Senior Reimbursement Analyst- Remote

Posted 8 Days Ago
Be an Early Applicant
Milwaukee, WI
Senior level
Healthtech
The Role
The Senior Reimbursement Analyst will manage revenue analysis, monitor budgets, and communication with government agencies to ensure compliance. The role involves analyzing regulatory changes, advocating for administrative flexibility, preparing Medicare and Medicaid reports, and maintaining accurate payment processes in fiscal operations.
Summary Generated by Built In

Department:

10208 Advocate Aurora Health Corporate - Reimbursement

Status:

Full time

Benefits Eligible:

Yes

Hours Per Week:

40

Schedule Details/Additional Information:

This is a fully remote position for an individual with strong Excel skills and experience in healthcare accounting.

Major Responsibilities:

  • Plans and prepares revenue analysis for system-wide programs, projects and services, and monitors revenue budgets and benchmarking activities.
  • Identifies and researches opportunities to enhance revenue and improve administrative efficiency of governmental payor programs. Works with the Manager of Reimbursement in conjunction with financial and operational leadership to implement the opportunities identified.
  • Performs, develops and provides coordination for the system-wide monthly closing process with respect to multiple commercial and governmental payors.
  • Prepares analysis and provides recommendations to ensure that all regulatory reviews are completed timely and accurately.
  • Monitors accounting processes to ensure accurate and appropriate payments are received from commercial and governmental payors.
  • Provides support as needed to Finance and Operations on reimbursement related matters. Assists with the preparation of the model template to be utilized in the annual budget process for third party reimbursement.
  • Communicates reimbursement cycle issues to all levels of the organization.

Licensure, Registration, and/or Certification Required:

  • None Required, CPA preferred

Education Required:

  • Bachelor’s degree in accounting, finance or related field

Experience Required:

  • 5 years of related experience in hospital and medical group Reimbursement Recognition, Healthcare, Insurance or similar field
  • Experience with analyzing large data sets in Microsoft Excel and related software
  • Experience performing analysis, journal entries, and related reconciliations
  • Exhibited project management through to successful completion

Knowledge, Skills & Abilities Required:

  • Strong accounting background with experience in preparing and/or reviewing health care financial statements
  • Independent critical thinking and a growth mindset mentality
  • Initiative to produce high quality analysis, swiftly data mine large sets of data and appropriately summarize findings
  • Strong proficiency with Microsoft Office Suite (Excel, PowerPoint, Word, Power BI), software systems, data management tools or similar products
  • Excellent written and verbal communication skills
  • Understanding of financial statement interrelationships

Physical Requirements and Working Conditions:

  • Must be able to sit the majority of the workday.
  • Must be able to lift up to 10 lbs. occasionally.
  • Operates all equipment necessary to perform the job.
  • Exposed to normal office environment.
  • This position requires travel, so will be exposed to weather and road conditions.

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.

About Advocate Health 

Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

Top Skills

Excel
The Company
HQ: Downers Grove, IL
11,728 Employees
On-site Workplace
Year Founded: 2018

What We Do

Advocate Aurora Health is the 11th largest not-for-profit, integrated health system in the United States. As a leading employer in the Midwest, Advocate Aurora Health employs more than 75,000 individuals including more than 22,000 nurses. Advocate Aurora is engaged in hundreds of clinical trials and research studies, and is nationally recognized for its expertise in cardiology, neurosciences, oncology and pediatrics. The organization contributed nearly $2.2 billion in charitable care and services to its communities in 2019.

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