Senior Reimbursement Analyst - Remote Medicare/Medicaid

Intermountain Healthcare Inc.; Santa Fe (NM); Remote; USD 47,000 - 74,000; Full time

Benefits offered by this job

Generous benefits package

Video interview via Teams

Job summary

Intermountain Health seeks a detail-oriented accounting professional to manage and review third‑party financial accounting, contractual allowances, cost reports, and surveys. The role requires minimal supervision and supports reimbursement processes across Finance, Revenue Cycle, Operations, Government Relations, and Leadership.

Strong Medicare/Medicaid experience and ability to interpret complex healthcare regulations are preferred.

Qualifications

• Bachelor’s degree in accounting, Finance or other business related field with four years’ experience. A degree must be obtained from an accredited institution. Education is verified.
• Master’s degree in accounting, Finance, or other business-related field with two years experience. Education must be obtained from an accredited institution. Degree will be verified.
• Computer skills including spreadsheets, databases, word processing, and Internet.

Responsibilities

• Performs routine and non-routine tasks requiring more in-depth analysis and is expected to identify alternatives and recommend plans to resolve problems. Direction is limited to overall process and complex problems. Timely and accurately completes assigned tasks.
• 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. Interacts with Medicare Administrative Contractor, State Medicaid, and hospital personnel as needed.

Skills

Reconciliation

Accounting

Accounts Payable/Receivable

Medicare

Medicaid

General Ledger

Financial Statements

Analytical Thinking

Reimbursement

Education

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

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

Computer skills (spreadsheets, databases, word processing, Internet)

Job description

Intermountain Health seeks a detail-oriented accounting professional to manage and review third‑party financial accounting, contractual allowances, cost reports, and surveys. The role requires minimal supervision and supports reimbursement processes across Finance, Revenue Cycle, Operations, Government Relations, and Leadership.

Strong Medicare/Medicaid experience and ability to interpret complex healthcare regulations are preferred.