Reimbursement Analyst (Hospital Experience Required)

Insight Global; South Carolina; Remote; USD 60,000 - 80,000; Full time

Job summary

A leading company is seeking a remote Reimbursement Analyst for a Myrtle Beach based hospital system. The candidate will manage regulatory submissions and audits while ensuring compliance with healthcare standards. This role requires strong analytical skills and a solid background in healthcare reimbursement practices to effectively support the organization’s financial integrity.

Benefits

Medical insurance

Vision insurance

401(k) with employer matching

Paid sick leave

Qualifications

• 3+ years as a Reimbursement Analyst in healthcare.
• Familiarity with Medicare and Medicaid cost reporting.
• Experience with external audits and financial submissions required.

Responsibilities

• Prepare regulatory submissions including IRS Form 990 Schedule H.
• Coordinate external audits with Medicare & Medicaid.
• Conduct net revenue analysis and model reimbursement.

Skills

Organizational skills

Communication skills

Critical thinking

Proficiency with Microsoft Office

Education

Bachelor's Degree

Job description

Reimbursement Analyst (Hospital Experience Required)

Reimbursement Analyst (Hospital Experience Required)

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

$38.00/hr - $42.00/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

$38hr to $42hr

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

Benefit packages for this role will start on the 31st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.

Seniority level

• Seniority level

  Associate

Employment type

• Employment type

  Full-time

Job function

• Job function

  Other

• 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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