Reimbursement Senior Analyst at Intermountain Health
Broomfield, CO — full-time
Prepares or reviews third-party financial accounting, contractual allowances, cost reports and surveys, and other projects as assigned. Requires no supervisor assistance for routine tasks and minimal supervision for non-routine tasks. We are committed to offering flexible work options where approved and stated in the job posting. However, we are currently not considering candidates who reside or plan to reside in the following states: California, Connecticut, Hawaii, Illinois, Massachusetts, Minnesota, New York, Pennsylvania, Rhode Island, Vermont, Virginia and Washington. Colorado for remote caregivers’ whose assigned Intermountain facility or service area is not based in Colorado. Please note that a video interview through Microsoft Teams will be required as well as potential onsite interviews and meetings The hiring manager is considering applicants who have experience in Medicare and Medicaid reimbursement methodologies, hospital cost reporting, financial modeling, data analytics, audit processes, and reimbursement settlements. Proven ability to interpret and apply complex federal and state healthcare regulations. We seek candidates who bring diverse professional backgrounds, experiences, perspectives, and innovative problem-solving skills, with the ability to collaborate effectively across Finance, Revenue Cycle, Operations, Government Relations, and Executive Leadership to support organizational goals and drive strategic outcomes. Schedule - Standard business hours, Monday through Friday. Position may require occasional additional hours during peak regulatory filing periods, audits, settlements, budget season, or other critical reimbursement deadlines. Essential Functions Performs routine and non-routine tasks requiring more in-depth analysis and is expected to identify alternatives and recommend plans to resolve problems. Direction is limited to overall process and complex problems. Timely and accurately completes assigned tasks. Performs or reviews reimbursement processes (i.e., reconciliation of third-party G/L accounts, calculation of actual and budgeted contractual allowances and variances, monitoring of individual claims (logs), etc.). Interacts with HIM, PAS, and hospital finance staff as needed. Prepares monthly Medicare and Medicaid settlement and policy reserve calculations using technically acceptable and reasonably conservative reimbursement methodologies. Prepares or reviews cost reports and surveys, reviews audit adjustments and settlements, and files appeals and exception requests to appropriately maximize reimbursement. Interacts with Medicare Administrative Contractor, State Medicaid, and hospital personnel as needed. Acts as a mentor. May be responsible for the coordination, training, direction and review of those working with reimbursement functions. Understands and stays current on laws and regulations related to reimbursement. Determines the impact of reimbursement changes on hospital operations with minimal su