NorthShore

Reimbursement Analyst, Senior (Medicare Cost Reporting)

NorthShore • $73K — $113K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in Health Administration, Finance, or Accounting; Master's preferred
  • 5+ years of experience in healthcare reimbursement or financial analysis
  • Minimum 2 years in a senior or leadership role
  • Expertise in financial analysis and data management
  • Proficiency in financial software and spreadsheet applications

Responsibilities

  • Conduct comprehensive analysis of healthcare reimbursement data to identify trends and discrepancies
  • Ensure compliance with federal and state regulations affecting reimbursement practices
  • Lead strategies to optimize reimbursement rates and maximize hospital revenue
  • Oversee accurate preparation and submission of Medicare and Medicaid cost reports
  • Evaluate financial impacts of changes in reimbursement rates and regulations
  • Assist in audits related to reimbursement, providing necessary documentation and explanations
  • Mentor junior analysts and train hospital staff on reimbursement issues

Benefits

  • Career development pathways
  • Comprehensive medical, dental, and vision options
  • Tuition reimbursement available
  • Complimentary parking at designated locations
  • Wellness program savings
  • Health savings account options
  • Retirement plans with company match
  • Generous paid time off
  • Opportunities for community involvement
Full Job Description
Hourly Pay Range:
$35.16 - $54.50 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors.

Position Highlights:
  • Position: Reimbursement Analyst, Senior
  • Location: Arlington Heights, IL
  • Full Time/Part Time: Full Time
  • Hours: Monday-Friday, [hours and flexible work schedules]


Position Summary:
The Senior Reimbursement Analyst is responsible for leading and overseeing complex reimbursement processes at the hospital. This role includes in-depth analysis of reimbursement data, compliance with healthcare regulations, and the development of strategies to maximize revenue through effective billing and reimbursement practices.

What you will do:
  • Conduct in-depth analysis of healthcare reimbursement data, including Medicare, Medicaid, to identify trends, opportunities, and discrepancies.
  • Stay current with federal and state regulations related to healthcare reimbursement and ensure the hospital's practices align with all applicable guidelines.
  • Lead efforts to maximize revenue by optimizing reimbursement rates, identifying opportunities for increased reimbursement
  • Oversee the preparation, review, and timely submission of cost reports for Medicare and Medicaid, ensuring accuracy.
  • Assess the financial impact of proposed changes to reimbursement rates, and regulatory updates.
  • Coordinate and assist in financial and compliance audits related to reimbursement, providing documentation and explanations as needed.
  • Provide guidance, training, and mentorship to junior analysts and hospital staff on reimbursement-related matters.


What you will need:
  • Education: Bachelors Degree Health Administration Required Or Bachelors Degree Finance Required Or Bachelors Degree Accounting Required Or Masters Degree Preferred
  • Experience: 5+ Years of experience in healthcare reimbursement, financial analysis, or a related field, with at least 2 years in a senior or leadership role. Expertise in financial analysis, data management, and the use of financial software and spreadsheet applications.


Benefits:
  • Career Pathways to Promote Professional Growth and Development
  • Various Medical, Dental, and Vision options
  • Tuition Reimbursement
  • Free Parking at designated locations
  • Wellness Program Savings Plan
  • Health Savings Account Options
  • Retirement Options with Company Match
  • Paid Time Off
  • Community Involvement Opportunities


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