Carilion Clinic - Roanoke, VA

posted about 1 month ago

Full-time - Mid Level
Remote - Roanoke, VA
Hospitals

About the position

The Senior Reimbursement Analyst plays a crucial role in performing third-party reimbursement services within Carilion Clinic. This position involves independent decision-making and communication with various departments to ensure accurate financial reporting and compliance with reimbursement regulations. The analyst will prepare reimbursement templates, analyze accounts, and support management in financial decision-making through detailed reports and estimates.

Responsibilities

  • Perform third-party reimbursement services and communicate with personnel of various departments.
  • Access and manage confidential patient data and salary information as needed.
  • Support the preparation of monthly contractual allowance closings and filing of third-party cost reports.
  • Develop estimates and reports significant to Carilion's financial statement accuracy and performance.
  • Prepare reimbursement templates and analyze third-party accounts.
  • Conduct data analysis for Medicare and Medicaid cost reports and other required filings.
  • Review and prepare budgeted contractual adjustments.
  • Coordinate with third-party auditors and provide requested information.
  • Conduct reimbursement research and special projects as needed.
  • Provide third-party reimbursement support to various management and staff.
  • Assist in training new reimbursement and financial advisory staff.

Requirements

  • Bachelor's degree in finance/accounting or business administration with a concentration in finance/accounting.
  • Minimum of five years of accounting or finance work experience, with at least three years in reimbursement, preferably in a hospital or third-party intermediary setting.
  • Certified public accountant license preferred.
  • Strong oral and written communication skills.
  • Analytical skills and proficiency in word processing and spreadsheet software.
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