Job Description

Management/ Professional



Req Number:

Job Details:


This position calculates net revenue and prepares analyses and cost reports which are issued to external parties such as third party government payors and auditors and to internal customers such as hospital and divisional VPF's/CFO. The Reimbursement Analyst prepares Medicare and Medicaid cost reports, prepares and submits all quarterly government filings, participates in Medicare audits and the Steward yearend financial audits, monitors and communicates reimbursement regulations and changes to the Reimbursement Director, and prepares other analysis that assists the organization in areas impacted by reimbursement.


* Prepare third party cost reports. (Medicare, Medicaid, Other State Specific Filings).
* Prepare and submit regulatory filings such as Medicare wage index, Medicare occupational mix, and State required quarterly and annual filings.
* Prepare month end contractual and bad debt reserve analysis and entries. Includes the ability to analyze rate and volume variances, case mix index impact and payor mix impact. It is expected that employee can seek direction and assistance from the Reimbursement Director.
* Prepare the annual net revenue budget in Axiom
* Perform month end, quarter end and year end account reconciliations, reimbursement analysis and journal entries to keep the financial statements stated properly and in accordance with GAAP and applicable Medicare and other third party regulations.
* Perform ad-hoc reimbursement and other analyses at the request of the Reimbursement Director. The analyses can be related to net revenue, cost reports or to new and/or proposed regulations that may impact the revenues of the organization.
* Performs other duties as assigned


* Prior experience in third party reimbursement, calculating net revenue and bad debt reserves as well as cost report preparation.
* Works independently with some guidance and is able to mentor the Reimbursement Analyst.
* Expected to demonstrate business acumen on a consistent basis as well as demonstrate excellent analytical and problem solving skills. The employee is expected to demonstrate above average verbal and written skills.
* Must have strong organizational skills, the ability to handle multiple deadlines and consistently provide high quality results.
* Familiar with Microsoft Office Programs including Excel, Access, Word, Outlook etc.
* Expected to have good understanding of financial statements and accounting principles, accounting systems, net revenue systems such as the nThrive Contract Management and Rapid Reserves modules, and other relevant financial systems.


Education: Bachelor's degree in Accounting or Finance
Experience: 3+ years in health care as a Reimbursement Analyst.
Software/Hardware: Proficient in Microsoft Office products and Accounting systems

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