Reimbursement Senior Analyst

Overview

This role 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 organization offers flexible work options where approved and stated in the job posting; however, candidates who reside or plan to reside in the following states are not being considered: California, Connecticut, Hawaii, Illinois, Massachusetts, Minnesota, New York, Pennsylvania, Rhode Island, Vermont, Virginia and Washington.

Colorado: remote caregivers must have an assigned Intermountain facility or service area based in Colorado.

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

Schedule: standard business hours, Monday through Friday (40 hours/week). Occasional additional hours may be required during peak regulatory filing periods, audits, settlements, budget season, or other critical reimbursement deadlines.

Responsibilities

• Perform routine and non-routine tasks requiring more in-depth analysis; identify alternatives and recommend plans to resolve problems.
• Perform or review reimbursement processes, including reconciliation of third-party General Ledger accounts, calculation of actual and budgeted contractual allowances and variances, and monitoring of individual claims.
• 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 maximize reimbursement.
• Understand and stay current on laws and regulations related to reimbursement and determine the impact of reimbursement changes on hospital operations.
• Manage scope and completion of work, meet deadlines, and provide deliverables to customers or end users.
• Develop, document, and revise system design procedures, test procedures, and quality standards.
• Investigate changes in reimbursement and communicate potential impacts; coordinate with site and system financial leadership on key financial variables requiring special analysis.
• Act as a mentor and may coordinate, train, direct, and review others working with reimbursement functions.
• Support assignments for 2+ hospitals or 1+ hospital and Central Office responsibilities.

Qualifications Required

• Bachelor’s degree in accounting, Finance, or other business-related field with four years’ experience; degree must be obtained from an accredited institution (education is verified).
• Computer skills, including spreadsheets, databases, word processing, and Internet.

Preferred Qualifications

• Master’s degree in accounting, Finance, or other business-related field with two years’ experience; degree must be obtained from an accredited institution (education will be verified).
• Computer skills, including spreadsheets, databases, word processing, and Internet.

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; frequent computer use for typing and accessing information.
• May have similar physical requirements as clinical or patient care jobs when the leader takes clinical shifts.
• For roles requiring driving: expected to drive a vehicle, including sitting, seeing and reading signs, traffic signals, and other vehicles.

Compensation & Benefits

• Hourly pay range: $34.26 - $53.96 (actual hourly rate dependent upon experience).
• Benefits: a comprehensive benefits package supporting well-being (mind, body, and spirit) and programs intended to foster wellness.

Location

• Peaks Regional Office
• Work City: Broomfield
• Work State: Colorado

Equal Opportunity

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.

Additional Information

All positions are subject to close without notice.