Lead Reimbursement Analyst - Finance

UAB St. Vincent's•Birmingham, AL

7h•Hybrid

About The Position

This position is for a Lead Reimbursement Analyst within the General Finance Department at UAB St. Vincent's. The role involves performing calculations and analysis of accounts receivable, valuation, and third-party reimbursement reporting, coordinating audits, and monitoring regulation changes. The analyst will prepare and file Medicare and Medicaid cost reports and Blue Cross cost studies to maximize reimbursement, act as a liaison with the local intermediary, prepare quarterly mini cost reports, and manage monthly journal entries for reimbursement adjustments. UAB St. Vincent’s, part of UAB Medicine, has served Alabama for over 125 years, operating five hospitals and numerous clinics. It is recognized for its compassionate, service-oriented, and respectful healthcare, guided by the St. Vincent’s legacy. The organization is committed to personalized care, addressing physical, psychological, social, and spiritual needs, and fostering teamwork among its over 4,800 employees. UAB St. Vincent’s is recognized as one of Alabama’s best hospitals by U.S. News & World Report, with a mission to improve the health and lives of those it serves.

Requirements

Bachelor’s degree in Finance, Accounting, Healthcare Administration, Business, or related field.
2 years of healthcare reimbursement, revenue cycle, or financial analysis experience.
Strong written and verbal communication skills.
Proficiency in Excel (pivot tables, formulas, data analysis).
Strong analytical, quantitative, and problem-solving skills.
Knowledge of Medicare and Medicaid reimbursement methodologies.

Nice To Haves

Accountant licensure required relevant to state in which work is performed preferred.
4 years of healthcare reimbursement, revenue cycle, or financial analysis experience.
CPA Preferred

Responsibilities

Perform the calculations and analysis of accounts receivable and valuation and third party reimbursement reporting, coordination of audits and monitoring of regulation changes.
With minimal supervision prepares and files the Medicare and Medicaid cost reports and Blue Cross cost studies to ensure the maximizationof reimbursement received by UAB St. Vincent’s Health System.
Acts as liaison between Hospital and local intermediary.
Prepares quarterly mini cost reports.
Prepares monthly journal entries for reimbursement adjustments.
Assist in the preparation, review, and filing of Medicare and Medicaid cost reports.
Review supporting schedules and coordinate with external advisor and fiscal intermediary for preparation of annual reports.
Ensure compliance with CMS regulations, state Medicaid rules, and payer-specific requirements.
Prepare applications and accounting for any state supplemental payment programs.
Prepare reports and prepare month end journal entries in general ledger.
Maintain documentation supporting reimbursement calculations and regulatory filings.
Prepare Retro models.
Analyze payer reimbursement methodologies including Medicare, Medicaid, managed care, and commercial contracts and calculates financial impact of changes in reimbursement.
Prepare reimbursement calculations and projections for inpatient, outpatient, physician, and ancillary services.
Identify reimbursement variances, underpayments, and revenue opportunities; recommend corrective actions.
Support managed care contract analysis, modeling, and negotiation preparation.
Assist with modeling proposed contract changes and renewals.
Reconcile reimbursement payments to expected rates.
Partner with Revenue Cycle, Patient Financial Services, and Clinical departments to resolve reimbursement issues.
Serve as a reimbursement subject-matter resource for internal stakeholders.
Participate in audits, appeals, and payer inquiries as needed.
Assist the manager and director with budgeting and modeling net patient service revenue.
Performs other duties as assigned.