Remote Senior Reimbursement Analyst - Medicare/Medicaid

Intermountain Healthcare Inc.; San Juan (PR); Remote; USD 47,000 - 74,000; Full time

Job summary

Intermountain Health is seeking a skilled reimbursement analyst to prepare and review Medicare/Medicaid settlements, cost reports, and surveys. The role emphasizes complex analysis, regulatory compliance, and collaboration with Finance, Revenue Cycle, and Operations.

Experience across hospital cost reporting, data analytics, and auditing processes is valued, with opportunities to mentor others and lead cross-functional efforts in a remote-capable role.

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 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).
• 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 maximize reimbursement.
• Acts as a mentor. May coordinate, train, direct and review those working with reimbursement functions.
• Understands and stays current on laws and regulations related to reimbursement and determines impact on hospital operations with minimal supervision.
• Manages scope and completion of work, meeting deadlines, and delivering to customers or end users; develops, documents and revises system design procedures and quality standards.
• Investigates changes in reimbursement and communicates potential impacts to reimbursement; coordinates with site and system financial leadership.
• 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

Computer skills (spreadsheets, databases, word processing, Internet)

Job description

Intermountain Health is seeking a skilled reimbursement analyst to prepare and review Medicare/Medicaid settlements, cost reports, and surveys. The role emphasizes complex analysis, regulatory compliance, and collaboration with Finance, Revenue Cycle, and Operations.

Experience across hospital cost reporting, data analytics, and auditing processes is valued, with opportunities to mentor others and lead cross-functional efforts in a remote-capable role.