Reimbursement Sr Analyst

Intermountain Health; Broomfield (CO); Remote; USD 80,000 - 100,000; Full time

Job summary

A leading healthcare organization seeks a Reimbursement Sr Analyst to manage third-party financial accounting, support compliance with Medicare and Medicaid, and lead reimbursement tasks. This fully remote position involves analytical duties and mentoring within a collaborative environment. Ideal candidates will have a strong background in finance with relevant experience and skills in reimbursement processes.

Benefits

Generous benefits package

Qualifications

• Demonstrated experience in a role requiring data analysis.
• Computer skills including spreadsheets, databases, and word processing.
• Experience with third-party financial accounting and contractual allowances.

Responsibilities

• Independently prepares or reviews financial accounting for multiple facilities.
• Performs or reviews reimbursement processes and interacts with hospital staff.
• Acts as a mentor and coordinates training for reimbursement functions.

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

Job description

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This range is provided by Intermountain Health. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$32.00/hr - $51.00/hr

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.

This is a 100% remote position however, currently we are unable to consider candidates for remote opportunities in the following states: California, Hawaii, Illinois, New York, Rhode Island, Vermont, Connecticut and Washington.

• 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
  
  

Qualifications 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
• Experience with reimbursement world and cost reports.
  
  

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.

$32.77 - $51.61

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.

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.

At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.

All positions subject to close without notice.

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Finance and Sales

• Industries

  Hospitals and Health Care

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