Hospital Reimbursement Analyst

Insight Global; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

Insight Global is seeking a remote Reimbursement Analyst for a hospital system in Myrtle Beach. This role involves ensuring accurate financial reporting for Medicare and Medicaid, preparing regulatory submissions, and managing audits. Candidates should have at least three years' experience in a relevant healthcare position and a Bachelor's Degree. A competitive salary and comprehensive benefits package, including medical, dental, and vision insurance, are offered from the start of employment.

Benefits

Medical insurance

Vision insurance

401(k)

Paid sick leave

Paid time off

Qualifications

• Bachelor's Degree required.
• At least 3 years of progressive healthcare experience.
• Experience as a Reimbursement Analyst or similar roles.

Responsibilities

• Prepare regulatory submissions like IRS Form 990 Schedule H.
• Coordinate audits from Medicare & Medicaid.
• Perform net revenue analysis as required.

Skills

Strong organizational skills

Attention to detail

Strong verbal communication skills

Strong written communication skills

Proficiency with Microsoft Office

Ability to work independently

Ability to multitask

Critical thinking skills

Education

Bachelor's Degree

Job description

This range is provided by Insight Global. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$30.00/hr - $40.00/hr

Insight Global is looking for a remote Reimbursement Analyst for a Myrtle Beach based hospital system.

The Reimbursement Analyst will ensure timely and accurate reporting of all regulatory financial information to Medicare & Medicaid. This position requires the ability to manage strict deadlines, work independently and own one's work product.

What you will do

• Prepare various required regulatory submissions. This includes but is not limited to: IRS Form 990 Schedule H; Medicare, Medicaid & Tricare Cost Reports; Medicaid DSH; Joint Annual Reports.
• Coordinate and manage external audits from Medicare & Medicaid as necessary.
• Prepare monthly contractual allowance models across all entities. Review and analyze for reasonableness and determine significant drivers of variances to budget and historical trends.
• Assist with preparation of the annual net revenue operating budget through the gathering of data and use of various budgeting/forecasting tools.
• Perform net revenue analysis as requested by the organization. Examples include: service line revenue estimates, payer contract related revenue analysis, etc.
• Update and analyze payor contract information to perform reimbursement modeling.
• Ensure compliance with applicable laws and regulations and conduct business in an ethical and professional manner.
• Update and maintain job knowledge through educational opportunities, development of professional networks and participation in professional organizations.
• Contribute to departmental and organizational special projects as assigned.

Education Qualifications

• Bachelor's Degree

Experience Qualifications

• At least 3 years of progressive healthcare experience working as a Reimbursement Analyst in a hospital, a Medicare Administrative Contractor (MAC), and/or a professional audit or consulting firm focusing on cost reporting and healthcare reimbursement. Required

Skills and Abilities

• Strong organizational skills and attention to detail required.
• Strong verbal and written communication skills required.
• Proficiency with Microsoft Office (including Word, Excel, Outlook & Powerpoint).
• Ability to work independently or in a team setting.
• Able to multitask and manage strict deadlines.
• Ability to apply critical thinking skills on a regular basis.
• Experience in HFS

Compensation:

$30.00/hr to $40.00/hr.

Exact compensation may vary based on several factors, including skills, experience, and education.

Employees in this role will enjoy a comprehensive benefits package starting on day one of employment, including options for medical, dental, and vision insurance. Eligibility to enroll in the 401(k) retirement plan begins after 90 days of employment. Additionally, employees in this role will have access to paid sick leave and other paid time off benefits as required under the applicable law of the worksite location.

Seniority level

• Seniority level

  Associate

Employment type

• Employment type

  Contract

Job function

• Job function

  Health Care Provider

• Industries

  Hospitals and Health Care

Referrals increase your chances of interviewing at Insight Global by 2x

Inferred from the description for this job

Medical insurance

Vision insurance

401(k)

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