Reimbursement Senior Analyst
Core
Independently prepares and reviews third-party financial accounting, contractual allowances, cost reports, and surveys for multiple facilities and centralized office functions.
Role type
Senior Reimbursement Analyst
Builds
Monthly Medicare and Medicaid settlement calculations, policy reserve calculations, cost reports, and audit adjustments.
Domain
Healthcare Finance / Government Reimbursement
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure | physical/clinical work
Required skills
Medicare reimbursement methodologies, Medicaid reimbursement methodologies, hospital cost reporting, financial modeling, data analytics, audit processes, reimbursement settlements, reconciliation, accounting, general ledger, financial statements
Preferred skills
Bachelor's degree in accounting or finance, 2+ years experience in Medicare/Medicaid/governmental reporting
Technologies
Spreadsheets, databases, word processing, Internet
Responsibilities
Reconcile third-party G/L accounts, calculate actual and budgeted contractual allowances and variances, monitor individual claims logs, prepare monthly Medicare/Medicaid settlements, review audit adjustments and file appeals, coordinate training for reimbursement staff, manage complex projects and deadlines, communicate reimbursement changes and impacts to financial leadership
Seniority
Senior, hands-on IC