Sr Reimbursement Analyst

CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.

1. Prepares interim and annual cost reports for Medicare, Medicaid and other State or Federal agencies for Dignity Health facilities and regions
2. 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
3. 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
4. Assists in the maintenance of standardized policies and procedures and third party settlement methodologies
5. Reviews operational reports, identifies opportunities/problems, and makes recommendations for improving processes
6. Assesses the impact of new products, technology, and processes on the existing organization and makes recommendations for improvement

• Minimum of five (5) years of experience with all aspects of Medicare and Medicaid (Medi-Cal) regulations monitoring and report processes required
• Experience as hospital Reimbursement staff or auditing experiences with Fiscal Intermediary required
• Minimum of five (5) years of experience and excellent working knowledge of general accounting, government reimbursement, appeals and audits in a complex organization, and maintaining relationships with internal and external entities such as general accounting, patient accounting, and fiscal intermediaries required
• Experience and knowledge of current reimbursement regulations and applications in a complex healthcare environment required
• Bachelor’s degree in Business Administration, Accounting or equivalent work experience required
• Required at times but very limited