Reimbursement Analyst Lead
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Job Location:
Noblesville, IN - USA
Monthly Salary:
Not Disclosed
Posted on:
4 hours ago
Vacancies:
1 Vacancy
Job Summary
Job Summary
The Lead Reimbursement Analyst Lead serves as the primary technical expert for the hospitals third-party reimbursement functions. This role is responsible for the preparation and submission of complex Medicare and Medicaid cost reports monitoring regulatory changes and modeling the financial impact of payer contract updates. This position serves as the bridge between the Finance and Revenue Cycle departments to ensure net revenue integrity.
Job Responsibilities
- Lead the preparation filing and audit defense of annual Medicare (CMS-2552) and State Medicaid cost reports.
- Perform monthly contractual allowance calculations and maintain the valuation of accounts receivable (A/R) reserves.
- Monitor federal and state legislative changes (e.g. IPPS/OPPS rulings) and calculate the fiscal impact on the hospitals bottom line.
- Serve as the lead liaison for Medicare Administrative Contractor (MAC) audits and internal financial statement audits.
- Develop complex financial models to forecast reimbursement trends and support strategic initiatives like new service line pro formas.
- Other duties as assigned.
Education Requirements
- Minimum: Bachelors degree in accounting Finance or Healthcare Administration.
Experience Requirements
Minimum:
- Five (5) years of experience in healthcare reimbursement or healthcare consulting.
- Advanced Excel skills (macros Power Query) and experience with cost reporting software (e.g. HFS HCDS) and EHR systems (Epic).
License/Certification Requirements
- Minimum: None
Required Experience:
IC
About Company
At Riverview Health, we believe all patients deserve our help, whether they're residents of Hamilton County or elsewhere. We believe in hiring quality physicians, investing in advanced medical technologies and maintaining an atmosphere of genuine caring and respect.
