Logan Health · 5 hours ago
Senior Reimbursement Analyst
Logan Health is a community-focused healthcare provider in Montana, dedicated to delivering exceptional care while fostering a collaborative work environment. They are seeking an experienced Senior Reimbursement Analyst to play a key role in financial reporting and compliance, collaborating with stakeholders to analyze data and prepare Medicare cost reports.
Health Care
Responsibilities
Perform detailed financial reporting and analytical reviews for assigned Reimbursement functions and system hospitals
Prepare, analyze, and support month-end net patient revenue (NPR) valuations for assigned system facilities, ensuring accuracy and compliance
Serve as a subject-matter resource to Reimbursement Analysts during month-end close activities, including contractual allowances, charity reserves, and bad debt estimates
Prepare, support, and ensure the accuracy of workpapers and supporting documentation for interim and annual Medicare, Medicaid, and other third-party cost reports for assigned hospitals
Conduct required post-submission analyses of completed cost reports in accordance with standardized policies and procedures; review analyst-prepared workpapers for completeness, accuracy, and auditable support
Research complex prospective payment and cost-based reimbursement issues; document findings and prepare formal position memos to support organizational decisions
Assist in developing, maintaining, and standardizing Reimbursement policies and procedures to promote consistency and compliance
Identify and recommend process improvements related to month-end close, cost reporting, and reimbursement operational reporting and dashboards
Serve as a primary point of contact for external consultants, regional facilities, and regulatory entities regarding reimbursement-related questions and issues, including CMS/Medicare per departmental protocol and Senior Long-Term Care Medicaid audits
Prepare and maintain complex balance sheet reconciliations for reimbursement-related receivables, reserves, and allowances; support analysts in completing reconciliations with an emphasis on strong, auditable documentation
Coordinate IRS Form 990 data collection with internal stakeholders; prepare and support completion of Schedule H (Community Benefit) for system facilities. Recommend operational and process improvements to enhance accuracy and optimize capture of community benefit activities through improved workflows, communication, and appropriate software utilization
Qualification
Required
Prior healthcare financial experience
Minimum of one (1) of the following: Bachelor's degree in Accounting, Finance, or Economics and 5+ years of experience in financial analysis, accounting, audit, or tax OR 7+ years of experience in healthcare reimbursement
Advanced knowledge of Microsoft Office, with a strong emphasis on Excel
Excellent organizational skills; detail-oriented; self-starter with strong critical thinking and prioritization abilities
Ability to work effectively both independently and as part of a team
Commitment to working in a team environment and maintaining confidentiality as required
Excellent verbal and written communication skills, with the ability to communicate effectively with diverse audiences
Strong interpersonal skills, including the ability to manage sensitive and confidential situations with tact, professionalism, and diplomacy
Preferred
Master's degree and/or Certified Public Accountant (CPA)
Experience working with a Medicare Administrative Contractor (MAC) and/or hospital reimbursement
Advanced knowledge of reimbursement principles, including prospective payment systems and cost-based reimbursement methodologies
Understanding of revenue cycle processes and their impact on reimbursement
Experience with Meditech
Experience with HFS Cost Reporting software, CostFlex decision support system, Syntellis Axiom, and database management tools
Benefits
Generous Matching 401(k) – 6% employer match on your eligible wages when you contribute 3% each pay period
Affordable Health, Dental, and Vision insurance
401(k) with generous 6% match on your first 3% earnings contribution
Employer-provided life insurance
Voluntary life and disability insurance options
Critical Illness and Voluntary Accident options
Employee assistance program (EAP)
FSA
Paid time off, Holiday pay, and Illness bank
Employee referral program
Tuition Reimbursement Program after 1 year of employment
Company
Logan Health
Logan Health is a collection of healthcare services tailored to the needs of Montana communities and their seasonal visitors.
Funding
Current Stage
Late StageRecent News
2023-01-27
2022-03-03
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