Reimbursement Analyst

Job Description

• Assist in the preparation of Medicare and Medicaid cost reports (e.g., HCRIS submissions, supporting schedules)
• Compile and validate data used in cost reports, including statistics, trial balance mapping, and adjustments
• Support audit requests and documentation for Medicare Administrative Contractors (MACs)
• Maintain working knowledge of CMS reimbursement rules and regulatory changes
• Support monthly and quarterly net patient service revenue (NPSR) analysis
• Affort variance analysis (actual vs. budget vs. prior year) across payers and service lines
• Prepare schedules supporting reserve calculations, settlements, and third-party estimates
• Analyze reimbursement trends and identify potential risks or opportunities
• Extract and reconcile data from systems such as Epic, Crowe RCA, and decision support tools
• Prepare recurring reports and dashboards for leadership
• Ensure accuracy and consistency of reimbursement-related data across systems
• Assist in standardizing reporting processes and documentation
• Support initiatives to improve efficiency in cost reporting and net revenue workflows
• Participate in special projects (e.g., reimbursement modeling, regulatory impact analysis)

Minimum Qualifications

• Education: Bachelor’s degree in Finance, Accounting, Healthcare Administration, or related field
• Experience: 0–2 years of experience in healthcare Finance, Accounting, or analytics
• Skills, Knowledge & Abilities:
• Intermediate proficiency in Microsoft Excel (pivot tables, formulas, data analysis)
• Attention to detail with ability to manage large datasets
• Strong communication skills with ability to translate data into insights
• Ability to manage multiple priorities in a deadline-driven environment

Preferred Qualifications & Skills

• Exposure to healthcare reimbursement concepts (Medicare, Medicaid, DRGs, APCs)
• Familiarity with cost report software (e.g., HFS)
• Experience with healthcare financial systems (e.g., Epic, Strata, Axiom)
• Basic understanding of net revenue modeling and reserve methodologies

Pay Range

$55,000.00 USD – $70,000.00 USD