Apply on Employer Site

Grande Ronde Hospital · 3 months ago

Business & Reimbursement Analyst - Full-Time

La Grande, OR

Full-time

Onsite

Senior Level

$36.77/hr - $51.09/hr

5+ years exp

Grande Ronde Hospital is dedicated to providing high-quality, cost-effective health care in a safe and customer-friendly environment. They are seeking a Business & Reimbursement Analyst who will evaluate operational needs for new programs, support financial sustainability through analysis of payor reimbursement, and collaborate with cross-functional teams to implement business initiatives.

Health CareHospitalMedical

Responsibilities

Collaborate with leadership and staff to translate business analysis into actionable business plans

Conduct ongoing analysis of payor reimbursement to support financial sustainability and identify trends in payments and denials

Resolve reimbursement issues and ensure claims processing aligns with payor agreements and compliance standards

Serve as subject matter expert on payor reimbursement policies, appeal procedures, and regulatory guidelines

Perform ad hoc financial and operational analyses to support evolving business needs and strategic decisions

Evaluate existing and proposed contract rates to ensure competitiveness and alignment with organizational goals

Develop and maintain price transparency files in accordance with federal and state regulatory requirements in collaboration with Revenue Integrity Analyst

Coordinate and deliver training sessions on reimbursement procedures and payor policies for internal stakeholders

Monitor and report on reimbursement performance metrics, providing insights to improve revenue cycle efficiency

Support strategic business development initiatives through data-driven recommendations, market analysis, and financial modeling

Qualification

Healthcare revenue cycleData analysisPayor reimbursement policiesHealthcare financial systemsData visualization toolsAnalytical skillsProblem-solving skillsAttention to detailInterpersonal skillsCommunication skillsOrganizational skillsTime management

Required

Bachelor's Degree in relevant field required

Five (5) years' progressive healthcare revenue cycle experience required

Professional or academic experience with statistics, analytics and/or data analysis required

Skilled in exercising strong analytical and problem-solving skills; ability to synthesize complex data into actionable insights

Advanced understanding of revenue cycle processes and the ability to work collaboratively with multiple departments

Advanced ability to evaluate and translate payor reimbursement contract language and policies into business requirements

Strong attention to detail and high degree of accuracy

Self-directed and thorough

Advanced skills in Microsoft Office products (Excel, Word, PowerPoint)

Excellent interpersonal, written, and verbal communication skills

Ability to apply corporate policies and procedures to daily challenges

Strong organizational and planning skills, including prioritization and adaptation to interruptions

Resource management skills, including effective time management

Professionalism, discretion, and the ability to maintain confidentiality

Preferred

American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA) coding certification preferred

Healthcare financial systems experience (Epic, Cerner, Meditech, or other EHR/RCM tools)

Experience with healthcare financial systems (e.g., Epic, Cerner, Meditech) and data visualization tools (Tableau, Power BI, advanced Excel) preferred