Reimbursement Analyst III - Remote

HealthPartners; BLOOMINGTON (MN); Remote; USD 75,000 - 105,000; Full time

Job summary

HealthPartners is seeking a Remote Reimbursement Analyst III to join our finance team in Minnesota. The role focuses on Medicare cost reporting, net patient revenue analysis and cost report preparation.

The ideal candidate has a Bachelor's degree in Accounting or Finance and 3–5 years of healthcare finance experience, with strong Excel and cost reporting software skills. This remote position supports HealthPartners' regulatory and financial reporting efforts.

Qualifications

• Bachelor's degree in Accounting or Finance.
• 3–5 years of Medicare cost reporting or related healthcare finance experience.
• Advanced knowledge of hospital accounting and Medicare cost accounting fundamentals.
• Ability to communicate effectively both written and oral.
• Ability to handle confidential information with discretion.
• Ability to use a personal computer (Microsoft Office, Excel, PowerPoint) and cost report preparation software.
• Ability to work independently with light supervision.
• Advanced knowledge of third party reimbursement payment mechanisms and settlement procedures.
• Knowledge of hospital payor relationships and accounting.

Responsibilities

• Evaluation of Net Patient Services Revenue and Accounts Receivable (10%).
• Monthly analysis and valuation of net patient services revenue; interim updating of Medicare and third party settlement liabilities; quarterly evaluation of net patient accounts receivable and adjustments as required; external audit documentation needed.
• Medicare Cost Report Preparation and Audit Support (50%).
• Prepare cost reports for Regions and HealthPartners affiliates; assist the Reimbursement Manager with Medicare audit support; assist with Medicare appeal documentation and position papers.
• Decision Support System Modeling and Analysis (10%).
• Modeling of Net Revenue Reimbursement for Medicare & Medicaid; Auditing of Decision Support System reimbursement and costing; analysis of regulatory and program changes.
• Other Regulatory Reporting (20%).
• Filing of annual Department of Health Hospital Annual Report; filing of annual DoH Medical Education and Research Cost grant application; completion of trade association survey data.
• Preparation of annual net patient services revenue budget and associated other operating revenues (10%).
• Preparation of assumption-driven inpatient and outpatient gross revenue, contractual allowance and net patient services revenue budget; mid-year forecasting of net revenue.

Skills

Medicare cost reporting

Financial analysis

Cost accounting

Communication skills

Data confidentiality

Microsoft Office

Excel

PowerPoint

Independent work

Education

Bachelor's degree in Accounting or Finance

Tools

Cost report software

Excel

PowerPoint

Job description

HealthPartners is hiring a remote Reimbursement Analyst III.

MINIMUM QUALIFICATIONS:

• Education: Bachelor's degree in Accounting or Finance
• Experience: 3- 5 years of experience in Medicare cost reporting or related healthcare finance area
• Licensure/ Registration/ Certification: None
• Knowledge, Skills and Abilities:
  • Advanced knowledge of hospital accounting and Medicare cost accounting fundamentals
  • Knowledge of accounting, statistics and general business principles and practices
  • Ability to maintain effective working relationships with others
  • Ability to communicate effectively both written and oral
  • Ability to handle confidential information with discretion
  • Ability to use a personal computer (Microsoft Office, Excel, PowerPoint) and cost report preparation software
  • Ability to work independently with light supervision
  • Advanced knowledge of third party reimbursement payment mechanisms and settlement procedures
  • Knowledge of hospital payor relationships and accounting

MAJOR JOB DUTIES AND TASKS:

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 required

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