Reimbursement Analyst, Senior (Medicare Cost Reporting)

1100 Endeavor Health Clinical Operations; Arlington Heights (IL); On-site; USD 45,000 - 76,000; Full time

Benefits offered by this job

Medical, Dental, Vision options

Free Parking at designated locations

Tuition Reimbursement

Retirement options with company match

Paid Time Off

Wellness Program

Savings Plan

Health Savings Account options

Job summary

Endeavor Health in Arlington Heights, IL is seeking a Senior Reimbursement Analyst to lead complex reimbursement processes, analyze Medicare and Medicaid data, and ensure compliance with healthcare regulations to maximize hospital revenue.

The role requires 5+ years in healthcare reimbursement or financial analysis, with at least 2 years in a senior or leadership position, and strong expertise in financial software and data management.

Qualifications

• Bachelor's degree in Health Administration, Finance, or Accounting required; Master’s preferred.
• 5+ years in healthcare reimbursement or financial analysis; at least 2 years in leadership.
• Expertise in financial analysis, data management, and financial software proficiency.

Responsibilities

• Conduct in-depth analysis of healthcare reimbursement data, including Medicare, Medicaid, to identify trends, opportunities, and discrepancies.
• Stay current with federal and state regulations related to healthcare reimbursement and ensure the hospital's practices align with all applicable guidelines.
• Lead efforts to maximize revenue by optimizing reimbursement rates, identifying opportunities for increased reimbursement.
• Oversee the preparation, review, and timely submission of cost reports for Medicare and Medicaid, ensuring accuracy.
• Assess the financial impact of proposed changes to reimbursement rates, and regulatory updates.
• Coordinate and assist in financial and compliance audits related to reimbursement, providing documentation and explanations as needed.
• Provide guidance, training, and mentorship to junior analysts and hospital staff on reimbursement-related matters.

Skills

Financial analysis

Data management

Spreadsheet software

Regulatory compliance

Education

Bachelors in Health Administration

Bachelors in Finance

Bachelors in Accounting

Masters degree preferred

Tools

Financial software

Spreadsheet software

Job description

Hourly Pay Range

$35.16 - $54.50 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors.

Position Highlights

Position: Reimbursement Analyst, Senior
Location: Arlington Heights, IL
Full Time/Part Time: Full Time
Hours: Monday-Friday, [hours and flexible work schedules]

Position Summary

The Senior Reimbursement Analyst is responsible for leading and overseeing complex reimbursement processes at the hospital. This role includes in-depth analysis of reimbursement data, compliance with healthcare regulations, and the development of strategies to maximize revenue through effective billing and reimbursement practices.

What you will do

• Conduct in-depth analysis of healthcare reimbursement data, including Medicare, Medicaid, to identify trends, opportunities, and discrepancies.
• Stay current with federal and state regulations related to healthcare reimbursement and ensure the hospital's practices align with all applicable guidelines.
• Lead efforts to maximize revenue by optimizing reimbursement rates, identifying opportunities for increased reimbursement.
• Oversee the preparation, review, and timely submission of cost reports for Medicare and Medicaid, ensuring accuracy.
• Assess the financial impact of proposed changes to reimbursement rates, and regulatory updates.
• Coordinate and assist in financial and compliance audits related to reimbursement, providing documentation and explanations as needed.
• Provide guidance, training, and mentorship to junior analysts and hospital staff on reimbursement-related matters.

What you will need

• Education: Bachelors Degree Health Administration Required Or Bachelors Degree Finance Required Or Bachelors Degree Accounting Required Or Masters Degree Preferred
• Experience: 5+ Years of experience in healthcare reimbursement, financial analysis, or a related field, with at least 2 years in a senior or leadership role.
• Expertise in financial analysis, data management, and the use of financial software and spreadsheet applications.

Benefits

• Career Pathways to Promote Professional Growth and Development
• Various Medical, Dental, and Vision options
• Tuition Reimbursement
• Free Parking at designated locations
• Wellness Program
• Savings Plan
• Health Savings Account Options
• Retirement Options with Company Match
• Paid Time Off
• Community Involvement Opportunities

When you work for Endeavor Health, you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential

Endeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals – Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) – all recognized as Magnet hospitals for nursing excellence. For more information, visit www.endeavorhealth.org. When you work for Endeavor Health, you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential. Please explore our website (www.endeavorhealth.org) to better understand how Endeavor Health delivers on its mission to “help everyone in our communities be their best”. Endeavor Health is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information. Diversity, equity and inclusion is at the core of who we are; being there for our patients and each other with compassion, respect and empathy. We believe that our strength resides in our differences and in connecting our best to provide community-connected healthcare for all.

EOE

Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.

Welcome to Endeavor Health Careers

At Endeavor Health, we believe every role plays an important part in advancing our mission to help everyone in our communities be their best. Whether you’re just beginning your career journey or are a seasoned professional, you’ll find opportunities here to learn, grow, and thrive. Your Career is our Endeavor.