Reimbursement Senior Analyst

Overview

This position prepares or reviews third-party financial accounting, contractual allowances, cost reports and surveys, and other projects as assigned. Routine tasks require no supervisor assistance, while non-routine tasks are completed with minimal supervision.

The employer is 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.

A video interview through Microsoft Teams will be required, along with potential onsite interviews and meetings.

Responsibilities

• Perform routine and non-routine tasks requiring in-depth analysis; identify alternatives and recommend plans to resolve problems.
• Complete assigned tasks timely and accurately.
• Perform or review reimbursement processes, including:
  • Reconciliation of third-party G/L accounts
  • Calculation of actual and budgeted contractual allowances and variances
  • Monitoring of individual claims (logs)
• Interact with HIM, PAS, and hospital finance staff as needed.
• 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; file appeals and exception requests to appropriately maximize reimbursement.
• Coordinate with the Medicare Administrative Contractor, State Medicaid, and hospital personnel as needed.
• Mentor others involved in reimbursement functions; may coordinate, train, direct, and review their work.
• Stay current on laws and regulations related to reimbursement and determine the impact of reimbursement changes on hospital operations with minimal supervision.
• Manage scope and completion of work, meeting deadlines, and providing deliverables to customers or end users.
• Manage complex projects, schedules, and facilitate meetings as necessary to complete assignments.
• Develop, document, and revise system design procedures, test procedures, and quality standards.
• Investigate changes in reimbursement and communicate potential impacts.
• Communicate effectively with site and system financial leadership to establish key financial variables requiring special analysis.
• Be responsible for 2+ hospitals or 1+ hospital and Central Office assignments.

Qualifications Required

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

Preferred Qualifications

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

Additional Considerations / Interview & Schedule

• Schedule: Standard business hours, Monday through Friday.
• May require occasional additional hours during peak regulatory filing periods, audits, settlements, budget season, or other critical reimbursement deadlines.

Skills

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

Physical Requirements

• Ongoing need to see and read information, documents, monitors; identify equipment and supplies; and assess customer needs.
• Frequent interactions with providers, colleagues, customers, patients/clients, and visitors requiring verbal communication and the ability to hear and understand spoken information, needs, and issues quickly and accurately.
• Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy, including frequent computer use for typing and accessing information.
• May have the same physical requirements as those of clinical or patient care jobs when the leader takes clinical shifts.
• For roles requiring driving: expected to drive a vehicle requiring sitting, seeing and reading signs, traffic signals, and other vehicles.

Location

• Peaks Regional Office, Broomfield, Colorado
• Scheduled weekly hours: 40

Compensation & Benefits

• Hourly range: $34.26 - $53.96 (actual hourly rate dependent upon experience)
• Comprehensive benefits package, including programs to foster wellness: mind, body, and spirit.

Equal Opportunity

An equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

All positions are subject to close without notice.