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Senior Reimbursement Analyst
Valley Health System
Winchester, VA

Posted 4/26/2024

Introduction:

Valley Health System is a not-for-profit network of hospitals, urgent cares, physician practices, and services. Expanding across Virginia, West Virginia, and Maryland, we are devoted to the health of all who call our 18-county area home. A vital resource for healthcare, we are the region’s largest employer, a dependable community partner, and are at the leading edge of clinical innovations. We are looking for passionate, innovative, and caring people who will each bring their unique skills and perspectives to our workplace.

Job Description:

The Senior Reimbursement Analyst is responsible for preparation and submission of Medicare/Medicaid cost reports, and other regulatory filings as assigned. Prepare monthly third-party account transactions, and NR Reserve analysis. Serve as administrator to hospital encounter cost system, perform periodic updates. Provide ad-hoc financial analysis and reports as requested.

Responsibilities and Duties:

Coordination and filing of Medicare, Medicaid, and other third-party cost reports. Maintain knowledge of Medicare and Medicaid government regulations, completes statistical and financial modeling to produce cost reports to ensure all possible reimbursement enhancements or opportunities are captured. Assess reimbursement impacts of changes in regulations and/or contracts. Prepare reconciliations and work papers of third-party balance sheet accounts for financial audits. Respond to third party audit requests, assemble data as required during audits by various third-party payors examines and reports the impact of the audit adjustments to management. Analyze third party settlements and correspondence. Prepare Medicare Wage Index Survey. Prepare annual DSH surveys and audit requests.

Required Qualifications:

Three to five (3-5) years of experience including preparation, audit or review of Medicare and Medicaid cost reports required Knowledge of third party (Medicare, Medicaid, and other agencies) reimbursement rules and regulations required. Knowledge of third-party reimbursement techniques required. Detailed knowledge of accounting systems related to the reimbursement field required. Ability to develop financial and statistical models for third party cost reimbursements and enhancements via automated office equipment required. Highly detail oriented and organizational skills required. Ability to meet assigned deadlines required. Excellent communication and interpersonal skill with a focus on customer service required. Proven critical thinking and problem-solving abilities to maximize performance and results required.

Education Qualifications:

Bachelor’s degree in Accounting or Finance required

Compensation/ Benefits:

At Valley Health, we believe everyone is a caregiver, and our goal is to create an environment where our caregivers thrive physically, financially, and emotionally. In addition to a competitive salary, our most popular benefits for full-time employees include:

  • A Zero-Deductible Health Plan
  • Dental and vision insurance
  • Generous Paid Time Off
  • Tuition Assistance
  • Retirement Savings Match
  • A Robust Employee Assistance Program to help with many aspects of emotional wellbeing
  • Membership to Healthy U: An Incentive-Based Wellness Program Valley Health also offers a health savings account & flexible spending account for childcare, life insurance, short-term and long-term disability, and professional development. In addition, several perks come with working for the largest employer in the region, such as discounts to on-campus dining, and more.

Instructions for Resume Submission:

If interested, please apply at Indeed.com Senior Reimbursement Analyst, Winchester, Va.

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