Remote Reimbursement Senior Analyst (Medicare/Medicaid)

Intermountain Healthcare Inc.; Atlanta (GA); Remote; USD 47,000 - 74,000; Full time

Benefits offered by this job

Fully remote

Job summary

Intermountain Healthcare Inc. is seeking a skilled reimbursement specialist for a fully remote, full-time role.

You will prepare and review third-party financial accounting, contractual allowances, cost reports, and surveys, with limited supervision for routine tasks. You will collaborate across Finance, Revenue Cycle, Operations, Government Relations, and Executive Leadership to interpret complex healthcare regulations and maximize reimbursement, supporting organizational goals and a

Qualifications

• Bachelor’s degree in accounting, Finance or other business related field with four years’ experience. 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.

Responsibilities

• Performs routine and non-routine tasks requiring more in-depth analysis and is expected to identify alternatives and recommend plans to resolve problems.
• 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.

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

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

Tools

Excel

Databases

Word processing

Internet

Job description

Intermountain Healthcare Inc. is seeking a skilled reimbursement specialist for a fully remote, full-time role.

You will prepare and review third-party financial accounting, contractual allowances, cost reports, and surveys, with limited supervision for routine tasks. You will collaborate across Finance, Revenue Cycle, Operations, Government Relations, and Executive Leadership to interpret complex healthcare regulations and maximize reimbursement, supporting organizational goals and a