Senior Reimbursement Analyst - Remote Medicare/Medicaid

Intermountain Healthcare Inc.; Trenton (NJ); A distancia; USD 47.000 - 74.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Remote work

Generous benefits package

Descripción de la vacante

Intermountain Health is hiring a Senior Financial Analyst to perform third-party financial accounting, contractual allowances, cost reports and surveys with minimal supervision in a fully remote capacity.

The ideal candidate has experience with Medicare/Medicaid reimbursement methodologies, hospital cost reporting, financial modeling, data analytics, audit processes and settlements, and can collaborate across Finance, Revenue Cycle, Operations, Government Relations and Leadership.

Formación

• 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.

Responsabilidades

• 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. Manages complex projects, schedules and facilitates meetings as necessary to complete assignments. Develop, document and revise system design procedures, test procedures and quality standards.
• Investigations changes in reimbursement and communicates potential impacts to reimbursement. Communicates effectively with site and system financial leadership to establish key financial variables requiring special analysis.
• Is responsible for 2+ hospitals or 1+ hospital and Central Office assignments.

Conocimientos

Reconciliation

Accounting

Accounts Payable/Receivable Process

Medicare

Medicaid

General Ledger

Financial Statements

Analytical Thinking

Reimbursement

Educación

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

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

Descripción del empleo

Intermountain Health is hiring a Senior Financial Analyst to perform third-party financial accounting, contractual allowances, cost reports and surveys with minimal supervision in a fully remote capacity.

The ideal candidate has experience with Medicare/Medicaid reimbursement methodologies, hospital cost reporting, financial modeling, data analytics, audit processes and settlements, and can collaborate across Finance, Revenue Cycle, Operations, Government Relations and Leadership.