Senior Reimbursement Analyst

Insight Global; Orlando (FL); On-site; USD 90,000 - 130,000; Full time

Job summary

Insight Global seeks a Senior Reimbursement Analyst to own Medicare cost report preparation for assigned hospitals, ensuring accuracy across schedules, work papers, and reconciliations. The role requires strong Excel skills and deep knowledge of hospital reimbursement components like DSH and S-10.

The position involves coordinating audit responses, managing amendments and reopenings, and analyzing large reimbursement datasets with Excel/SQL to optimize reimbursements throughout the fiscal year.

Qualifications

• 5+ years of experience preparing Medicare cost reports in hospital systems or healthcare consulting
• Strong knowledge of hospital reimbursement including DSH, Medicare Bad Debt, Wage Index, S-10, and Medical Education
• Strong financial background with reconciling cost-report information to financial records
• Ability to research and interpret Medicare/CMS reimbursement regulations
• Advanced Microsoft Excel skills and experience with reimbursement data
• Experience with cost-report amendments, reopenings, and appeals

Responsibilities

• Take ownership of preparing and submitting Medicare cost reports for assigned hospitals with supporting schedules and reconciliations
• Reconcile reimbursement information to financial records and analyze third-party settlements and reserves
• Coordinate responses to Medicare and Medicaid audits and manage cost-report amendments, reopenings, and appeals
• Work with large reimbursement datasets and extract/validate/analyze data using Excel, SQL, or similar tools
• Monitor regulatory changes and collaborate with Finance, Accounting, and operations to maintain accurate reimbursement information

Skills

Medicare cost reports

Hospital reimbursement knowledge

Financial reconciliation

CMS regulations research

Advanced Excel

Cost-report amendments/reopenings/appe

Education

Bachelor’s degree in Accounting/Finance/Business

Tools

SQL

Epic

Lawson

HFS

Job description

• 5+ years of experience preparing Medicare cost reports within a hospital system or healthcare consulting firm, including supporting schedules, workpapers, reconciliations, and audit support
• Strong knowledge of hospital reimbursement, including DSH, Medicare Bad Debt, Wage Index, S-10, and Medical Education
• Strong financial and accounting background with experience reconciling cost-report information to financial records
• Ability to research and interpret Medicare/CMS reimbursement regulations
• Advanced Microsoft Excel skills and experience working with reimbursement and financial data
• Experience with cost-report amendments, reopenings, and appeals

Nice to Haves

• Experience preparing CHAMPUS cost reports
• Experience calculating and analyzing third-party settlements and reserves
• Experience with State DSH/LIP surveys, 990 Schedule H, provider enrollment, revalidations, or provider-based attestations
• Experience supporting 340B enrollment
• Experience performing data analytics on large healthcare or reimbursement datasets, particularly Medicare Bad Debt, DSH, S-10, and State survey data
• Ability to independently query, manipulate, validate, and analyze large datasets
• Experience with SQL or other database and analytics tools used to extract and analyze reimbursement and financial data
• Experience with HFS, Absolute, Lawson, Epic, or other reimbursement and financial systems
• Experience within a large, complex, multi-hospital health system
• Bachelor’s degree in Accounting, Finance, Business Administration, or a related field

Day-to-Day

The Senior Reimbursement Analyst will take significant ownership of preparing and submitting Medicare cost reports for assigned hospitals, including supporting schedules, workpapers, reconciliations, and required financial data. They will gather and validate information throughout the year across areas such as DSH, Medicare Bad Debt, Wage Index, S-10, Medical Education, statistics, and other components that feed the cost report.

The Analyst will reconcile reimbursement information to financial records, analyze third-party settlements and reserves, and investigate discrepancies before submission. They will also coordinate responses to Medicare and Medicaid audits, prepare supporting documentation, and manage or assist with cost-report amendments, reopenings, and appeals.

This individual will work with large reimbursement datasets associated with projects such as Medicare Bad Debt, DSH, S-10, and State surveys. Candidates with strong data analytics capabilities will ideally be able to independently extract, manipulate, validate, and analyze this data using tools such as Excel, SQL, or similar database and analytics platforms.

Throughout the year, the Analyst will monitor regulatory changes and partner across Finance, Accounting, and operational teams to maintain accurate reimbursement information and identify opportunities to optimize reimbursement. This person should have enough direct hospital cost-report experience to independently handle complex work and help preserve critical institutional knowledge as an experienced team member transitions out.