Reimbursement Analyst
Beth Israel Lahey Health
•Onsite
About The Position
The Reimbursement Analyst supports the preparation, analysis, and optimization of reimbursement across Medicare, Medicaid, and commercial payers. This role assists in cost report preparation, net revenue analysis, and regulatory compliance while developing a foundational understanding of healthcare reimbursement methodologies. This role is designed to build technical expertise in reimbursement, cost reporting, and financial analytics within a complex health system.
Requirements
- Bachelor’s degree in Finance, Accounting, Healthcare Administration, or related field
- 0–2 years of experience in healthcare Finance, Accounting, or analytics
- Intermediate proficiency in Microsoft Excel (pivot tables, formulas, data analysis)
- Attention to detail with ability to manage large datasets
- Strong communication skills with ability to translate data into insights
- Ability to manage multiple priorities in a deadline-driven environment
Nice To Haves
- Exposure to healthcare reimbursement concepts (Medicare, Medicaid, DRGs, APCs)
- Familiarity with cost report software (e.g., HFS)
- Experience with healthcare financial systems (e.g., Epic, Strata, Axiom)
- Basic understanding of net revenue modeling and reserve methodologies
Responsibilities
- Assist in the preparation of Medicare and Medicaid cost reports (e.g., HCRIS submissions, supporting schedules)
- Compile and validate data used in cost reports, including statistics, trial balance mapping, and adjustments
- Support audit requests and documentation for Medicare Administrative Contractors (MACs)
- Maintain working knowledge of CMS reimbursement rules and regulatory changes
- Support monthly and quarterly net patient service revenue (NPSR) analysis
- Assist in variance analysis (actual vs. budget vs. prior year) across payers and service lines
- Prepare schedules supporting reserve calculations, settlements, and third-party estimates
- Analyze reimbursement trends and identify potential risks or opportunities
- Extract and reconcile data from systems such as Epic, Crowe RCA, and decision support tools
- Prepare recurring reports and dashboards for leadership
- Ensure accuracy and consistency of reimbursement-related data across systems
- Assist in standardizing reporting processes and documentation
- Support initiatives to improve efficiency in cost reporting and net revenue workflows
- Participate in special projects (e.g., reimbursement modeling, regulatory impact analysis)
Benefits
- Comprehensive compensation and benefits
- Help you achieve a healthy and balanced life
- Staff vaccinated against influenza (flu) as a condition of employment
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
