Sr Reimbursement Specialist

BJC HealthCare (New); Northern (KY); Hybrid; USD 65,000 - 90,000; Full time

Benefits offered by this job

Health Insurance

401(k) match

Tuition Assistance

Paid Time Off

Job summary

BJC HealthCare, a leading nonprofit health system, seeks a Senior Reimbursement Specialist for remote work. The role focuses on third-party cost report filings and related financial analyses.

You will work under minimal supervision, preparing cost reports, guiding payer audits, and evaluating regulatory impacts on the organization.

Qualifications include a Bachelor's in accounting or business and 2–5 years of reimbursement or cost reporting experience; senior-level preferred with 5–10 years.

Qualifications

• Minimum Bachelor's degree in Accounting, Business or related field.
• 2–5 years of experience in reimbursement or cost reporting.
• Experience with third-party cost reports and regulatory filings helpful.

Responsibilities

• Prepares and submits third-party cost reports and filings.
• Coordinates payer audits and analyzes proposed adjustments.
• Prepares differential calculations and balance sheet/income statement analysis.
• Analyzes current and proposed third-party regulations for financial impact.

Skills

Cost reporting

Reimbursement analysis

Financial reporting

Financial analysis

Education

Bachelor's Degree - Accounting/Business/related

Job description

Additional Information About the Role

BJC is hiring for a Reimbursement Specialist. This is a remote position. We are loking for applicants with Medicare cost reporting expereince.

Remote eligible states:

• Alabama Kentucky Oklahoma
• Arkansas Louisiana South Carolina
• Florida Mississippi Tennessee
• Georgia Louisiana Texas
• Indiana North Carolina Wisconsin
• Iowa Ohio

Overview

BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and southeast Missouri regions. With net revenues of $6.3billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban and rural communities through its 14hospitals and multiple community health locations. Services include inpatient and outpatient care, primary care, community health and wellness, workplace health, home health, community mental health, rehabilitation, long-term care and hospice.

BJC is the largest provider of charity care, unreimbursed care and community benefits in the state of Missouri. BJC and its hospitals and health service organizations provide $785.9 million annually in community benefit. That includes $410.6 million in charity care and other financial assistance to patients to ensure medical care regardless of their ability to pay. In addition, BJC provides additional community benefits through commitments to research, emergency preparedness, regional health care safety net services, health literacy, community outreach and community health programs and regional economic development.

BJC’s patients have access to the latest advances in medical science and technology through a formal affiliation between Barnes-Jewish Hospital and St. Louis Children’s Hospital with the renowned Washington University School of Medicine, which consistently ranks among the top medical schools in the country.

Cost Reimbursement continuously improves the reimbursement process for BJC HealthCare. Responsible for third-party reimbursement with responsibilities for cost report review, fiscal intermediary interaction, regulatory review and system wide analyses involving third-party reimbursement.

Preferred Qualifications

Role Purpose

The Senior Reimbursement Specialist is responsible for the preparation of third-party cost report filings. Working under minimal supervision, this position is also responsible for financial reporting, financial analysis and reimbursement analysis.

Responsibilities

• Prepares and submits third-party cost reports and other required filings.
• Coordinates the third-party payer audit process, including the review and analysis of proposed adjustments.
• Prepares and reviews the differential calculations, including balance sheet and income statement analysis.
• Performs analysis of current and proposed third-party regulations to assess financial impact.

Minimum Requirements

Education

• Bachelor's Degree - Accounting/Business/related

Experience

• 2-5 years

Supervisor Experience

• No Experience

Preferred Requirements

Experience

• 5-10 years

Benefits and Legal Statement

BJC Total Rewards

At BJC we’re committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being.

• Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date
• Disability insurance* paid for by BJC
• Annual 4% BJC Automatic Retirement Contribution
• 401(k) plan with BJC match
• Tuition Assistance available on first day
• BJC Institute for Learning and Development
• Health Care and Dependent Care Flexible Spending Accounts
• Paid Time Off benefit combines vacation, sick days, holidays and personal time
• Adoption assistance

To learn more, go to our Benefits Summary.

*Not all benefits apply to all jobs

The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer