Reimbursement Analyst III - Remote

3- 5 years of experience in Medicare cost reporting or related healthcare finance area

• Advanced knowledge of hospital accounting and Medicare cost accounting fundamentals
• Knowledge of accounting, statistics and general business principles and practices
• Ability to maintain effective working relationships with others
• Ability to communicate effectively both written and oral
• Ability to handle confidential information with discretion
• Ability to use a personal computer (Microsoft Office, Excel, PowerPoint) and cost report preparation software
• Ability to work independently with light supervision
• Advanced knowledge of third party reimbursement payment mechanisms and settlement procedures
• Knowledge of hospital payor relationships and accounting

MAJOR JOB DUTIES AND TASKS:

Percentage

Of Time:

1. Monthly analysis and valuation of net patient services revenue

1. Interim updating of Medicare and third party settlement liabilities

1. Quarterly evaluation of net patient accounts receivable and adjustments as

required

1. External Audit resource for documentation needed to audit net patient 

revenue and net patient accounts receivable valuation

1. Prepare cost reports for Regions and HealthPartners affiliates

1. Assist the Reimbursement Manager with Medicare audit support as needed

1. Assist the Reimbursement Manager with the preparation of Medicare appeal
2. Documentation and position paper preparation as needed

1. Modeling of Net Revenue Reimbursement for Medicare & Medicaid

1. Auditing of Decision Support System reimbursement and costing

1. Analysis of regulatory and program changes using decision support system

1. Filing of annual Department of Health Hospital Annual Report based on existing 

State of Minnesota regulations

1. Filing of annual Department of Health Medical Education and Research Cost 

grant application based on existing State of Minnesota regulations

1. Completion of trade association survey data related to patient services revenue

and statistical data available from regular analytical records

1. Preparation of assumption driven inpatient and outpatient gross revenue, 

contractual allowance and net patient services revenue budget based on

historical data and business volume changes as communicated by management

direction

1. Prepare analysis for mid year forecasting of net revenue