Reimbursement Analyst – Senior

Hourly Pay Range: $35.85 - $55.57 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors.

Position:
Sr. Reimbursement Analyst

Location:

Warrenville, IL

Full Time

Hours:

Monday-Friday, 8am – 4:30pm

Hybrid Position

The Senior Reimbursement Analyst is responsible for performing advanced reimbursement and financial analysis to ensure accurate reimbursement, regulatory compliance, and financial decision‑making for the organization. This role serves as a subject matter expert in healthcare reimbursement, including Medicare, Medicaid, and commercial payer methodologies, and partners with operational and finance leaders to identify reimbursement opportunities, mitigate financial risk, and support revenue optimization.

The position also contributes to key financial processes such as month‑end close activities, reserve analysis, reconciliations, budgeting, reporting, and audit support.

Conduct complex analysis of reimbursement data, including Medicare, Medicaid, and commercial payers, to identify trends, variances, opportunities, and reimbursement discrepancies; evaluate the financial impact of reimbursement rate changes, contract terms, and regulatory updates.

Lead reimbursement optimization efforts through review of payment methodologies, reimbursement rates, payer terms, and denial trends; develop recommendations to improve reimbursement performance and reduce revenue leakage.

Conduct key financial operations, including month‑end close activities, journal entries, AR reserve model calculations and analysis, balance sheet reconciliations, and budget support.

Prepare, analyze, and present reimbursement metrics, financial reports, forecasts, and key performance indicators for leadership to support operational decision‑making and financial planning.

Coordinate and support financial, reimbursement, and compliance audits by gathering documentation, responding to inquiries, preparing schedules, and explaining reimbursement methodologies and financial results.

10% Monitor and interpret federal and state reimbursement regulations and payer guidance to ensure organizational compliance and alignment with current reimbursement requirements.

Provide guidance, training, and subject matter expertise to analysts, finance partners, and operational leaders on reimbursement‑related issues; participate in reimbursement‑related special projects and other duties as assigned.

Bachelor’s degree in Finance, Accounting, Healthcare Administration, Business Administration, or a closely related field from an accredited college or university.

Five or more years of progressively responsible experience in healthcare reimbursement, reimbursement analysis, financial analysis, revenue cycle, accounting, or a related field, including at least two years in a senior‑level, lead, or advanced analytical capacity.

Strong knowledge of reimbursement principles, financial analysis, data management, reporting, and financial systems/spreadsheet applications required.

Knowledge of healthcare reimbursement methodologies and payment structures, including Medicare, Medicaid, and commercial payers

Knowledge of hospital reimbursement regulations and compliance standards

Knowledge of financial analysis, accounting principles, and reimbursement‑related reporting practices

Skill in analyzing complex reimbursement and financial data to identify trends, discrepancies, and opportunities

Skill in preparing financial reports, reimbursement models, forecasts, and key performance indicators

Skill in using spreadsheets, financial systems, and data management tools to support analysis…