Remote Senior Medicare & Medicaid Reimbursement Analyst

Intermountain Healthcare Inc.; Baton Rouge (LA); Remote; USD 97,949,000 - 154,616,000; Full time

Job summary

Intermountain Health is seeking a senior financial analyst to manage Medicare/Medicaid reimbursement, cost reporting, and settlements across multiple hospitals. Fully remote with standard business hours, some peak periods may require extra hours.

You will prepare settlement calculations, review cost reports, and collaborate with HIM, PAS, and finance staff to optimize reimbursement. Requires strong regulatory knowledge and analytical skills.

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. 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.
• 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.
• 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

Education

Bachelor’s degree in accounting/Finance

Master’s degree in accounting/Finance

Tools

Spreadsheets

Databases

Word processing

Internet

Job description

Intermountain Health is seeking a senior financial analyst to manage Medicare/Medicaid reimbursement, cost reporting, and settlements across multiple hospitals. Fully remote with standard business hours, some peak periods may require extra hours.

You will prepare settlement calculations, review cost reports, and collaborate with HIM, PAS, and finance staff to optimize reimbursement. Requires strong regulatory knowledge and analytical skills.