Senior Healthcare Reimbursement Analyst/Full Time/Remote

Henry Ford Health System; Troy (MI); Remote; USD 60,000 - 90,000; Full time

Job summary

An established industry player is seeking a detail-oriented reimbursement analyst to join their dynamic team. In this role, you will compile and analyze data related to net revenue calculations, ensuring accuracy in financial audits and third-party cost reports. Your expertise in reimbursement regulations will be essential as you assess the impacts of changes in contracts and regulations. This position offers a unique opportunity to contribute to financial decision-making processes in a leading healthcare organization, where your analytical skills will be highly valued.

Qualifications

• 3-5 years of reimbursement experience including preparation and audit of hospital cost reports.
• General knowledge of third party reimbursement mechanisms.

Responsibilities

• Coordinate and file third party cost reports.
• Calculate monthly net revenues using contractual models.
• Analyze third party settlements and correspondence.

Skills

Analytical reasoning

Problem solving

Microsoft Excel

Microsoft Access

Education

Bachelor's Degree in Accounting or Finance

Master's Degree

Job description

GENERAL SUMMARY:
Compiles data and completes analysis related to net revenue calculations, third party cost reports and audits and various other reimbursement projects.

PRINCIPAL DUTIES AND RESPONSIBILITIES:
1. Coordination and filing of third party cost reports
2. Calculation and recording of monthly net revenues using contractual models
3. Assessing reimbursement impacts of changes in regulations and/or contracts
4. Prepare reconciliations and work papers of balance sheet accounts for financial audits
5. Respond to third party audit requests
6. Maintain knowledge on reimbursement regulations
7. Analyze third party settlements and correspondence

EDUCATION/EXPERIENCE REQUIRED:

• Bachelor's Degree in Accounting or Finance.


• Master's Degree, preferred.


• Three to five (3-5) years of reimbursement experience including preparation, audit or review of hospital cost reports.


• General knowledge of third party reimbursement mechanisms.


• Strong Analytical reasoning and problem solving skills are highly preferred.


• Must be proficient with Microsoft Access and Excel.

Additional Information

• Organization: Corporate Services


• Department: Cost Reimbursement


• Henry Ford Health Location: Henry Ford Hospital - Detroit Main Campus


• Shift: Day Job


• Union Code: Not Applicable