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Finance Reimbursement Analyst
- Insight Global (Georgetown, SC)
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Job Description
Insight Global is looking for a remote Reimbursement Analyst for a Myrtle Beach based hospital system.
The Reimbursement Analyst will ensure timely and accurate reporting of all regulatory financial information to Medicare & Medicaid. This position requires the ability to manage strict deadlines, work independently and own one's work product.
What you will do
Prepare various required regulatory submissions. This includes but is not limited to: IRS Form 990 Schedule H; Medicare, Medicaid & Tricare Cost Reports; Medicaid DSH; Joint Annual Reports.
Coordinate and manage external audits from Medicare & Medicaid as necessary.
Prepare monthly contractual allowance models across all entities. Review and analyze for reasonableness and determine significant drivers of variances to budget and historical trends.
Assist with preparation of the annual net revenue operating budget through the gathering of data and use of various budgeting/forecasting tools.
Perform net revenue analysis as requested by the organization. Examples include: service line revenue estimates, payer contract related revenue analysis, etc.
Update and analyze payor contract information to perform reimbursement modeling.
Ensure compliance with applicable laws and regulations and conduct business in an ethical and professional manner.
Update and maintain job knowledge through educational opportunities, development of professional networks and participation in professional organizations.
Contribute to departmental and organizational special projects as assigned.
Education Qualifications
Bachelor's Degree
Experience Qualifications
At least 3 years of progressive healthcare experience working as a Reimbursement Analyst in a hospital, a Medicare Administrative Contractor (MAC), and/or a professional audit or consulting firm focusing on cost reporting and healthcare reimbursement. Required
Skills and Abilities
Strong organizational skills and attention to detail required.
Strong verbal and written communication skills required.
Proficiency with Microsoft Office (including Word, Excel, Outlook & Powerpoint).
Ability to work independently or in a team setting.
Able to multitask and manage strict deadlines.
Ability to apply critical thinking skills on a regular basis.
Experience in HFS
We are a company committed to creating inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity employer that believes everyone matters. Qualified candidates will receive consideration for employment opportunities without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, disability, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to Human Resources Request Form (https://airtable.com/app21VjYyxLDIX0ez/shrOg4IQS1J6dRiMo) . The EEOC "Know Your Rights" Poster is available here (https://www.eeoc.gov/sites/default/files/2023-06/22-088\_EEOC\_KnowYourRights6.12ScreenRdr.pdf) .
To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ .
Skills and Requirements
Bachelor's Degree
Experience Qualifications
At least 3 years of progressive healthcare experience working as a Reimbursement Analyst in a hospital, a Medicare Administrative Contractor (MAC), and/or a professional audit or consulting firm focusing on cost reporting and healthcare reimbursement. Required Strong organizational skills and attention to detail required.
Strong verbal and written communication skills required.
Proficiency with Microsoft Office (including Word, Excel, Outlook & Powerpoint).
Ability to work independently or in a team setting.
Able to multitask and manage strict deadlines.
Ability to apply critical thinking skills on a regular basis.
Experience in HFS null
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion,sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military oruniformed service member status, or any other status or characteristic protected by applicable laws, regulations, andordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to [email protected].
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