Reimbursement Analyst

Highmark Health

1d • $25 - $40

About The Position

GENERAL OVERVIEW: Performs third-party reimbursement services, serves as a technical resource on reimbursement issues verifying third party payments. Assists in preparation of the cost reports and monthly financial closing duties. Assists with review of cost reports and budgets. Assists with oversight of Medicare and Medicaid field audits including analysis of audit adjustments and their financial impact. Assists with process improvements and special projects, working closely with the manager and senior staff.

Requirements

• Minimum Bachelor’s degree in Accounting, Finance, or related field, or relevant experience and/or education as determined by the company in lieu of bachelor's degree
• 4 years in third-party reimbursement in a healthcare environment

Nice To Haves

• Master’s degree

Responsibilities

• Assists in preparation, evaluation, and maintenance of processes in support of regulatory and third party updates including quarterly work papers, annual audits, cost accounting, and third party cost reporting. (60%)
• Stays abreast of issues impacting the healthcare industry, especially those that have a financial impact to WPAHS (including the ability to read and evaluate government regulations) and communicates those issues to team and management. (15%)
• Records, classifies, and summarizes financial transactions and events in accordance with generally accepted accounting principles. Interprets financial transactions and events for users who make economic or business decisions. (15%)
• Maintains processes and performs calculations to support the monthly close process and the generation of the monthly financial statements. Provides expertise and education related to budgeting, revenue recognition, reimbursement, system, and process changes. (10%)
• Performs other duties as assigned or required.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 5,001-10,000 employees