Reimbursement Analyst - Hybrid - 139367

About the role

The Reimbursement Analyst provides support and analysis of government reimbursement for the hospital, including Medicare, Medi-Cal, and HCAI, among others. This role involves preparing monthly Accounts Receivable Valuation and Net Revenue Impacts, ensuring timely and accurate financial and governmental reporting such as Annual Medicare Cost Reports and Annual and Quarterly HCAI reports. Additionally, the Analyst prepares audit responses for all relevant external and internal audits, including those conducted by Medicare, Medi-Cal, HCAI, OIG, and other agencies.

Responsibilities

• Prepares monthly Accounts Receivable Valuation and Net Revenue Impacts
• Ensures timely and accurate financial and governmental reporting
• Performs impact analysis of government regulations
• Monitors state and federal regulatory proposals
• Prepares audit responses for external and internal audits
• Manages and leads a team to complete projects on schedule
• Applies knowledge and skills to identify improvements
• Maintains advanced knowledge in healthcare reimbursement revenue cycle workflow, financial reporting concepts, and industry best practices

Requirements

• Nine (9) years of related experience, education/training, or a Bachelor’s degree in related area plus five (5) years of related experience/training
• Experience working within a Health Insurance Company
• Experience working within a Medicare Intermediary
• Performed Impact Analysis of government regulations
• History with academic medical center, organ transplant hospital, Medicare Intermediary, Healthcare Consulting
• Experience demonstrating process improvement

Qualifications

• Advanced knowledge in healthcare reimbursement revenue cycle workflow, financial reporting concepts, and industry best practices
• In-depth knowledge of relevant Medicare, Medi-Cal, and third-party payer regulations
• Ability to apply policy knowledge to proactively identify potential risk areas
• Advanced skills in data management and analysis
• Comprehensive knowledge of relevant department, medical center, and UC policies and processes
• Advanced interpersonal skills, with the ability to collaborate effectively on highly-complex projects in a team environment with a wide variety of business and clinical areas
• Advanced communications skills, with the ability to interpret and convey complex clinical finance information in a clear, concise manner
• Ability to prepare compelling and informative reports and presentations to all levels of staff and management
• Advanced knowledge of organization's Reimbursement Healthcare application programs to troubleshoot issues and recommend improvements in convenience and efficiency

Skills

• Advanced knowledge of financial analysis, research, and reporting, particularly as it applies to reimbursement in healthcare settings
• Advanced interpersonal skills, with the ability to collaborate effectively on highly-complex projects in a team environment with a wide variety of business and clinical areas
• Advanced communications skills, with the ability to interpret and convey complex clinical finance information in a clear, concise manner
• Advanced skills in data management and analysis
• Project management skills to lead a team, prioritize personal and team tasks and see projects through from inception to completion on schedule
• Adaptability and flexibility to effectively handle change

Benefits

Not specified

Pay

$100,000 - $127,000 / Year

Schedule

Days, 8-Hour Shifts, Monday-Friday