The Senior Reimbursement Analyst is responsible for providing cost report preparation, cost report appeals, audit preparation and other duties related to the regulatory reimbursement services of Dignity Health. The position maintains current knowledge of Medicare, Medicaid and other State and Federal regulations. The Sr. Reimbursement Analyst interacts with customers and ensures value is delivered and customer satisfaction is achieved. The Sr. Reimbursement Analyst also assists in the improvement of internal business processes and meeting future reimbursement service needs.
The Senior Reimbursement Analyst carries out his/her duties by adhering to the highest standards of ethical and moral conduct, acts in the best interest of Dignity Health and fully supports Dignity Health’s Mission, Philosophy and core values of Collaboration, Dignity, Excellence, Justice, and Stewardship. The Senior Reimbursement Analyst reports to the Reimbursement Managers and/or Directors.
Prepares interim and annual cost reports for Medicare, Medicaid and other State or Federal agencies for Dignity Health facilities and regions
Calculates periodic adjustments for deductions from revenue, revenue reserves, bad debt and other revenue adjustments related to regulatory reimbursement for all Dignity Health facilities and regions in accordance with Dignity Health policies and procedures
Assist the Reimbursement Managers and/or Directors with recommendations for internal Dignity Health strategy by evaluating current growth, anticipating future needs, and assessing impact of services delivered
Assists in the maintenance of standardized policies and procedures and third party settlement methodologies
Reviews operational reports, identifies opportunities/problems, and makes recommendations for improving processes
Assesses the impact of new products, technology, and processes on the existing organization and makes recommendations for improvement
Required Non-Technical Competencies:
Commitment to Dignity Health Values
Required Technical Competencies:
Medicare Regulatory Reporting
Medicaid (Medi-Cal) Regulatory Reporting
Accounts Receivable and Cash Collection
Capital and Fixed Assets
Reimbursement – Monthly Analysis Process
Benefits Include: Benefits include Medical, Dental, Vision, Paid Time Off, Holidays, Retirement Program, Disability Plans, Tuition Reimbursement, Adoption Assistance, Employee Assistance Program (EAP), Discount Programs, Life Insurance Plans, Worker Compensation, Dress for Your Day Policy, Voluntary Benefits.
Compensation Range: $33.60 to $43.68, hourly rates, annualized.
This position will allow for remote work.