Reimbursement Analyst Senior

Michigan Medicine; Ann Arbor (MI); Hybrid; USD 75,000 - 110,000; Full time

Job summary

Michigan Medicine Finance is seeking a Senior Reimbursement Analyst to support net patient revenue reporting, reimbursement analysis, and third-party cost reporting for Michigan Medicine and its affiliates.

The analyst will use Kodiak Revenue Cycle Analytics (RCA) and other financial systems to analyze patient revenue, identify trends, and prepare reports for Finance leadership, with responsibilities including data validation, reconciliations, and regulatory reporting.

Qualifications

• Bachelor's degree required in finance, accounting, business analytics, healthcare administration, or related field.
• Progressive experience in healthcare finance, reimbursement, net patient revenue reporting, financial analysis, or related field.
• Experience analyzing large and complex financial and operational datasets.
• Experience with net patient revenue, contractual allowances, revenue recognition, third-party settlements, healthcare financial reporting, or related reimbursement processes.
• Advanced Excel skills including formulas, pivot tables, lookups, reconciliations, data validation, and financial modeling.
• Experience using databases, data-mining tools, query tools, or business-intelligence applications.

Responsibilities

• Prepare and analyze monthly net patient revenue reports.
• Reconcile data among patient accounting, general ledger, reimbursement, and other financial systems.
• Investigate significant revenue and reimbursement variances and summarize findings.
• Maintain Kodiak RCA settings, reports, reconciliations, and supporting documentation.
• Develop recurring and ad hoc reports using Excel, database tools, and other applications.
• Assist with reimbursement forecasts, settlements, reserves, and related financial analyses.
• Gather and analyze data for filing third-party cost reports, surveys, audits, and appeals.
• Prepare accurate workpapers supporting reimbursement calculations and filings.
• Research Medicare, Medicaid, and other payer regulations as needed.
• Identify opportunities to improve reporting accuracy, consistency, and efficiency.
• Collaborate with Finance, Revenue Cycle, affiliated hospitals, payers, auditors, and stakeholders.
• Manage multiple priorities and meet deadlines.

Skills

Advanced Excel

SQL

Data analysis

Financial reporting

Attention to detail

Communication

Education

Bachelor's degree in finance, accounting, business analytics, healthcare administration, or related field

Tools

Kodiak RCA

Databases

Microsoft Access

BI tools

Job description

Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society.

Job Summary

Michigan Medicine Finance is seeking a Senior Reimbursement Analyst to support net patient revenue reporting, reimbursement analysis, and third-party cost reporting for Michigan Medicine and its affiliates.

The analyst will support the monthly net patient revenue close, including data validation, account reconciliations, variance analysis, and financial reporting. The position will use Kodiak Revenue Cycle Analytics (RCA) and other financial systems to analyze patient revenue and reimbursement data, identify trends or unusual results, and prepare clear reports for Finance leadership.

The analyst will also assist with Medicare, Medicaid, TRICARE, and other third-party cost reports; reimbursement audits and appeals; regulatory reporting; financial audits; and ad hoc analysis.

Responsibilities

• Prepare and analyze monthly net patient revenue reports.
• Reconcile data among patient accounting, general ledger, reimbursement, and other financial systems.
• Investigate significant revenue and reimbursement variances and summarize findings.
• Maintain assigned Kodiak RCA settings, reports, reconciliations, and supporting documentation.
• Develop recurring and ad hoc reports using Excel, database tools, and other available applications.
• Assist with reimbursement forecasts, settlements, reserves, and related financial analyses.
• Gather and analyze data for filing third-party cost reports, surveys, audits, and appeals.
• Prepare accurate and well-organized workpapers supporting reimbursement calculations and filings.
• Research Medicare, Medicaid, and other payer regulations as needed.
• Identify practical opportunities to improve reporting accuracy, consistency, and efficiency.
• Collaborate with Finance, Revenue Cycle, affiliated hospitals, payers, auditors, and other stakeholders.
• Manage multiple priorities and projects while meeting month-end, regulatory, audit, and governmental deadlines.

Required Qualifications

• Bachelor's degree in finance, accounting, business analytics, healthcare administration, or a related field.
• Progressive experience in healthcare finance, reimbursement, net patient revenue reporting, financial analysis, or a related field.
• Demonstrated experience analyzing large and complex financial and operational datasets.
• Experience with net patient revenue, contractual allowances, revenue recognition, third-party settlements, healthcare financial reporting, or related reimbursement processes.
• Working knowledge of governmental and other third-party reimbursement concepts and payment methodologies.
• Advanced proficiency with Microsoft Excel, including complex formulas, pivot tables, lookups, reconciliations, data validation, and financial modeling.
• Experience using databases, data-mining tools, query tools, or business-intelligence applications.
• Ability to identify trends and anomalies, investigate variances, resolve data-quality issues, and develop well-supported conclusions.
• Ability to assess financial reports, models, and source data for accuracy, completeness, and reasonableness.
• Strong analytical reasoning, problem-solving, organizational, and attention-to-detail skills.
• Effective written, verbal, and presentation skills, including the ability to explain technical financial information to varied audiences.
• Demonstrated ability to work autonomously, exercise sound judgment, manage competing priorities, and meet firm deadlines.
• Strong teamwork, collaboration, and customer-service orientation.

Desired Qualifications

• Experience with hospital net patient revenue reporting, contractual allowances, revenue recognition, settlements, or variance analysis.
• Experience using Kodiak RCA.
• Experience extracting, reconciling, and analyzing data from patient accounting and general ledger systems.
• Experience with Structured Query Language (SQL), Microsoft Access, business-intelligence tools, or query development.
• Knowledge of Medicare, Medicaid, or other third-party payment methodologies.
• Experience supporting hospital cost reports, reimbursement audits, settlements, appeals, or regulatory filings.
• Experience in an academic medical center, healthcare system, or large teaching hospital.
• Experience presenting financial results to Finance or operational leaders.
• Experience improving or automating recurring financial reports and processes.

Modes of Work

Positions that are eligible for hybrid or mobile/remote work mode are at the discretion of the hiring department. Work agreements are reviewed annually at a minimum and are subject to change at any time, and for any reason, throughout the course of employment. Learn more about the work modes.

Additional Information

The successful candidate will be reliable, curious, and comfortable working with detailed financial data. This position requires the ability to recognize unusual results, research their causes, and communicate findings clearly.

The analyst will work with a degree of independence while receiving guidance on complex reimbursement matters. The role involves regular interaction with Finance, Revenue Cycle, affiliated hospitals, and other internal and external stakeholders.

Occasional additional hours may be necessary during month-end close, cost-report filing periods, audits, settlements, or other significant deadlines.

Background Screening

Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses.

Application Deadline

Job openings are posted for a minimum of seven calendar days. The review and selection process may begin as early as the eighth day after posting. This opening may be removed from posting boards and filled anytime after the minimum posting period has ended.

U-M EEO Statement

The University of Michigan is an Equal Opportunity Employer. We are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants, including protected veterans and individuals with disabilities.