Senior Reimbursement Analyst - Medical Group

MaineGuide; Westbrook (ME); Sur place; USD 77 000 - 104 000; Plein temps

Avantages offerts par ce poste

Paid parental leave

Student loan assistance

Professional development opportunities

Well-being resources

Résumé du poste

MaineHealth Corporate is seeking a Senior Reimbursement Analyst to support MHMG with payor reimbursement projections and reporting. The role also monitors payor performance and provides ad hoc analyses to inform decisions.

The position will assist in month-end accounts receivable analysis and the annual contractual allowance budgeting process, contributing to the organization's financial integrity and strategic planning.

Qualifications

• Education: Bachelor's degree in a relevant field required.
• Experience: Five years of directly related experience required.
• Experience with medical billing, contract management and claims payment validation systems required.
• Advanced Excel skills preferred.

Responsabilités

• Prepare projections and reporting on payor reimbursement.
• Monitor payor performance and generate ad hoc analyses.
• Assist in month-end accounts receivable analysis and yearly contractual allowance budgeting.

Connaissances

Advanced Excel

Reimbursement methods

Formation

Bachelor's Degree

Description du poste

Description

MaineHealth Corporate

Professional - Nonclinical
Req #: 90266

Summary

The Senior Reimbursement Analyst - MHMG role is responsible for completing specific assigned responsibilities as it relates to the projection of and reporting on payor reimbursement, the monitoring of payor performance, and other ad hoc reporting and analysis. Assists in the completion of month end accounts receivable analysis and yearly contractual allowance budgeting.

Required Minimum Knowledge, Skills, and Abilities (KSAs)

1. Education: Bachelor's Degree in Computer Science, Business Administration, Healthcare Management, Finance, Statistics or related field required.
2. License/Certifications: N/A
3. Experience: Five years of directly related experience required. Experience with medical billing, contract management and claims payment validation systems required.
4. Additional Skills/Requirements Required: N/A
5. Additional Skills/Requirements Preferred: Advanced Excel skills. Knowledge of provider reimbursement methodologies including, but not limited to, RVRVS, DRGs, Per Diems, Case Rates, APS and OPPS.

Additional Information

MaineHealth is committed to fostering a supportive, inclusive environment where care team members can thrive while making a meaningful impact in the communities we serve across Maine and New Hampshire. We offer competitive benefits including paid parental leave, flexible work options, student loan assistance, professional development opportunities, and well-being resources-so you can grow your career while feeling supported both personally and professionally.

We recognize the value each team member brings to our organization.Any offer of employmentwill depend onqualificationssuch asskills, relevant experience, education, certifications,and otherjob-relatedfactors. Thebase rangeis an estimate and does notreflect the full valueofourtotal compensationpackage.

The pay range for this position is $77,147.20to $104,353.60per year.

Compensation for part-time positions isdeterminedon a prorated basis consistent with the scheduled hours and applicable full-time equivalent (FTE).

In addition to base pay, MaineHealth offerscomprehensivebenefits, recognition programs, career growth opportunities, and,where applicable,shiftdifferentials or other incentives.

If you have questions about this role, please contact [e-mail]

Notice Regarding Maine Employer Surveillance Statute:

Pursuant to Maine's Employer Surveillance Statute, prospective care team members are notified that MaineHealth may monitor, collect, record, review, or retain information related to the use of its systems, networks, applications, files, data, communications platforms (including notified recordings), smart badges, building access, company vehicle GPS data, business calls, and workplace security cameras.

Information collected may be used for legitimate business purposes, including security, safety, compliance, investigations, training, quality assurance, and operational management.