Accounting Reimbursement Analyst II

Ensign Services•Dallas, TX

2h•Hybrid

About The Position

The Accounting Reimbursement Analyst II plays an important role in supporting Medicare and Medicaid reimbursement analysis. This position works largely independently while staying connected to a collaborative team environment. In this role, you will prepare and complete Medicare and Medicaid cost reports, analyze financial and operational data, and support reimbursement-related functions within the accounting department. You will also develop expertise in Medicaid reporting for assigned states and help maintain financial models used for rate setting and special payment programs. This role is ideal for someone with a strong accounting foundation, solid analytical skills, and the ability to work independently while contributing to team success. You will partner with a growing client base across the U.S. to deliver accurate, timely reimbursement analysis and reporting. If you’re looking to grow your expertise in reimbursement analysis while making a meaningful impact, we encourage you to apply today!

Requirements

Minimum of 2-3 years of experience in accounting or reimbursement, required.
Proficiency with standard office software, including Outlook and Word, with advanced Excel skills, including experience working with large data sets and proficiency with formulas such as VLOOKUP, HLOOKUP, and XLOOKUP, as well as nested IF/AND/OR statements and pivot tables.
Understanding of GAAP accounting principles.
Strong communication skills, with excellent attention to detail and the ability to prioritize and manage multiple projects.
Eagerness to learn and grow, with a curiosity to build new skills and knowledge.
Ability to travel to our Service Center in CA and our facilities in TX is required.

Nice To Haves

Bachelor’s degree or Masters in Accounting or Finance (or equivalent experience), preferred.
Multi-date Medicare and Medicaid reimbursement experience is a plus, but is not required.
Experience with or exposure to data analytics strongly preferred, but not required.
Ability to demonstrate a foundational understanding of cost reporting, is a plus, but not required.
Working knowledge of SQL is a plus, but not required.
Experience with Workday is a plus, but not required.
Experience with OneStream is a plus, but not required.

Responsibilities

Prepare Medicare and Medicaid cost reports across multiple states, ensuring accuracy and compliance with state and federal requirements.
Analyze Medicaid reimbursement rates on a quarterly or annual basis, evaluating the financial impact of state regulations and proposed audit adjustments.
Review payment and financial reports to identify, assess, and communicate cost report adjustments, including impacts to asset and liability accounts.
Collaborate with state auditors and regulatory agencies, responding to inquiries and supporting audit processes.
Analyze key balance sheet and income statement accounts, including accrued expenses and revenue accounts related to reimbursement.
Reconcile receivable and payable accounts related to Medicare and Medicaid settlements, including bad debt.
Stay current on changes to Medicare and Medicaid regulations, reimbursement methodologies, and rate impacts to ensure ongoing compliance and accuracy.
Review monthly occupancy reports and support occupancy-related calculations used in reporting.
Collaborate closely with service center accounting teams, including payroll, accounts payable, accounts receivable, tax, general ledger, and financial reporting, to support accurate and timely financial processes.
Provide support for ad hoc projects and special initiatives as business needs arise.