Intermountain Healthcare

Reimbursement Analyst Senior


PayCompetitive
LocationNot available
Employment typeFull-Time

This job is now closed

  • Job Description

      Req#: R145295

      Job Description:

      Independently prepares or reviews third-party financial accounting, contractual allowances, cost reports and surveys for multiple assigned facilities and/or multiple assigned facilities and centralized office function. and other projects as assigned.

      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. Direction is limited to overall process and complex 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. Interacts with Medicare Administrative Contractor, State Medicaid, and hospital personnel as needed.
      • Acts as a mentor. As assigned, coordinates training, direction and review of those working with reimbursement functions.
      • Manages 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.
      • Investigations 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.

      Skills

      • Reconciliation
      • Accounting
      • Accounts Payable/Receivable Process
      • Medicare
      • Medicaid
      • General Ledger
      • Financial Statements
      • Analytical Thinking
      • Reimbursement

      Physical Requirements:

      Qualifications Required

      • Demonstrated experience in a role requiring data analysis.
      • Demonstrates computer skills including spreadsheets, databases, word processing, and Internet.
      • Demonstrated experience with third-party financial accounting, contractual allowances, cost reports and surveys

      Preferred Qualifications

      • Bachelor’s degree in accounting, Finance or other business-related field from an accredited institution. Education is verified.
      • Two years’ experience in Medicare, Medicaid, and/or governmental reporting

      Physical Requirements

      • Ongoing need for employee to see and read information, documents, monitors, identify equipment and supplies, and be able to assess customer needs.
      • Frequent interactions with providers, colleagues, customers, patients/clients, and visitors that require employee to verbally communicate as well as hear and understand spoken information, needs, and issues quickly and accurately.
      • Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer use for typing, accessing needed information, etc.
      • May have the same physical requirements as those of clinical or patient care jobs, when the leader takes clinical shifts.
      • For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.

      Location:

      Key Bank Tower

      Work City:

      Salt Lake City

      Work State:

      Utah

      Scheduled Weekly Hours:

      40

      The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

      $33.75 - $53.16

      We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

      Learn more about our comprehensive benefits package here.

      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.

      At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.

      All positions subject to close without notice.

  • About the company

      Intermountain Healthcare is a not-for-profit healthcare system and is the largest healthcare provider in the Intermountain West of the United States.

Notice

Talentify is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

Talentify provides reasonable accommodations to qualified applicants with disabilities, including disabled veterans. Request assistance at accessibility@talentify.io or 407-000-0000.

Federal law requires every new hire to complete Form I-9 and present proof of identity and U.S. work eligibility.

An Automated Employment Decision Tool (AEDT) will score your job-related skills and responses. Bias-audit & data-use details: www.talentify.io/bias-audit-report. NYC applicants may request an alternative process or accommodation at aedt@talentify.io or 407-000-0000.