Analyst, Reimbursement III

Socket.dev; BLOOMINGTON (MN); On-site; USD 65,000 - 90,000; Full time

Job summary

HealthPartners is hiring a Reimbursement Analyst III to support net patient services revenue, accounts receivable, and regulatory reporting in Minnesota. The role emphasizes Medicare cost reports, audit support, and decision-support modeling to ensure accurate, compliant reimbursement.

You will prepare annual revenue budgets, run mid-year forecasts, and respond to regulatory changes. Collaboration with finance, operations, and management is essential to maintaining financial integrity and

Responsibilities

• Monthly analysis and valuation of net patient services revenue and accounts receivable
• Prepare cost reports for Regions and HealthPartners affiliates; assist Medicare audit support and documentation
• Modeling net revenue reimbursement for Medicare & Medicaid; audit of decision support system reimbursement and costing; analyze regulatory changes
• File annual Department of Health Hospital Annual Report based on Minnesota regulations; file DOH grant application; compile trade association survey data
• Prepare assumption-driven inpatient and outpatient gross revenue budgets, contractual allowances, and net patient services revenue; mid-year revenue forecasting analysis

Job description

HealthPartners is hiring a Reimbursement Analyst III.

MAJOR JOB DUTIES AND TASKS:

Percentage Of Time:

1. Evaluation of Net Patient Services Revenue and Accounts Receivable

10%

1. Monthly analysis and valuation of net patient services revenue
2. Interim updating of Medicare and third party settlement liabilities
3. Quarterly evaluation of net patient accounts receivable and adjustments as required
4. External Audit resource for documentation needed to audit net patient revenue and net patient accounts receivable valuation

2. Medicare Cost Report Preparation and Audit Support

50%

1. Prepare cost reports for Regions and HealthPartners affiliates
2. Assist the Reimbursement Manager with Medicare audit support as needed
3. Assist the Reimbursement Manager with the preparation of Medicare appeal Documentation and position paper preparation as needed

3. Decision Support System Modeling and Analysis

10%

1. Modeling of Net Revenue Reimbursement for Medicare & Medicaid
2. Auditing of Decision Support System reimbursement and costing
3. Analysis of regulatory and program changes using decision support system

4. Other Regulatory Reporting

20%

1. Filing of annual Department of Health Hospital Annual Report based on existing State of Minnesota regulations
2. Filing of annual Department of Health Medical Education and Research Cost grant application based on existing State of Minnesota regulations
3. Completion of trade association survey data related to patient services revenue and statistical data available from regular analytical records

5. Preparation of annual net patient services revenue budget and associated other operating revenues

10%

1. Preparation of assumption driven inpatient and outpatient gross revenue, contractual allowance and net patient services revenue budget based on historical data and business volume changes as communicated by management direction
2. Prepare analysis for mid year forecasting of net revenue