Reimbursement Senior Analyst

Fully Remote

Peaks Regional Office

Full time

R183058

Independently prepares or reviews third-party financial accounting, contractual allowances, cost reports and surveys for multiple assigned facilities and/or multiple assigned facilities and centralized office function. and other projects as assigned.

We are committed to offering flexible work options where approved and stated in the job posting. However, we are currently not considering candidates who reside or plan to reside in the following states:
California, Connecticut, Hawaii, Illinois, Massachusetts, Minnesota, New York, Pennsylvania, Rhode Island, Vermont, Virginia and Washington. Colorado for remote caregivers’ whose assigned Intermountain facility or service area is not based in Colorado.

Please note that a video interview through Microsoft Teams will be required as well as potential onsite interviews and meetings

The hiring manager is considering applicants who have experience in Medicare and Medicaid reimbursement methodologies, hospital cost reporting, financial modeling, data analytics, audit processes, and reimbursement settlements. Proven ability to interpret and apply complex federal and state healthcare regulations. We seek candidates who bring diverse professional backgrounds, experiences, perspectives, and innovative problem-solving skills, with the ability to collaborate effectively across Finance, Revenue Cycle, Operations, Government Relations, and Executive Leadership to support organizational goals and drive strategic outcomes.

Schedule - Standard business hours, Monday through Friday. Position may request occasional additional hours during peak regulatory filing periods, audits, settlements, budget season, or other critical reimbursement deadlines.

• Performs routine and non-routine tasks requiring more in-depth analysis and is expected to identify alternatives and recommend plans to resolve problems. Direction is limited to overall process and complex problems. Timely and accurately completes assigned tasks.
• Performs or reviews reimbursement processes (i.e., reconciliation of third-party G/L accounts, calculation of actual and budgeted contractual allowances and variances, monitoring of individual claims (logs), etc.). Interacts with HIM, PAS, and hospital finance staff as needed.
• Prepares monthly Medicare and Medicaid settlement and policy reserve calculations using technically acceptable and reasonably conservative reimbursement methodologies.
• Prepares or reviews cost reports and surveys, reviews audit adjustments and settlements, and files appeals and exception requests to appropriately maximize reimbursement. Interacts with Medicare Administrative Contractor, State Medicaid, and hospital personnel as needed.
• Acts as a mentor. As assigned, coordinates training, direction and review of those working with reimbursement functions.
• Manages scope and completion of work, meeting deadlines, and providing deliverables to the customers or end users. Manages complex projects, schedules and facilitates meetings as necessary to complete assignments. Develops, documents and revises system design procedures, test procedures and quality standards.
• Investigations changes in reimbursement and communicates potential impacts to reimbursement. Communicates effectively with site and system financial leadership to establish key financial variables requiring special analysis.

• Reconciliation
• Accounting
• Accounts Payable/Receivable Process
• Medicare
• Medicaid
• General Ledger
• Financial Statements
• Analytical Thinking
• Reimbursement

• Demonstrated experience in a role requiring data analysis.
• Demonstrates computer skills including spreadsheets, databases, word processing, and…