[Hiring] Reimbursement Senior Analyst @Intermountain Health

Role Description

Prepares or reviews third-party financial accounting, contractual allowances, cost reports and surveys, and other projects as assigned. Requires no supervisor assistance for routine tasks and minimal supervision for non-routine tasks.

Schedule - Standard business hours, Monday through Friday. Position may require occasional additional hours during peak regulatory filing periods, audits, settlements, budget season, or other critical reimbursement deadlines.

Essential Functions

• Performs routine and non-routine tasks requiring more in-depth analysis and is expected to identify alternatives and recommend plans to resolve problems.
• Timely and accurately completes assigned tasks.
• Performs or reviews reimbursement processes (i.e., reconciliation of third-party G/L accounts, calculation of actual and budgeted contractual allowances and variances, monitoring of individual claims (logs), etc.).
• Interacts with HIM, PAS, and hospital finance staff as needed.
• Prepares monthly Medicare and Medicaid settlement and policy reserve calculations using technically acceptable and reasonably conservative reimbursement methodologies.
• Prepares or reviews cost reports and surveys, reviews audit adjustments and settlements, and files appeals and exception requests to appropriately maximize reimbursement.
• Acts as a mentor and may be responsible for the coordination, training, direction, and review of those working with reimbursement functions.
• Understands and stays current on laws and regulations related to reimbursement.
• Determines the impact of reimbursement changes on hospital operations with minimal supervision.
• Responsible for managing scope and completion of work, meeting deadlines, and providing deliverables to the customers or end users.
• Manages complex projects, schedules, and facilitates meetings as necessary to complete assignments.
• Develops, documents, and revises system design procedures, test procedures, and quality standards.
• Investigates changes in reimbursement and communicates potential impacts to reimbursement.
• Communicates effectively with site and system financial leadership to establish key financial variables requiring special analysis.
• Responsible for 2+ hospitals or 1+ hospital and Central Office assignments.

Qualifications

• Bachelor’s degree in accounting, Finance or other business related field with four years’ experience. A degree must be obtained from an accredited institution. Education is verified.
• Master’s degree in accounting, Finance, or other business-related field with two years experience. Education must be obtained from an accredited institution. Degree will be verified.
• Computer skills including spreadsheets, databases, word processing, and Internet.

Requirements

• Proven ability to interpret and apply complex federal and state healthcare regulations.
• Experience in Medicare and Medicaid reimbursement methodologies, hospital cost reporting, financial modeling, data analytics, audit processes, and reimbursement settlements.
• Ability to collaborate effectively across Finance, Revenue Cycle, Operations, Government Relations, and Executive Leadership to support organizational goals and drive strategic outcomes.

Benefits

• Generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness.

Company Description

Intermountain Health is an equal opportunity employer. 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.