Reimbursement Analyst

Advocate Health•Oak Brook, IL

20h•$33 - $50•Remote

About The Position

The Reimbursement Analyst supports system-wide revenue analysis, budgeting, regulatory reviews, reimbursement processes, and financial reporting related to Medicare, Medicaid, and other third-party payers. The role assists with audits and cost reports, analyzes accounts receivable valuations and payment activity, and works with internal departments, government affairs, fiscal intermediaries, and external auditors to support accurate reimbursement and compliance. This is a full-time, remote role with the option to attend monthly Wisconsin and Illinois luncheons or join onsite as needed. The schedule is Monday through Friday, 8:00 a.m. to 5:00 p.m. CST. Travel is required.

Requirements

Bachelor's degree in Finance or a related field.
Typically, three years of reimbursement experience, including preparation of Medicare and Medicaid cost reports, knowledge of regulations, and analysis, modeling, and reporting for third-party payers.
Demonstrated expertise with Medicare and Medicaid regulations in a health care or federal intermediary setting.
Knowledge of third-party regulations and how financial statements relate to regulatory compliance and strategies to increase reimbursement rates as regulations change.
Strong accounting background and experience preparing or reviewing health care financial statements for accurate account analysis.
Strong proficiency with Microsoft Office, including Excel, PowerPoint, Word, and Access, and with software systems, data management tools, or similar products.
Proficiency in data mining and analysis.
Ability to work effectively in a complex environment and communicate revenue-cycle issues to all levels of the organization through excellent written and verbal communication.
Ability to take initiative, work independently, produce high-quality analytical results, and carry projects through to successful completion.
Ability to sit for the majority of the workday and occasionally lift up to 10 pounds.
Ability to operate all equipment necessary to perform the job.
Ability to travel and work in varying weather and road conditions.

Responsibilities

Assist with planning and preparing revenue analysis for system-wide programs, projects, and services; monitor revenue budgets and benchmarking activities.
Support system intermediary data requests, audits, and exit conferences.
Assist with external financial audits and Medicare and Medicaid interim and year-end cost reports; coordinate the year-end system financial audit with external auditors and reimbursement staff.
Develop and maintain relationships with the Fiscal Intermediary and external auditors.
Prepare analyses and recommendations to ensure regulatory reviews are completed accurately and on time.
Participate in developing and preparing system-wide Gross and Net Patient Revenue budgets to ensure accuracy, timeliness, and compliance with accounting standards.
Analyze and review monthly accounts receivable valuation and provide recommendations to optimize reimbursement; understand and oversee the tools used for calculations.
Coordinate the system-wide monthly closing process for Medicare and Medicaid liabilities and allowances on patient receivables.
Monitor Medicare and Medicaid payment processes and interim payments for accuracy, appropriateness, and potential liability; request adjustments from United Government Services (UGS) and update internal systems.
Develop and apply knowledge of Medicare and Medicaid regulations related to current and proposed reimbursement; work with Government Affairs and external consultants to provide expertise.
Coordinate with Financial Planning departments on system budgets related to third-party reimbursement and support retrospective financial reviews and pro forma development.

Benefits

Paid time off programs.
Medical, dental, vision, life, and short- and long-term disability benefits.
Flexible Spending Accounts for eligible health care and dependent care expenses.
Adoption assistance and paid parental leave.
Defined contribution retirement plans with employer match and other financial wellness programs.
Educational Assistance Program.
Premium pay such as shift and on-call pay, based on teammate eligibility.
Incentive pay for select positions.
Opportunity for annual increases based on performance.
Career development programs.