Senior Reimbursement Analyst - Medicare/Medicaid (Remote)

Intermountain Healthcare Inc.; Helena (MT); Remote; USD 47.000 - 74.000; Vollzeit

Zusammenfassung

Intermountain Health is seeking a Senior Reimbursement Analyst to prepare and review Medicare/Medicaid settlements, cost reports, and surveys. You will model financial impacts, analyze data, and support regulatory compliance across multiple hospitals and the central office.

You will collaborate with Finance, Revenue Cycle, Operations, Government Relations, and Executive Leadership to drive strategic outcomes and ensure accurate reimbursement under complex federal and state rules.

Qualifikationen

• Bachelor’s degree in accounting, Finance or other business related field with four years’ experience.
• Master’s degree in accounting, Finance, or other business-related field with two years experience.
• Computer skills including spreadsheets, databases, word processing, and Internet.

Aufgaben

• Performs routine and non-routine tasks requiring more in-depth analysis and is expected to identify alternatives and recommend plans to resolve problems.
• Performs or reviews reimbursement processes (i.e., reconciliation of third‑party G/L accounts, calculation of actual and budgeted contractual allowances and variances, monitoring of individual claims (logs), etc.). Interacts with HIM, PAS, and hospital finance staff as needed.
• Prepares monthly Medicare and Medicaid settlement and policy reserve calculations using technically acceptable and reasonably conservative reimbursement methodologies.
• Prepares or reviews cost reports and surveys, reviews audit adjustments and settlements, and files appeals and exception requests to appropriately maximize reimbursement.
• Acts as a mentor. May be responsible for the coordination, training, direction and review of those working with reimbursement functions.
• Understands and stays current on laws and regulations related to reimbursement. Determines the impact of reimbursement changes on hospital operations with minimal supervision.
• Responsible for managing scope and completion of work, meeting deadlines, and providing deliverables to the customers or end users.
• Is responsible for 2+ hospitals or 1+ hospital and Central Office assignments.

Kenntnisse

Reconciliation

Accounting

Accounts Payable/Receivable Process

Medicare

Medicaid

General Ledger

Financial Statements

Analytical Thinking

Reimbursement

Ausbildung

Bachelor’s degree in accounting, Finance or other business related field

Master’s degree in accounting, Finance, or other business-related field

Jobbeschreibung

Intermountain Health is seeking a Senior Reimbursement Analyst to prepare and review Medicare/Medicaid settlements, cost reports, and surveys. You will model financial impacts, analyze data, and support regulatory compliance across multiple hospitals and the central office.

You will collaborate with Finance, Revenue Cycle, Operations, Government Relations, and Executive Leadership to drive strategic outcomes and ensure accurate reimbursement under complex federal and state rules.