Senior Reimbursement Accounting Analyst

PACS

About The Position

The Senior Reimbursement Accounting Analyst prepares and analyzes Medicare and Medicaid cost report templates, enters information into the cost report program, and ensures costs are appropriately identified in departments and cost centers. The role requires strong analytical skills, attention to detail, independent work, and the ability to meet deadlines. This position may be based in the Salt Lake City, Utah office or performed remotely. The analyst works with financial, statistical, labor, and census data; analyzes general ledger activity and supporting documentation; researches reimbursement regulations; and supports cost report audits. The role also includes training team members, managing Medicare and Medicaid bad debt analysis, reconciling related general ledger accounts, and understanding how cost reports affect rate setting.

Requirements

Bachelor's degree in Finance, Accounting, or a related field preferred, with 2–5 years of experience, or an equivalent combination of education and experience, including 6–8 years of relevant reimbursement, finance, or accounting experience.
Advanced proficiency in Microsoft 365 applications, including Excel and Copilot-enabled productivity tools.
Strong analytical and problem-solving skills.
Excellent attention to detail and organizational skills.
Ability to work independently and manage multiple tasks simultaneously.

Nice To Haves

Workday experience.
Knowledge of Medicare and Medicaid cost reporting requirements.

Responsibilities

Prepare and maintain Medicare and Medicaid cost report workpapers, supporting schedules, and reimbursement analyses in accordance with federal and state regulatory requirements.
Compile, validate, and reconcile financial, statistical, labor, and census data used in cost report preparation and reimbursement reporting.
Analyze general ledger activity, trial balances, and supporting documentation to ensure accurate cost reporting treatment and proper expense allocation.
Perform account analysis to identify reimbursement-related costs and assign expenses to the appropriate departments and cost centers.
Review cost reports and supporting schedules for completeness, accuracy, and compliance with reimbursement regulations and filing requirements.
Research and interpret Medicare, Medicaid, and state-specific reimbursement regulations and apply findings to complex reimbursement scenarios.
Respond to cost report audits by providing requested documentation, including invoices, journal entry backup, and other requested items.
Interact with facility staff and PACS staff to obtain required documentation and items identified through account analysis.
Work independently and meet deadlines for filing cost reports and responding to auditors.
Train other team members on cost reporting tasks.
Manage Medicare and Medicaid bad debt analysis for accounting, cost reporting, and audit purposes.
Reconcile general ledger accounts associated with cost reporting.
Understand how cost reports affect rate setting.