Reimbursement Senior Analyst

Intermountain Healthcare Inc.; Santa Fe (NM); Remote; USD 47,000 - 74,000; Full time

Benefits offered by this job

PEAK program

Generous benefits package

Job summary

Intermountain Health is seeking a financial reimbursement specialist to prepare and review Medicare/Medicaid settlements, cost reports and surveys across multiple facilities and centralized offices. The role requires strong data analysis, reconciliation, and collaboration with Finance, Revenue Cycle and Operations.

The candidate will interpret complex regulations, coordinate training, and manage complex projects with deadlines while supporting organizational goals and ensuring compliant

Qualifications

• Experience in data analysis and reconciling financial data.
• Strong computer skills with spreadsheets, databases and word processing.
• Experience with third-party financial accounting and reimbursement processes.

Responsibilities

• Performs routine and non-routine analysis tasks and identifies alternatives.
• Reconciles third-party G/L accounts and calculates contractual allowances.
• Prepares Medicare/Medicaid settlements and policy reserve calculations.
• Prepares cost reports, reviews audit adjustments and supports appeals.
• Mentors and trains teammates in reimbursement functions.
• Manages project scope, deadlines and deliverables for stakeholders.

Skills

Reconciliation

Accounting

Accounts Payable/Receivable

Medicare

Medicaid

General Ledger

Financial Statements

Analytical Thinking

Reimbursement

Education

Bachelor’s degree in accounting, Finance or other business-related field

Job description

Fully Remote

Peaks Regional Office

Full time

R183058

Job Description

Independently prepares or reviews third-party financial accounting, contractual allowances, cost reports and surveys for multiple assigned facilities and/\or multiple assigned facilities and centralized office function. and other projects as assigned.

We are committed to offering flexible work options where approved and stated in the job posting. However, we are currently not considering candidates who reside or plan to reside in the following states: California, Connecticut, Hawaii, Illinois, Massachusetts, Minnesota, New York, Pennsylvania, Rhode Island, Vermont, Virginia and Washington. Colorado for remote caregivers’ whose assigned Intermountain facility or service area is not based in Colorado.

Please note that a video interview through Microsoft Teams will be required as well as potential onsite interviews and meetings

The hiring manager is considering applicants who have experience in Medicare and Medicaid reimbursement methodologies, hospital cost reporting, financial modeling, data analytics, audit processes, and reimbursement settlements. Proven ability to interpret and apply complex federal and state healthcare regulations. We seek candidates who bring diverse professional backgrounds, experiences, perspectives, and innovative problem-solving skills, with the ability to collaborate effectively across Finance, Revenue Cycle, Operations, Government Relations, and Executive Leadership to support organizational goals and drive strategic outcomes.

Schedule - Standard business hours, Monday through Friday. Position may require occasional additional hours during peak regulatory filing periods, audits, settlements, budget season, or other critical reimbursement deadlines.

Essential Functions

• Performs routine and non-routine tasks requiring more in-depth analysis and is expected to identify alternatives and recommend plans to resolve problems. Direction is limited to overall process and complex problems. Timely and accurately completes assigned tasks.
• Performs or reviews reimbursement processes (i.e., reconciliation of third-party G/L accounts, calculation of actual and budgeted contractual allowances and variances, monitoring of individual claims (logs), etc.). Interacts with HIM, PAS, and hospital finance staff as needed.
• Prepares monthly Medicare and Medicaid settlement and policy reserve calculations using technically acceptable and reasonably conservative reimbursement methodologies.
• Prepares or reviews cost reports and surveys, reviews audit adjustments and settlements, and files appeals and exception requests to appropriately maximize reimbursement. Interacts with Medicare Administrative Contractor, State Medicaid, and hospital personnel as needed.
• Acts as a mentor. As assigned, coordinates training, direction and review of those working with reimbursement functions.
• Manages scope and completion of work, meeting deadlines, and providing deliverables to the customers or end users. Manages complex projects, schedules and facilitates meetings as necessary to complete assignments. Develops, documents and revises system design procedures, test procedures and quality standards.
• Investigations changes in reimbursement and communicates potential impacts to reimbursement. Communicates effectively with site and system financial leadership to establish key financial variables requiring special analysis.

Skills

• Reconciliation
• Accounting
• Accounts Payable/Receivable Process
• Medicare
• Medicaid
• General Ledger
• Financial Statements
• Analytical Thinking
• Reimbursement

Qualifications Required

• Demonstrated experience in a role requiring data analysis.
• Demonstrates computer skills including spreadsheets, databases, word processing, and Internet.
• Demonstrated experience with third-party financial accounting, contractual allowances, cost reports and surveys

Preferred

• Bachelor’s degree in accounting, Finance or other business-related field from an accredited institution. Education is verified.
• Two years’ experience in Medicare, Medicaid, and/or governmental reporting

Physical Requirements

• Ongoing need for employee to see and read information, documents, monitors, identify equipment and supplies, and be able to assess customer needs.
• Frequent interactions with providers, colleagues, customers, patients/clients, and visitors that require employee to verbally communicate as well as hear and understand spoken information, needs, and issues quickly and accurately.
• Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer use for typing, accessing needed information, etc.
• May have the same physical requirements as those of clinical or patient care jobs, when the leader takes clinical shifts.
• For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.

Location:

Peaks Regional Office

Work City:

Broomfield

Work State:

Colorado

Scheduled Weekly Hours:

40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

$34.26 - $53.96

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits package here (https://intermountainhealthcare.org/careers/benefits) .

By applying for a position with Intermountain, I acknowledge that I will comply with all applicable Intermountain policies and expectations. If applying for a remote or hybrid role, this includes remote work expectations related to confidentiality, information security, work schedules, conflicts of interest, and use of company equipment. I further acknowledge that outside employment or activities may not interfere with job responsibilities or create a conflict of interest with Intermountain. Actual or reasonably perceived conflicts may be grounds for disqualification from consideration or, if hired, corrective action up to and including termination of employment.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

Intermountain Health’s PEAK program supports caregivers in the pursuit of their education goals and career aspirations by providing up-front tuition coverage paid directly to the academic institution. The program offers 100+ learning options to choose from, including undergraduate studies, high school diplomas, and professional skills and certificates. Caregivers are eligible to participate in PEAK on day 1 of employment. Learn more. (https://intermountainhealthcare.org/careers/working-for-intermountain/employee-benefits/peak-program/)

All positions subject to close without notice.

Headquartered in Utah with locations in six primary states and additional operations across the western U.S., Intermountain Health is a nonprofit system of 34 hospitals, 400+ clinics, a medical group of more than 4,800 employed physicians and advanced care providers, a health plan division called Select Health with more than one million members, and other health services. Helping people live the healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery.

Join our world-class team and embark on a career filled with opportunities, strength, innovation, and fulfillment.

Thanks for your interest in continuing your career with our team!