[Remote] Reimbursement Analyst

Note: The job is a remote job and is open to candidates in USA. UnityPoint Health is seeking a Reimbursement Analyst to join our team! In this role, you would be responsible for the completion of annual cost reports, coordination of third party audits, assisting with calculation and analysis of third party contractual allowances, and monitoring compliance with third party payer regulatory changes.

Responsibilities

• Completes annual cost reports based on the data and information received from the facility financial systems, billing systems and management
• Meets with facility management to ensure operational changes have been incorporated in the cost report and contested items are handled appropriately
• Works closely with facility management to ensure reimbursement related issues are addressed consistently, timely and accurately
• Coordinates providing information for third party audits of cost reports, works with auditors to resolve any outstanding issues and provide written response to audit adjustments when needed
• Assists with the impact analysis of unique reimbursement methodologies applicable to both urban and rural providers as well as various provider types/designations and the filing of any letters requesting application or approval of these methodologies
• Reviews new legislation and regulatory changes impacting the reimbursement aspects of the integrated services provided by the providers and provides consultation and expert advice to management with regard to the changing regulations
• Performs contractual allowance calculations and analysis of the contractual variances to budget for the assigned facilities
• Assist with the annual review of budgeted contractual expense
• Assists with the review of third party liability schedules to ensure appropriate reserve levels are maintained
• Reviews and makes recommendations regarding system reporting needs that effectively, efficiently and consistently provide the necessary data to support routine reimbursement functions. These recommendations are given particular weight by leadership in the decision-making process regarding matters of significance in meeting the business objectives prior to their approval for implementation
• Act as a liaison with management to provide support in communications to other stakeholders in their organizations (i.e. Board Committees, Dept. management)
• Assists with obtaining information for reimbursement projects where outside consultants have been engaged, including Appeals
• Performs other reimbursement related functions as requested

Skills

• Bachelor's degree in business, finance, or accounting
• Minimum of 3 years work experience in finance, accounting, or analytics
• Healthcare finance operations or reimbursement experience

Benefits

• Paid time off
• Parental leave
• 401K matching
• Employee recognition program
• Dental and health insurance
• Paid holidays
• Short and long-term disability
• Pet insurance for your four-legged family members
• Early access to earned wages with Daily Pay
• Tuition reimbursement to help further your career
• Adoption assistance to help you grow your family

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