Senior Reimbursement Analyst

Dayton Children's; Dayton (OH); Hybrid; USD 70,000 - 90,000; Full time

Job summary

Dayton Children's is seeking a Senior Reimbursement Analyst to optimize the organization’s financial performance through comprehensive reimbursement and revenue cycle data analysis. You will develop and deliver advanced reporting while ensuring compliance with payer reporting requirements.

The ideal candidate has a Bachelor's degree, 3 years of relevant experience, and proficiency in Microsoft Excel. This role supports leadership in strategic decision-making and process improvements, playing a vital part in enhancing financial performance.

Qualifications

• 3 years of hospital and physician billing and reimbursement data, data analytics required.
• 5 years preferred in healthcare administration, finance, or related experience.
• 5+ years in healthcare revenue cycle preferred.

Responsibilities

• Conduct in-depth evaluations of reimbursement, denial, and payment variance data.
• Prepare required cost reports and ensure compliance with third-party payer requirements.
• Lead root cause analysis of denials and revenue leakage.

Skills

Proficiency in utilizing Microsoft Excel

Knowledge of EPIC

Proven Analytic and problem-solving skills

Understanding of cost reporting

Education

Bachelor's degree

Master's degree (MBA/MHA)

Job description

## Senior Reimbursement AnalystApplylocations: Work from Home - Hybrid - Ohiotime type: Full timeposted on: Posted Todayjob requisition id: R22672## **Facility:**Work from Home - Hybrid - Ohio## **Department:**Reimbursement## **Schedule:**Full time## **Hours:**40## **Job Details:**The Senior Reimbursement Analyst is responsible for optimizing the organization’s financial performance through comprehensive reimbursement and revenue cycle data analysis. This role conducts in depth evaluations of reimbursement, denial, and payment variance data to identify trends by payer, service line, provider, and operational department. The analyst translates complex data into actionable insights that support leadership decision making and revenue integrity. This position develops and delivers advanced reporting and dashboards that assess end to end revenue cycle performance, including the financial impact of front end processes (eligibility, authorization), mid cycle functions (coding, documentation), and back end outcomes (denials, underpayments, net reimbursement). The Senior Reimbursement Analyst prepares required cost reports and ensures compliance with third party payer and regulatory reporting requirements. In addition, the role performs contract performance and reimbursement variance analysis to evaluate expected versus actual reimbursement, identify underpayments, and support payer negotiations. The analyst leads root cause analysis of denials and revenue leakage, quantifying financial risk and recommending data driven process improvements to enhance net revenue realization. The Senior Reimbursement Analyst partners with revenue cycle, finance, clinical, and operational leaders to provide guidance on reimbursement strategies, implement predictive and performance based analytics, and establish benchmarks and key performance indicators (KPIs). This role plays a critical part in advancing automation, standardization, and best practices in revenue cycle analytics to proactively mitigate risk, improve efficiency, and sustain financial performance.**Department Specific Job Details:**Education* Bachelor's degree **required*** Master's degree (MBA/MHA) *preferred*Experience* 3 years of hospital and physician billing and reimbursement data, data analytics **required*** 5 years *preferred** Healthcare administration, finance, or related experience **required*** 5+ Years in Healthcare revenue cycle *preferred*Skills/Competencies* Proficiency in utilizing Microsoft Excel and other database management software* Knowledge of EPIC* Proven Analytic and problem-solving skills* Understanding of cost reporting