Reimbursement Senior Analyst

Summary

Intermountain Health is seeking a Reimbursement Senior Analyst to support healthcare reimbursement and financial operations. The role prepares and reviews Medicare and Medicaid settlements, cost reports, audits, contractual allowances, and reimbursement analyses while managing complex projects and collaborating with finance, revenue cycle, operations, government relations, and executive leadership.

Responsibilities

• 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. May be responsible for the coordination, training, direction and review of those working with reimbursement functions
• Understands and stays current on laws and regulations related to reimbursement. Determines the impact of reimbursement changes on hospital operations with minimal supervision
• Responsible for managing 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. Develop, document and revise 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
• Is responsible for 2+ hospitals or 1+ hospital and Central Office assignments

Skills

• 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
• Bachelor's degree in accounting, Finance or other business related field with four years' experience. A degree must be obtained from an accredited institution
• Master's degree in accounting, Finance, or other business-related field with two years experience. Education must be obtained from an accredited institution
• Computer skills including spreadsheets, databases, word processing, and Internet
• Bachelor's degree in accounting, Finance or other business related field with four years' experience. A degree must be obtained from an accredited institution
• Master's degree in accounting, Finance, or other business-related field with two years experience. Education must be obtained from an accredited institution
• Computer skills including spreadsheets, databases, word processing, and Internet

Qualifications

Must Haves

• 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
• Bachelor's degree in accounting, Finance or other business related field with four years' experience. A degree must be obtained from an accredited institution
• Master's degree in accounting, Finance, or other business-related field with two years experience. Education must be obtained from an accredited institution
• Computer skills including spreadsheets, databases, word processing, and Internet

Nice to Haves

• Bachelor's degree in accounting, Finance or other business related field with four years' experience. A degree must be obtained from an accredited institution
• Master's degree in accounting, Finance, or other business-related field with two years experience. Education must be obtained from an accredited institution
• Computer skills including spreadsheets, databases, word processing, and Internet

Benefits

• Fully remote work arrangement