Senior Reimbursement Analyst - Revenue Management

Overview

This role provides critical analytical and reimbursement support for reimbursement functions, including Medicare, Medicaid, and other third-party cost report activities, related audits, appeals, disproportionate share hospital (DSH), and drug discount program (340B) CPT/HCPCS code changes for assigned entities. The analyst prepares monthly and year-end entries for third-party reserves and summarizes reimbursement data for market and local finance leadership.

Responsibilities

• Prepare workpapers, review and submit annual Medicare and Medicaid cost reports and other regulatory filings as required.
• Coordinate Medicare and Medicaid cost report reviews and audits, including:
  • Overall cost report
  • Wage index
  • Bad debt
  • S-10
  • Medicaid log
  • Medicaid eligible days
• Prepare monthly settlement reserve entries.
• Research reimbursement and regulatory issues and provide analyses to the System Director or other stakeholders.
• Review net revenue analytics and identify areas where additional analysis is required.
• Assist with the annual budgeting process for net revenue.
• Produce reports, analyses, and integrate data accurately and efficiently; complete other assigned projects as needed.
• Prepare reimbursement-related reports or analyses to support reimbursement leadership.

Requirements

• Bachelor’s degree in Accounting or Finance required.
• Minimum 3 years of experience in consulting or multi-hospital acute-care health system work related to Medicare and Medicaid reimbursement and cost report preparation.
• Ability to research reimbursement issues and provide practical, concise interpretations.
• Strong organizational skills and the ability to use critical thinking to query appropriate data for projects.
• Excellent analytical and computer skills.
• Ability to effectively communicate and interact with regional and corporate office associates.
• Excellent oral and written communication skills, with strong interpersonal skills.
• Ability to work independently and proactively with limited supervision.

Preferred Qualifications

• Master’s degree in Accounting or Finance.
• Experience with Ohio, Kentucky, Virginia, and/or South Carolina Medicaid reimbursement.
• Experience with Medicare medical education reimbursement.
• Experience with Medicare wage index and/or Medicare critical access hospital reimbursement.

Compensation & Benefits

• Competitive pay, incentives, referral bonuses, and 403(b) with employer contributions (when eligible)
• Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources, and discounts
• Paid time off; parental and FMLA leave; short- and long-term disability; backup care for children and elders
• Tuition assistance, professional development, and continuing education support

Benefits may vary based on the market and employment status.

Location

• Ohio; Kentucky; Virginia; and/or South Carolina (experience preferred across these locations)