Ambulatory Reimbursement Analyst

Adventist Health; Roseville (CA); On-site; USD 78,000 - 105,000; Full time

Benefits offered by this job

Comprehensive benefits package

Job summary

Adventist Health Roseville is seeking a healthcare reimbursement accountant who will prepare and analyze contractual adjustment journal entries, assist with annual net revenue budgeting, and explain variances to management. You will work with clinic data, leveraging SQL Server and Power BI to understand reimbursements and charging patterns.

The role requires a Bachelor's degree in accounting or related field, advanced Excel skills, and experience in healthcare revenue cycle. MBA preferred.

Qualifications

• Bachelor's degree in accounting/finance/economics/business administration or related field required.
• Three years' experience in healthcare reimbursement or revenue cycle preferred.
• Advanced Excel knowledge required (Pivot tables, LOOKUP, INDEX, MATCH, GETPIVOT).
• Basic accounting knowledge (journal entries, debits/credits) required.

Responsibilities

• Presents results of mathematical modeling and data analysis to management and finance staff.
• Analyzes net revenue variances by clinic and carrier type monthly and annually for budget presentations.
• Uses data sources including SQL server databases and Power BI dashboards to analyze reimbursements and charging patterns.
• Applies knowledge of different insurance payment methodologies to understand variances.
• Models net revenue forecasts for clinic model changes and participates in improvement processes.
• Performs other job-related duties as assigned.

Skills

Advanced Excel

Basic accounting knowledge

Education

Bachelor's degree in accounting/finance/economics/business administration or related field

MBA (preferred)

Tools

Power BI

SQL Server

Pivot tables

LOOKUP

INDEX/MATCH

Job description

Job Description

Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect.

Whether virtual or on campus, Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work.

Job Summary

Prepares and analyzes contractual adjustment journal entries every month for Adventist Health’s large group of physician clinics. Assists in preparing the net revenue budget annually and provides variance explanations on monthly variance to budget as well as budget to trends.

Job Requirements

Education and Work Experience:

• Bachelors degree in accounting, finance, economics, business administration or related field: Required
• Master’s Degree in business administration: Preferred
• Three years' experience in healthcare reimbursement or revenue cycle: Preferred
• Advanced Excel knowledge (i.e. Pivot tables, LOOKUP, INDEX, MATCH, GETPIVOT): Required
• Basic accounting knowledge (creation of journal entries from data, understanding of debits and credits): Required

Essential Functions

• Presents the results of mathematical modeling and data analysis to management or other end users. Analyzes and explains net revenue variances in the clinic setting down the clinic and carrier type monthly and annually during budget analysis for presentation to market finance officers and other finance staff, and physician enterprise executives.
• Understands and uses several data sources, including pivot tables from SQL server databases, as well as Power BI dashboards to analyze and understand different practice specialties’ reimbursements and charging patterns. Understands and applies knowledge of different reimbursement methodologies of different clinic types to understand and explain net revenue variances.
• Understands and applies knowledge of requirements and payment methodologies of different insurance types. Monitors billing system issues and works with coding, registration staff, or others to fix issues impacting general ledger assignment.
• Applies collection rates for clinics and payer categories where we do not have historical information available. Provides accurate chargemaster pricing for foundation clinics based on Medicare and commercial fee schedules by CPT code.
• Models net revenue forecasts for clinic model changes (i.e. independent clinic to hospital based or rural health clinic). Works in a team setting to identify problems and participates in instituting an improvement process.
• Performs other job-related duties as assigned.

Organizational Requirements

Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.

Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.

About Us

Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.

JOB INFO

Job Shift : Day Shift

Locations :

Roseville, CA, United States

Assignment Category : Full-time regular

Pay Range : The estimated base pay for this position is $78,000 to $105,309. Additional individual compensation may be available for this role through differentials, extra shift incentives, bonuses, etc. Base pay is only a portion of the total rewards package, and a comprehensive benefits program is available for qualifying positions.

Hiring Department : Reimbursement Accounting

Shift Length : 8 Hours