Bachelor's Degree in Finance, Accounting, or related field; Master's preferred.
5+ years of experience in healthcare reimbursement.
Advanced report writing skills, particularly in Business Objects or Tableau.
Strong understanding of Medicare Cost Report filings and audits.
Excellent attention to detail and organizational skills.
Proficient in Microsoft Office applications, especially Excel and Access.
Responsibilities
Provide analytical support for Medicare, Medicaid, and third-party cost reports.
Conduct budget analysis and forecast net patient service revenue.
Stay updated on government regulatory changes affecting reimbursement methodologies.
Coordinate adjustments to third-party reserves based on reimbursement changes.
Oversee and optimize data for accountable care organizations (ACO) and payment reform proposals.
Benefits
Comprehensive health insurance options.
Retirement savings plan with employer matching.
Professional development opportunities.
Flexible work schedule options.
Supportive work environment focused on teamwork and collaboration.
Full Job Description
The Senior Reimbursement Analyst is key organizational resource responsible for providing critical analytical, review and reimbursement support for reimbursement functions including Medicare, Medicaid, or other third-party cost reports, related audits, appeals, disproportionate share hospital (DSH) logs, and drug discount program (340B) support. The responsibility includes budget analysis and forecasting of net patient service revenue in alignment with state regulatory processes.
This position is responsible for both governmental and commercial payer reimbursement modeling for financial statement cycle thus requiring analyst to stay current with all government regulatory changes and Federal and State proposals to changes in reimbursement methodologies and payment systems. Based on these changes, coordinate adjustments to third-party reserves and summarize the reimbursement impact on the organization.
This Analyst is also responsible for overseeing, organizing, and optimizing accountable care organizations (ACO) and other payment reform proposal data that will drive strategic decisions for the organization.
Minimum Education
Bachelor's Degree in Finance or Accounting or a related area or equivalent combination of education and experience.
Masters degree preferred.
Minimum Work Experience
5 or more years of experience in health care reimbursement is required.
Advanced report writing experience such as Business Objects or Tableau
Required Skills, Knowledge, and Abilities
Advanced report writing and analytical skills.
Experience using reporting platforms, including Business Objects and Tableau preferred.
Experience with Medicare Cost Report filings and audits.
Demonstrated strong understanding of healthcare reimbursement and industry standard metrics.
Excellent attention to detail.
Excellent written and verbal communication and presentation skills.
Demonstrated strong organizational skills.
Strong Microsoft Desktop application skills (Excel, Access, Word, PowerPoint, OneNote).
Demonstrates the ability to set goals and adhere to strict deadlines.
Pay Range: $35.37 - $51.53
About Regional Medical Center Board
Regional Medical Center (RMC) is a healthcare facility in Orangeburg, South Carolina. It was founded in 1919 and has since grown to become a leading provider of medical services in the region. RMC offers a wide range of services, including emergency care, surgery, cancer treatment, and rehabilitation. The hospital is committed to providing high-quality, patient-centered care and has received numerous awards and recognitions for its work. RMC is also actively involved in the community and supports a variety of local initiatives and organizations.
