REIMBURSEMENT ANALYST

Froedtert Health; Menomonee Falls (WI); Hybrid; USD 65,000 - 90,000; Full time

Benefits offered by this job

Paid time off

Growth opportunities & Career Tuition

Academic Partnership with the Medical 

Referral bonuses

Retirement plan - 403b

Medical, Dental, Vision, Life, Short &

Employee Assistance Programs

Adoption Assistance

Gym membership discounts

Job summary

Froedtert Health in Menomonee Falls, WI is seeking a Reimbursement Analyst to analyze reimbursement and net revenue activity, ensuring accurate financial reporting and regulatory compliance. You will prepare reserve calculations, settlement estimates, account reconciliations, and support budgeting, forecasting, and audits.

The role is Hybrid, with on-site requirements for meetings and critical work; remote work is approved as needed.

Qualifications

• 1 Year accounting/finance experience.
• 2 Years experience as a financial analyst/accountant/reimbursement analyst in a healthcare organizations preferred

Responsibilities

• Prepare and maintain monthly net revenue reserve models, including bad debt reserves and other revenue adjustments, in accordance with organizational policies and procedures.
• Analyze net revenue variances and reserve fluctuations, identify key drivers, and assist in recommending updates to assumptions, methodologies, and forecasting processes.
• Prepare third-party settlement estimates and perform reconciliations of reimbursement-related balance sheet accounts to support accurate financial reporting.
• Assist with the preparation of budgeted net revenue projections by providing analytical support, reimbursement data, and trend analysis.
• Support the development and maintenance of reimbursement policies, procedures, and standardized processes to ensure consistency and regulatory compliance.
• Review operational and financial reports, identify discrepancies or process improvement opportunities, and provide recommendations to enhance reporting accuracy and efficiency.
• Assist with Medicare, Medicaid, and other governmental payer cost report audits by gathering supporting documentation, researching reimbursement issues, and responding to auditor requests.

Education

Bachelor's degree in Accounting, Finance or economics/mathematics

Job description

Discover. Achieve. Succeed. #BeHere

Location: US:WI:MENOMONEE FALLS at our WOODLAND PRIME 400 facility.

This job is HYBRID.

FTE: 1.000000

Standard Hours :40.00

Shift: Shift 1

Job Summary

The Reimbursement Analyst is responsible for analyzing reimbursement and net revenue activity to ensure accurate financial reporting, regulatory compliance, and effective reimbursement management. This role prepares reserve calculations, settlement estimates, account reconciliations, and reimbursement analyses while participating in budgeting, forecasting, and audit activities. The analyst is the primary contact to work with third parties on identifying government related reimbursement opportunities and preparing the annual filing requirements on state and federal reports (Medicare/Medicaid cost reports).

This is a hybrid position. Remote work is approved but will need to be on site for meetings and work as needed.

Responsibilities

• 1. Prepare and maintain monthly net revenue reserve models, including bad debt reserves and other revenue adjustments, in accordance with organizational policies and procedures.
• 2. Analyze net revenue variances and reserve fluctuations, identify key drivers, and assist in recommending updates to assumptions, methodologies, and forecasting processes.
• 3. Prepare third-party settlement estimates and perform reconciliations of reimbursement-related balance sheet accounts to support accurate financial reporting.
• 4. Assist with the preparation of budgeted net revenue projections by providing analytical support, reimbursement data, and trend analysis.
• 5. Support the development and maintenance of reimbursement policies, procedures, and standardized processes to ensure consistency and regulatory compliance.
• 6. Review operational and financial reports, identify discrepancies or process improvement opportunities, and provide recommendations to enhance reporting accuracy and efficiency.
• 7. Assist with Medicare, Medicaid, and other governmental payer cost report audits by gathering supporting documentation, researching reimbursement issues, and responding to auditor requests.

Experience Required

1 Year accounting/finance experience. 2 Years experience as a financial analyst/accountant/reimbursement analyst in a healthcare organizations preferred

Education Required

Bachelors degree in Accounting, Finance or economics/mathematics.

Perks & Benefits at Froedtert Health

• Paid time off
• Growth opportunity- Career Pathways & Career Tuition Assistance, CEU opportunities
• Academic Partnership with the Medical College of Wisconsin
• Referral bonuses
• Retirement plan - 403b
• Medical, Dental, Vision, Life Insurance, Short & Long Term Disability, Free Workplace Clinics
• Employee Assistance Programs, Adoption Assistance, Healthy Contributions, Care@Work, Moving Assistance, Discounts on gym memberships, travel and other work life benefits available

The Froedtert & the Medical College of Wisconsin regional health network is a partnership between Froedtert Health and the Medical College of Wisconsin supporting a shared mission of patient care, innovation, medical research and education. Our health network operates eastern Wisconsin's only academic medical center and adult Level I Trauma center engaged in thousands of clinical trials and studies. The Froedtert & MCW health network, which includes ten hospitals, nearly 2,000 physicians and more than 45 health centers and clinics draw patients from throughout the Midwest and the nation.

We are proud to be an Equal Opportunity Employer who values and maintains an environment that attracts, recruits, engages and retains a diverse workforce. We welcome protected veterans to share their priority consideration status with us at 262-439-1961. We maintain a drug-free workplace and perform pre-employment substance abuse testing. During your application and interview process, if you have a need that requires an accommodation, please contact us at 262-439-1961. We will attempt to fulfill all reasonable accommodation requests.