Reimbursement Analyst - Financial Services

Kingman Healthcare•Kingman, AZ

11d•Onsite

About The Position

Unlock your potential for professional development! We are looking for a Full Time, Reimbursement Analyst to join our Financial Services Team! Located in northwest Arizona, Kingman has a mild climate with stunning Arizona sunsets! In the shadows of beautiful mountain ranges and nearby lakes, Kingman is an outdoor enthusiasts' paradise with abundant sunshine and is a great community to live, work and play!

Requirements

Bachelor's degree in Business Administration, Accounting, or Finance.
4 to 6 years’ experience at Accountant level with minimum of 3 years’ experience in organizational budget planning.
Requires discretion and independent judgment related to financial assessments that impact the successful business operations for the organization
Knowledge of theory and application of general, financial, and budget accounting
Knowledge of healthcare finance and reimbursement
Knowledge of budgeting and labor productivity management systems and their uses
Possess technical and professional accounting skills and familiarity with data processing capabilities and procedures
Knowledge of Microsoft Office products and or comparable spreadsheets and word processors
Ability to develop and maintain effective working relationships with others

Nice To Haves

6 years of general and financial account experience with healthcare finance; 5 years budgeting and labor management experience

Responsibilities

Lead annual operating budget development, including staffing per unit standards, revenue/expense targets, and coordination of assumptions with department leaders.
Maintain disciplined monthly budget variance reporting; investigate root cause drivers and partner with leaders to implement corrective actions and sustainable process improvements.
Ensure accurate financial reporting by validating that revenues and expenses are recorded to appropriate general ledger accounts; support month-end close analysis and audit requests as assigned.
Manage financial systems and data integrity (budget uploads/downloads, general ledger updates, and report logic) to enable reliable monitoring, dashboards, and analysis.
Drive labor productivity performance through maintenance of labor standards, biweekly/monthly monitoring, peer comparisons, and identification of labor cost savings opportunities.
Develop and maintain reimbursement models/rate calculators to forecast net revenue and external payment impacts (e.g., Medicare/Medicaid, commercial, GME, ASPI, and other supplemental payments) based on volume, case mix, charge structure, fee schedules, and contract/regulatory changes.
Analyze payer reimbursement performance (Medicare, Medicaid, and commercial) and external payment streams; identify underpayments/variances, trends, and actionable net revenue optimization opportunities, including reconciliation support for GME, ASPI, and other state/federal payments.
Support payer contracting and renewals by validating contract terms/fee schedules, quantifying financial impact scenarios, and preparing negotiation exhibits and performance scorecards; incorporate CMS and state reimbursement considerations where applicable.
Partner with Patient Financial Services, HIM/Coding, Charge Capture, and clinical/operational stakeholders to analyze denials, claims/underpayment variance, and documentation/charge issues; respond to internal/external payment questions and recommend revenue integrity and process improvements.
Monitor reimbursement-related regulatory updates (e.g., Medicare IPPS/OPPS, Medicaid changes) and support required reporting (including Medicare/Medicaid cost report data pulls, schedules, and reconciliations); coordinate and track GME, ASPI, and other external payment submissions and manage payment-related queries with the State and CMS.
Maintain disciplined monthly reimbursement and net revenue variance reporting; investigate drivers and communicate actionable insights.
Develop, maintain, and validate reimbursement models/rate calculators, document assumptions, sources, and version control.
Interpret payer contracts and payment methodologies, translating terms into monitoring routines, reconciliations, and performance scorecards.
Identify underpayments, payment variances, and trends; support claim-level and summary-level reconciliations and timely escalation/resolution.
Communicate results clearly through dashboards, summaries, and presentations tailored to technical and non-technical stakeholders.
Experience building and maintaining operational/financial reporting (e.g., Power BI or comparable tools) and communicating trends, outliers, and key drivers.
Ability to query, validate, and reconcile data (e.g., basic SQL or report-writer querying), ensuring accuracy, completeness, and auditability of decision support outputs.
Ability to partner with clinical and operational stakeholders, facilitate requirements, and present analyses with clear narratives, assumptions, and recommended actions.
Strong analytical and data management skills, including advanced Excel (pivot tables, Power Query) and comfort working with large datasets from multiple source systems.