Reimbursement Analyst I Job at Health Care Service Corporation (Tulsa, OK)

Reimbursement Analyst Iii

The Reimbursement Analyst III supports complex reimbursement and cost reporting ...

Location

United States , Sacramento

Salary:

50.00 - 57.00 USD / Hour

Medasource

Expiration Date

Until further notice

Requirements

2+ years of experience in healthcare reimbursement with direct cost reporting and general ledger integration
Experience preparing Medicare cost reports (CMS-2552-10) with ownership of worksheets, allocations, and audit support
Experience with HCAI (OSHPD) reporting in large or multi-facility health systems
Strong experience working with general ledger data, cost allocations, and reconciliation to financial statements
Proven experience in cost report preparation, not revenue cycle, billing, or AR functions
Strong knowledge of CMS, Medicare, and Medi-Cal reimbursement methodologies
Experience reviewing audit adjustments and managing appeals with regulatory agencies
Ability to analyze regulatory guidance and build reimbursement impact models
Experience supporting audits, regulatory filings, and compliance documentation

Job Responsibility

Supports complex reimbursement and cost reporting functions for a large healthcare system in a fully remote capacity
Focused on true reimbursement work including Medicare and Medi-Cal cost report preparation, HCAI filings, and reconciliation to general ledger and financial statements
Ownership of cost report worksheets, cost allocations, audit support, and management of audit adjustments and appeals
Serves as a subject matter expert in reimbursement methodologies and provides financial impact modeling based on regulatory changes
Partners closely with accounting and finance teams to ensure accurate cost reporting, compliance, and timely regulatory submissions

What we offer

Competitive medical, dental, vision, Health Savings Account, Dependent Care FSA, and supplemental coverage
401k plan with company match fully vested after eligibility
Paid time off
Sick time
Paid company holidays
Employee Assistance Program (EAP) with virtual counseling, financial services, legal services, life coaching

Fulltime

Reimbursement Analyst III

The Reimbursement Analyst III is responsible for preparing, reviewing, and analy...

Location

United States , Sacramento

Salary:

40.00 USD / Hour

Medasource

Expiration Date

Until further notice

Requirements

Direct, recent experience preparing and filing HCAI (OSHPD) reports for large or multi‑facility healthcare organizations
Demonstrated experience preparing Medicare cost reports (e.g., Form CMS‑2552‑10) including worksheets, supporting schedules, audit follow‑up, and appeals
Strong knowledge of CMS reimbursement principles, Medi‑Cal reimbursement methodologies, and regulatory reporting standards
Advanced analytical skills with the ability to interpret complex regulatory guidance and translate it into financial impact models

Job Responsibility

Preparing, analyzing, and validating cost reports, supplemental filings, and regulatory disclosures in accordance with CMS, Medicare, Medicaid/Medi‑Cal, and state agency requirements
Performing detailed review of Medicare and Medicaid/Medi‑Cal audit adjustments
managing the appeals process including preparation of supporting documentation and coordination with CMS/HCFA, HCAI, and the Department of Health Services
Serving as a subject matter expert on HCAI annual reporting, Medicare/Medicaid reimbursement methodologies, program regulations, and cost report implications
Providing financial impact analyses on regulatory changes, newly enacted or proposed legislation, and reimbursement updates
producing multi‑year projections for system and affiliate leaders
Supporting managed care negotiations by supplying reimbursement modeling, trending analyses, and regulatory insights that influence payer strategy
Collaborating with affiliate finance teams during contractual reviews and audits, and with external auditors or third‑party consultants on reimbursement‑related evaluations
Contributing to annual budget development and forecast cycles by supplying government‑payer revenue projections grounded in cost report and HCAI data
Ensuring accuracy, timeliness, and compliance across all submissions, internal workpapers, and supporting documentation

What we offer

Competitive medical, dental, vision, Health Savings Account, Dependent Care FSA, and supplemental coverage with plans that can fit each employee’s needs
401k plan that includes a company match and is fully vested after you become eligible
Paid time off, sick time, and paid company holidays
Employee Assistance Program (EAP) that provides services like virtual counseling, financial services, legal services, life coaching

Senior Reimbursement Analyst

Senior Reimbursement Analyst role focusing on government payor programs, revenue...

Location

United States , Milwaukee

Salary:

41.10 - 61.65 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

Bachelor's Degree in Finance or related field
Typically requires 5 years of experience in reimbursement that includes experiences in preparation of Medicare/Medicaid cost reports, regulations and the analysis, modeling and reporting of third party payers
Demonstrated expertise with Medicare and Medicaid regulations in a health care or federal intermediary setting
Knowledge and understanding of third party regulations and the interrelationship of financial statements
Strong accounting background with experience in preparing and/or reviewing health care financial statements
Strong proficiency in the use of the Microsoft Office (Excel, PowerPoint, Word, Access), software systems, data management tools or similar products
Proficiency in data mining and analysis
Excellent written and verbal communication skills

Job Responsibility

Plans and prepares revenue analysis for system wide programs, projects and services, and monitors revenue budgets and benchmarking activities
Identifies and researches opportunities to enhance revenue and improve administrative efficiency of governmental payor programs
Reviews government agency bulletins, publications, and the Federal Register to understand proposed and actual state and federal government statutory and regulatory changes
Serves as one of the Aurora representatives on the state Medicaid Hospital Rate Advisory Group, Health Care Quality Coalition, and Wisconsin Hospital Association Medicaid Advisory Group
Provides support as needed to Finance and Operations on reimbursement related matters
Prepares and/or provides necessary information required for the completion of the annual Medicare and Medicaid interim and year-end cost reports
Develops and provides coordination for the system-wide monthly closing process with respect to Medicare/Medicaid liabilities
Monitors processes to ensure accurate payment for Medicare/Medicaid and monitors interim payments
Works with Graduate Medical Education programs to ensure proper Medicare and Medicaid reimbursement

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

Fulltime

Senior Reimbursement Analyst

Senior Reimbursement Analyst role focusing on government payor programs, revenue...

Location

United States , Milwaukee

Salary:

41.10 - 61.65 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

Bachelor's Degree in Finance or related field
Typically requires 5 years of experience in reimbursement that includes experiences in preparation of Medicare/Medicaid cost reports, regulations and the analysis, modeling and reporting of third party payers
Demonstrated expertise with Medicare and Medicaid regulations in a health care or federal intermediary setting
Knowledge and understanding of third party regulations and the interrelationship of financial statements
Strong accounting background with experience in preparing and/or reviewing health care financial statements
Strong proficiency in the use of the Microsoft Office (Excel, PowerPoint, Word, Access), software systems, data management tools or similar products
Proficiency in data mining and analysis
Excellent written and verbal communication skills

Job Responsibility

Plans and prepares revenue analysis for system wide programs, projects and services, and monitors revenue budgets and benchmarking activities
Identifies and researches opportunities to enhance revenue and improve administrative efficiency of governmental payor programs
Reviews government agency bulletins, publications, and the Federal Register to understand proposed and actual state and federal government statutory and regulatory changes
Serves as one of the Aurora representatives on the state Medicaid Hospital Rate Advisory Group, Health Care Quality Coalition, and Wisconsin Hospital Association Medicaid Advisory Group
Provides support as needed to Finance and Operations on reimbursement related matters
Prepares and/or provides necessary information required for the completion of the annual Medicare and Medicaid interim and year-end cost reports
Develops and provides coordination for the system-wide monthly closing process with respect to Medicare/Medicaid liabilities
Monitors processes to ensure accurate payment for Medicare/Medicaid and monitors interim payments
Works with Graduate Medical Education programs to ensure proper Medicare and Medicaid reimbursement

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

Fulltime

Reimbursement Senior Analyst

The Senior Reimbursement Analyst plays a key role in supporting the financial su...

Location

United States , Hollywood

Salary:

Not provided

Memorial Healthcare System

Expiration Date

Until further notice

Requirements

Bachelors (Required)
Minimum of five (5) years of progressively responsible experience overseeing reimbursement operations, audit, or consulting projects related to reimbursement
Bachelor's degree in Accounting, Finance, Business Administration, or related field required
Essential to have thorough knowledge of Medicare, Medicaid and Champus rules and regulations and third party audit techniques
Strong command of regulatory reporting requirements
Proficient in Microsoft Office products and Cost Reporting Software
Exceptional analytical skills
Ability to collaborate across departments to drive operational excellence and maximize reimbursement opportunities
Requires critical thinking skills, effective communication skills, decisive judgment and the ability to work with minimal supervision
Must be able to work in a stressful environment and take appropriate timely action

Job Responsibility

Extracts required data from MHS systems and prepares schedules supporting reimbursement activities
Participate in the monthly close and annual financial statement preparation related to net revenue and supports annual accounting audit of same
Function as primary backup to the Directors in the monthly close process
Compile data for Medicaid DSH and Low Income Pool (LIP) supporting schedules
Other duties, as assigned
Obtaining supporting materials from other MHS departments and external sources
Maintains registration for access to all state and federal databases
Participate in the preparation of the annual Medicare, Medicaid and Champus cost reports
Compile data and supporting schedules for the cost reports
Monitor and maintain various cost report statistics such as time studies, meal count and square footage

Fulltime

Certified Epic Reimbursement Contracts Analyst

Baptist Health is seeking a Certified Epic Reimbursement Analyst to join our tea...

Location

United States , Tallahassee

Salary:

Not provided

Baptist Health (Florida)

Expiration Date

Until further notice

Requirements

Bachelor of Science Degree Required
Epic Resolute Hospital Billing Expected Reimbursement Contracts Administration Certified OR Epic Resolute Professional Billing Reimbursement Contracts Certified
Experience with managed care contracts, hospital billing, or revenue cycle operations
Strong analytical and problem-solving skills
Excellent communication and collaboration abilities
Attention to detail with a focus on accuracy and efficiency

Job Responsibility

Load and maintain managed care, government, and special contracts into the Epic system with a high level of accuracy
Validate and test reimbursement functionality within Epic to ensure proper configuration and payment outcomes
Collaborate with managed care plans and internal stakeholders to support timely and accurate contract implementation
Execute all steps required to operationalize contracts following negotiation and approval
Monitor contract performance and troubleshoot discrepancies related to reimbursement
Ensure compliance with healthcare regulations and organizational standards

Fulltime

Director of Revenue Integrity

The Director of Revenue Integrity is a newly created position that will lead and...

Location

United States , Carrollton

Salary:

Not provided

Kirby Bates Associates

Expiration Date

Until further notice

Requirements

Bachelor's degree required
Minimum of 10 years of hospital revenue integrity experience, including 5 years in a leadership or management role within revenue integrity
Deep knowledge of CDM management, charge capture processes, denial prevention, and revenue reconciliation
Strong understanding of payer reimbursement methodologies (DRG/APR-DRG, OPPS, ASC, per diem, percent of charges) and CMS regulations
Proven ability to analyze KPIs, conduct audits, and implement corrective actions to improve financial performance
Epic and Craneware Trisus experience highly preferred

Job Responsibility

Lead enterprise-wide revenue integrity strategy and performance
Oversee charge capture, revenue reconciliation, Charge Description Master (CDM), denial prevention, and revenue analytics
Serve as key liaison between revenue cycle and clinical departments
Maximize gross and net revenue, ensure regulatory compliance, reduce financial leakage
Lead a team comprised of a CDM Coordinator, Charge Coordinator Specialists, a Clinical Auditor, and a Denial Prevention Analyst

Fulltime

Student Intern - Financial Analyst

The Financial Analyst Intern supports the System Finance with operational and/or...

Location

United States , Tucson

Salary:

Not provided

Tucson Medical Center

Expiration Date

Until further notice

Requirements

High school diploma or general education degree (GED), preferably currently enrolled in a school of higher education
Preferably currently pursuing a Bachelor’s degree in Finance, Accounting, Economics, Business, or a related field
None required
preferred at least six (6) months of related experience or training in area of internship
Prior internship, coursework, or academic projects involving financial analysis, accounting, or data analysis preferred
Licensure or certification: None required
Strong work ethic and willingness to learn at an accelerated pace
Willingness to embrace TMC Health’s cultural values: Practice Kindness, Speak-up, Elevate Together, and Be Curious
Proficiency in Microsoft Excel and exposure to financial modeling concepts preferred
Basic understanding of financial statements and budgeting principles

Job Responsibility

Assist with routine financial tasks such as data collection, basic variance analysis, and report preparation
Support the development and maintenance of financial models used for budgeting, forecasting, and service line analysis
Assist in annual budgeting and periodic forecasting processes by gathering data and preparing supporting schedules
Compile and organize financial and operational data to support decision-making
Help prepare monthly and quarterly financial reports, including basic variance explanations and KPI tracking
Support cost accounting and productivity analysis through data validation and reconciliations
Assist with business cases for new programs, services, and capital investments by preparing financial inputs
Provide analytical support for payer reimbursement and contract modeling projects under supervision
Collaborate with Finance team members on special projects and ad hoc analyses
Participate in meetings with Finance and operational teams for learning and exposure purposes

Fulltime

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Reimbursement Analyst I

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