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Reimbursement Analyst
Advocate Aurora Health. Assist with planning and preparing revenue analysis for system-wide programs, projects, and services .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Medicare and Medicaid regulations, financial analysis, and reimbursement processes within a healthcare setting. Proficient in data management and analysis, with strong communication skills to convey complex revenue cycle issues effectively.
Highest-signal resume keywords
Medicare And Medicaid RegulationsFinancial AnalysisReimbursement ExpertiseData Management ToolsHealthcare Financial Statements
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Revenue AnalysisBudget MonitoringCost ReportingAccounts Receivable ValuationFinancial AuditsRegulatory ComplianceData MiningAnalytical ReportingThird-Party ReimbursementFinancial Modeling
Soft Skills
Strong InitiativeExcellent Communication SkillsSelf-MotivatedAbility To Work IndependentlyProblem-Solving
Tools & Technologies
Microsoft ExcelMicrosoft PowerPointMicrosoft WordMicrosoft AccessData Management Tools
Industry Keywords
HealthcareFederal IntermediaryRevenue CycleFinancial StatementsBudgetingMedicareMedicaid
About the role
Key responsibilities & impact- Assist with planning and preparing revenue analysis for system-wide programs, projects, and services
- Monitor revenue budgets and benchmarking activities
- Support system intermediary data requests, audits, and exit conferences
- Prepare information for system-wide external financial audits and Medicare and Medicaid interim and year-end cost reports
- Coordinate year-end system financial audits with external auditors and reimbursement staff
- Develop and maintain relationships with the Fiscal Intermediary and external auditors
- Prepare analysis and recommendations to ensure regulatory reviews are completed accurately and on time
- Participate in system-wide budgeting for Gross and Net Patient Revenue
- Analyze and review monthly accounts receivable valuation and recommend ways to optimize reimbursement
- Understand and oversee tools used for reimbursement calculations
- Coordinate the system-wide monthly closing process for Medicare/Medicaid liabilities and allowances on patient receivables
- Monitor Medicare/Medicaid payments and interim payments for accuracy, appropriateness, and potential liability
- Request adjustments from United Government Services and update internal systems
- Apply knowledge of Medicare and Medicaid regulations to current and proposed reimbursement
- Work with Government Affairs and external consultants to provide reimbursement expertise
- Coordinate with Financial Planning on system budgets related to third-party reimbursement
- Support retrospective financial reviews and pro forma development
Requirements
What you’ll need- Bachelor's Degree in Finance or related field
- Typically requires 3 years of experience in reimbursement, including preparation of Medicare/Medicaid cost reports, regulations, and analysis, modeling, and reporting of third-party payers
- Demonstrated expertise with Medicare and Medicaid regulations in a health care or federal intermediary setting
- Knowledge and understanding of third-party regulations and the interrelationship of financial statements
- Strong initiative and ability to produce high-quality analytical results independently
- Strong accounting background with experience preparing and/or reviewing health care financial statements
- Strong proficiency in Microsoft Office, including Excel, PowerPoint, Word, and Access; software systems; data management tools or similar products
- Proficiency in data mining and analysis
- Ability to work and function in a complex environment
- Excellent written and verbal communication skills
- Ability to communicate revenue cycle issues to all levels of the organization
- Ability to take initiative, produce high-quality results, and perform assigned activities independently
- Self-motivated and capable of carrying a project through successful completion
- Must be able to sit the majority of the workday
- Must be able to lift up to 10 lbs. occasionally
- Must operate all equipment necessary to perform the job
- Position requires travel and exposure to weather and road conditions
- No relocation and no sponsorship or transfer of visa for this position now or in the future
Benefits
Comp & perks- Benefits eligible
- Premium pay such as shift, on-call, and more based on a teammate's job
- Incentive pay for select positions
- Opportunity for annual increases based on performance
- Paid Time Off programs
- Medical, dental, vision, life, and Short- and Long-Term Disability benefits
- Flexible Spending Accounts for eligible health care and dependent care expenses
- Adoption assistance and paid parental leave
- Defined contribution retirement plans with employer match
- Other financial wellness programs
- Educational Assistance Program
- Remote work with option of joining onsite for monthly Wisconsin and Illinois luncheons or as needed
- Career development programs