Reimbursement Senior Analyst

Intermountain Health

6d•$34 - $54•Onsite

About The Position

The Reimbursement Senior Analyst prepares or reviews third-party financial accounting, contractual allowances, cost reports and surveys, and other assigned projects. The position handles routine tasks independently and non-routine tasks with minimal supervision, performing in-depth analysis and recommending alternatives and plans to resolve problems. The role supports reimbursement activities for two or more hospitals, or one or more hospitals and Central Office assignments. The analyst works with Finance, Revenue Cycle, Operations, Government Relations, Executive Leadership, hospital finance staff, HIM, PAS, Medicare Administrative Contractors, and State Medicaid personnel. Responsibilities include reimbursement calculations, cost report and survey preparation or review, audit and settlement work, appeals, regulatory analysis, and project coordination. The position is based at the Peaks Regional Office in Broomfield, Colorado, with standard business hours Monday through Friday and occasional additional hours during peak deadlines. Video interviews through Microsoft Teams are required; onsite interviews or meetings may also be required.

Requirements

Bachelor’s degree in accounting, finance, or another business-related field and four years of experience; degree must be from an accredited institution and is verified.
Alternatively, a master’s degree in accounting, finance, or another business-related field and two years of experience; degree must be from an accredited institution and is verified.
Computer skills including spreadsheets, databases, word processing, and Internet use.
Skills in reconciliation, accounting, accounts payable/receivable processes, Medicare, Medicaid, general ledger, financial statements, analytical thinking, and reimbursement.
Ability to work standard business hours Monday through Friday and occasional additional hours during peak regulatory filing periods, audits, settlements, budget season, or other critical reimbursement deadlines.
For remote or hybrid applicants, residence or planned residence in the listed excluded states is not being considered; Colorado remote caregivers are excluded when their assigned Intermountain facility or service area is not based in Colorado.

Nice To Haves

Experience with Medicare and Medicaid reimbursement methodologies, hospital cost reporting, financial modeling, data analytics, audit processes, and reimbursement settlements.
Ability to interpret and apply complex federal and state healthcare regulations.
Diverse professional background, experiences, and perspectives, innovative problem-solving skills, and ability to collaborate across Finance, Revenue Cycle, Operations, Government Relations, and Executive Leadership.
Bachelor’s degree in accounting, finance, or another business-related field and four years of experience; degree must be from an accredited institution and is verified.
Master’s degree in accounting, finance, or another business-related field and two years of experience; degree must be from an accredited institution and is verified.
Computer skills including spreadsheets, databases, word processing, and Internet use.

Responsibilities

Perform routine and non-routine reimbursement tasks requiring in-depth analysis; identify alternatives and recommend plans to resolve problems.
Complete assigned work accurately and on time with direction limited to overall process and complex problems.
Perform or review reimbursement processes, including reconciliation of third-party general ledger accounts, calculation of actual and budgeted contractual allowances and variances, and monitoring of individual claim logs.
Coordinate as needed with HIM, PAS, and hospital finance staff.
Prepare monthly Medicare and Medicaid settlement and policy reserve calculations using technically acceptable and reasonably conservative reimbursement methodologies.
Prepare or review cost reports and surveys, review audit adjustments and settlements, and file appeals and exception requests to maximize reimbursement appropriately.
Coordinate with Medicare Administrative Contractors, State Medicaid, and hospital personnel as needed.
Mentor others and potentially coordinate, train, direct, and review people working with reimbursement functions.
Stay current on reimbursement laws and regulations and determine the impact of reimbursement changes on hospital operations with minimal supervision.
Manage the scope and completion of work, meet deadlines, and provide deliverables to customers or end users.
Manage complex projects and schedule and facilitate meetings as needed to complete assignments.
Develop, document, and revise system design procedures, test procedures, and quality standards.
Investigate reimbursement changes and communicate potential impacts.
Communicate with site and system financial leadership to establish key financial variables requiring special analysis.
Manage assignments covering two or more hospitals, or one or more hospitals and Central Office.