Carilion Clinic

Improving the Health of the Communities We Serve

Senior Reimbursement Analyst

AnalystAnalystFull TimeRemoteTeam 10,001+Since 1899H1B No SponsorCompany SiteLinkedIn

Location

Virginia

Posted

4 days ago

Salary

Not specified

Bachelor Degree5 yrs expEnglish

Job Description

• Perform third-party reimbursement services • Communicates with personnel of various departments • Has access to patient data through third-party payment logs and, Epic, salary information through Payroll, as needed • Works independently with limited supervision • Uses independent judgement and discretion in making decisions within guidelines defined by Carilion leadership • Work is used in support/preparation of the monthly contractual allowance closings, filing of third-party cost reports and as supporting information in decision making by management • Develops estimates and reports that are significant to Carilion's financial statement accuracy and financial performance • Prepare reimbursement templates; analyze and reconcile third-party accounts; prepare monthly closing and analyses; prepare information for General Accounting to enable management to make informed decisions • Design, review and maintain process for evaluation and estimation of contractual discounts and third-party liabilities • Approach all estimates with an eye towards continuous process improvement • Gather data from multiple sources, conduct data analysis as required to complete Medicare and Medicaid cost reports and other required filings; prepare the cost reports • Review/prepare budgeted contractual adjustments • Work with third-party auditors and coordinate obtaining information requested by the auditors • Conduct reimbursement research • Provide third-party reimbursement support including providing information and analysis to Vice President- Accounting Services, Financial Advisory staff, Service Line managers, and personnel from other departments, as required • Conduct special projects • Provide information and analysis for tax filings • Assist in training new reimbursement staff and financial advisory staff in third-party reimbursement • Serve as information resource for Reimbursement Analyst and Financial Analyst

Job Requirements

  • Bachelors degree in finance/accounting or in business administration with concentration in finance/accounting
  • Minimum of five years of accounting, finance work experience with minimum of three years of current experience in reimbursement, preferably with a hospital/chain or third-party intermediary
  • Certified public accountant license preferred
  • Strong oral and written communication skills
  • Analytical and personal computer skills including proficiency in use of word processing and spreadsheet software

Benefits

  • Comprehensive Medical, Dental, & Vision Benefits
  • Employer Funded Pension Plan, vested after five years (Voluntary 403B)
  • Paid Time Off (accrued from day one)
  • Onsite fitness studios and discounts to our Carilion Wellness centers
  • Access to our health and wellness app, Virgin Pulse
  • Discounts on childcare
  • Continued education and training

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