and complete Medicare and Medicaid cost reports, analyze financial and operational data, and support reimbursement-related functions within the accounting department. You will also develop expertise in Medicaid reporting for assigned states and help maintain financial models used for rate setting and special payment programs.

This role is ideal for someone with a strong accounting foundation, solid analytical skills, and the ability to work independently while contributing to team success. You will partner with a growing client base across the U.S. to deliver accurate, timely reimbursement analysis and reporting.

Job Duties and Responsibilities include, but are not limited to:

• Prepare Medicare and Medicaid cost reports across multiple states, ensuring accuracy and compliance with state and federal requirements.
• Analyze Medicaid reimbursement rates on a quarterly or annual basis, evaluating the financial impact of state regulations and proposed audit adjustments.
• Review payment and financial reports to identify, assess, and communicate cost report adjustments, including impacts to asset and liability accounts.
• Collaborate with state auditors and regulatory agencies, responding to inquiries and supporting audit processes.
• Analyze key balance sheet and income statement accounts, including accrued expenses and revenue accounts related to reimbursement.
• Reconcile receivable and payable accounts related to Medicare and Medicaid settlements, including bad debt.
• Stay current on changes to Medicare and Medicaid regulations, reimbursement methodologies, and rate impacts to ensure ongoing compliance and accuracy.
• Review monthly occupancy reports and support occupancy-related calculations used in reporting.
• Collaborate closely with service center accounting teams, including payroll, accounts payable, accounts receivable, tax, general ledger, and financial reporting, to support accurate and timely financial processes.
• Provide support for ad hoc projects and special initiatives as business needs arise.

Preferred Qualifications:

• Bachelor’s degree or Masters in Accounting or Finance (or equivalent experience), preferred.
• Minimum of 2-3 years of experience in accounting or reimbursement, required.
• Proficiency with standard office software, including Outlook and Word, with advanced Excel skills, including experience working with large data sets and proficiency with formulas such as VLOOKUP, HLOOKUP, and XLOOKUP, as well as nested IF/AND/OR statements and pivot tables.
• Multi-state Medicare and Medicaid reimbursement experience is a plus, but is not required.
• Experience with or exposure to data analytics strongly preferred, but not required.

  Physical Requirements:

  The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position, with or without reasonable accommodation.

  More than 50% of the time:

  • Sit, stand, and walk.
  • Perform repetitive movements of the hands, arms, and legs.
  • See, speak, and hear to effectively communicate with others and perform job duties.

  Less than 50% of the time:

  • Stoop, kneel, or crawl.
  • Climb and balance.
  • Carry and lift up to 20 pounds.

  Ensign Services, Inc. complies with applicable federal, state, and local laws regarding reasonable accommodations for qualified individuals with disabilities.

  Additional Information

  Any offer of employment may be contingent upon the successful completion of job-related post-offer requirements, which may include background checks, reference checks, and/or other screenings or examinations as permitted by applicable law.

  What We Offer

  We are committed to providing a competitive benefits and compensation package which includes medical/dental/vision coverage, company-provided life insurance, 401(k) with company match, and sick/vacation plans. Additionally, enjoy access to our fully equipped onsite gym (San Juan Capistrano office location). We also believe in supporting our employee’s professional growth and development through our Learning Management System as well as training sessions and seminars.Take a look at these benefits (and more!) at www.ensignbenefits.com

  Ensign Services, Inc. is an equal opportunity employer. If you need assistance or accommodation during the application process, please contact us at 888-659-3616.