Reimbursement Analyst Senior
Nevada System of Higher Education•Warrenville, IL
•$35 - $55
About The Position
The Senior Reimbursement Analyst is responsible for leading and overseeing complex reimbursement processes at the hospital. This role includes in-depth analysis of reimbursement data, compliance with healthcare regulations, and the development of strategies to maximize revenue through effective billing and reimbursement practices.
Requirements
- Bachelors Degree Required, Masters Degree Preferred
- 5+ years, Experience in healthcare reimbursement, financial analysis, or a related field, with at least 2 years in a senior or leadership role.
- Expertise in financial analysis, data management, and the use of financial software and spreadsheet applications.
Nice To Haves
- Certified Professional Biller
- Certified Reimbursement Professional
Responsibilities
- Conduct in-depth analysis of healthcare reimbursement data, including Medicare, Medicaid, and commercial insurance, to identify trends, opportunities, and discrepancies.
- Stay current with federal and state regulations related to healthcare reimbursement and ensure the hospital's practices align with all applicable guidelines.
- Lead efforts to maximize revenue by optimizing reimbursement rates, identifying opportunities for increased reimbursement, and negotiating favorable contract terms with payers.
- Oversee the preparation, review, and timely submission of cost reports for Medicare and Medicaid, ensuring accuracy.
- Play a key role in contract negotiations with payers, securing advantageous reimbursement terms and rates.
- Lead the analysis of claim denials, implement strategies to reduce denials, and manage the resolution of complex denial issues.
- Generate and present reports on reimbursement metrics, financial performance, and key performance indicators to senior leadership.
- Assess the financial impact of proposed changes to reimbursement rates, contracts, and regulatory updates.
- Coordinate and assist in financial and compliance audits related to reimbursement, providing documentation and explanations as needed.
- Provide guidance, training, and mentorship to junior analysts and hospital staff on reimbursement-related matters.
Benefits
- Career Pathways to Promote Professional Growth and Development
- Various Medical, Dental, Pet and Vision options
- Tuition Reimbursement
- Free Parking
- Wellness Program
- Savings Plan
- Health Savings Account Options
- Retirement Options with Company Match
- Paid Time Off and Holiday Pay
- Community Involvement Opportunities
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Number of Employees
1,001-5,000 employees
