Hybrid Senior Reimbursement Analyst

Posted 3 weeks ago

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About the role

  • This job performs wide range of third-party reimbursement services and acts as a financial and operational liaison for operations, regulatory agencies , or other outside entities.
  • This incumbent serves as a technical expert on reimbursement issues for team members and management.
  • The incumbent analyzes financial results, trends, performance metrics and provides root cause analysis to support business decisions.
  • Recommends, based on trends and historical analysis, revenue adjustments or cost improvement measures.
  • May be responsible for management and reporting functions for programs funded by federal, state, local or commercial partners through supplemental programs or value based incentive payments.
  • Leads in preparation, evaluation, and maintenance of processes in support of regulatory and third party updates including quarterly work papers, annual audits, cost accounting and third party accounting.
  • Communicates any issues to team and management.
  • Records, classifies, and summarizes financial transactions and events in accordance with generally accepted accounting principles.
  • Interprets financial transactions and events for users who make economic or business decisions.
  • Provides expertise and education in budgeting, revenue recognition, reimbursement, system and process changes. Correlates Revenue/Expense to volumes and prepares reports to assess financial performance.
  • Develops and/or maintains processes and performs complex calculations to support the short and long term strategic plans and operating budgets, supports monthly financial statement and comparisons of payor performance.
  • Performs detailed variance analysis against expected budget, forecast, prior periods, modeling or other revenue benchmarks as required to support operations.
  • Analyzes contractual or financial results, trends, performance metrics and provides root cause analysis to support business decisions.
  • Recommends cost saving and revenue enhancement improvement measures.

Requirements

  • Minimum Bachelor's Degree in Business, Finance, Accounting or related field, or relevant experience and/or education as determined by the company in lieu of bachelor's degree.
  • Proficiency with spreadsheet applications and database management.
  • Demonstrated ability to understand and apply complex federal regulations and policy.
  • Preferred Master’s Degree in Business, Finance, Accounting or related field.
  • 5 -7 years of Third-party reimbursement in a healthcare environment.

Job title

Senior Reimbursement Analyst

Job type

Experience level

Senior

Salary

$30 - $47 per hour

Degree requirement

Bachelor's Degree

Location requirements

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