Reimbursement Senior Analyst

11000 Central Office; United States; On-site; USD 47,000 - 74,000; Full time

Benefits offered by this job

Well-being benefits

PEAK tuition program

Privacy protection

Job summary

Intermountain Healthcare Inc. is seeking a reimbursement specialist to analyze and prepare Medicare and Medicaid settlements, cost reports, and surveys across multiple hospitals.

You will interpret federal and state regulations and collaborate with Finance, Revenue Cycle, Operations, Government Relations, and Leadership to maximize reimbursement. The role requires strong experience in Medicare/Medicaid methodologies, financial modeling, and data analytics, with the ability to manage complex

Qualifications

• Bachelor’s degree in accounting, Finance or other business related field with four years’ experience.
• Master’s degree in accounting, Finance, or other business-related field with two years experience.
• Computer skills including spreadsheets, databases, word processing, and Internet.

Responsibilities

• Performs routine and non-routine tasks requiring in-depth analysis and identifies alternatives.
• Performs or reviews reimbursement processes (i.e., reconciliation of third-party G/L accounts, calculation of actual and budgeted contractual allowances and variances).
• Prepares monthly Medicare and Medicaid settlement and policy reserve calculations.
• Interacts with Medicare Administrative Contractor, State Medicaid, and hospital personnel as needed.

Skills

Reconciliation

Accounting

Accounts Payable/Receivable Process

Medicare

Medicaid

General Ledger

Financial Statements

Analytical Thinking

Reimbursement

Education

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

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

Job description

Job Description

Prepares or reviews third-party financial accounting, contractual allowances, cost reports and surveys, and other projects as assigned. Requires no supervisor assistance for routine tasks and minimal supervision for non-routine tasks. 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.

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.


• May be responsible for the coordination, training, direction and review of those working with reimbursement functions.


• Understands and stays current on laws and regulations related to reimbursement.


• Determines the impact of reimbursement changes on hospital operations with minimal supervision.


• Responsible for managing 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.


• Develop, document and revise system design procedures, test procedures and quality standards.


• Investigates 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.


• Is responsible for 2+ hospitals or 1+ hospital and Central Office assignments.

Skills

• Reconciliation


• Accounting


• Accounts Payable/Receivable Process


• Medicare


• Medicaid


• General Ledger


• Financial Statements


• Analytical Thinking


• Reimbursement

Qualifications

• Bachelor’s degree in accounting, Finance or other business related field with four years’ experience. A degree must be obtained from an accredited institution. Education is verified.


• Master’s degree in accounting, Finance, or other business-related field with two years experience. Education must be obtained from an accredited institution. Degree will be verified.


• Computer skills including spreadsheets, databases, word processing, and Internet.

Preferred Qualifications

• Bachelor’s degree in accounting, Finance or other business related field with four years’ experience. A degree must be obtained from an accredited institution. Education is verified.


• Master’s degree in accounting, Finance, or other business-related field with two years experience. Education must be obtained from an accredited institution. Degree will be verified.


• Computer skills including spreadsheets, databases, word processing, and Internet.

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

Hourly Rate

The hourly range for this position is listed below. Actual hourly rate dependent upon experience. $34.26 - $53.96

Benefits

• 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.


• 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.


• We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment.

Equal Opportunity

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.

Company Overview

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.

All positions subject to close without notice. Thanks for your interest in continuing your career with our team!