Senior Medicare Reimbursement Analyst

100 LCMC Health; United States; On-site; USD 85,000 - 115,000; Full time

Job summary

100 LCMC Health is seeking a Senior Reimbursement Analyst to compile information for claims submissions and serve as a central resource for reimbursement analyses and annual cost reports. The role supports financial models for Medicare GME reimbursements and interprets reimbursement patterns for various departments.

The candidate will guide junior staff, stay current with CMS regulations, and develop management reports to aid decision-making across programs.

Qualifications

• BA in Business Administration or Accounting required.
• Strong knowledge of Medicare/Medicaid reimbursement principles.
• Experience with government healthcare reimbursement and cost reporting.

Responsibilities

• Prepare accurate government regulatory reports including Medicare/Medicaid cost reports.
• Compute interim Medicare/Medicaid settlements and impact on reimbursement.
• Support auditors and provide documentation as needed.
• Analyze data and design reports for management to guide decisions.
• Stay updated on CMS regulations affecting GME reimbursements and clients.
• Coordinate with teams for cost reporting and analyses.

Skills

Excel

Access

Word

PowerPoint

Medicare knowledge

Education

BA In Business Administration or Accounting

Tools

CMS PRM regulations manuals

CMS 2552 software

CMS IACS/EIDM

Medicare IRIS

electronic cost reporting software

Job description

100 LCMC Health is seeking a Senior Reimbursement Analyst to compile information for claims submissions and serve as a central resource for reimbursement analyses and annual cost reports. The role supports financial models for Medicare GME reimbursements and interprets reimbursement patterns for various departments.

The candidate will guide junior staff, stay current with CMS regulations, and develop management reports to aid decision-making across programs.