Aston Carter, Inc. is partnering with a top healthcare provider in the Midwest to hire a Reimbursement Analyst. This role is 100% remote. Job Description
Performs revenue management functions related to home office third party cost reports, third party appeals, third party payer contract negotiations, analysis of financial impact of changes in third party regulations, and various revenue improvement initiatives.
Conducts prospective analysis of the potential financial impact on the member organizations of major changes in Medicare and Medicaid policies.
Assists in related advocacy efforts regarding such regulatory changes.
Monitors policies and procedures to ensure reimbursement practices adhere to federal, state, and other third-party reimbursement regulations.
Prepares Annual Medicare, Medicaid, Blue Cross, and Tricare cost reporting for the corporate office and information systems.
Prepares quarterly Medicaid reporting schedules.
Prepares Rolling Forecasts and Annual Budgets.
Participates in the Medicare, Medicaid, and Blue Cross audits of the corporate office, information systems, and various insurance programs with a focus on Graduate Medical Education, Disproportionate Share, Bad Debt, and the S-10.
Analyzes tentative and final settlements.
Coordinates, researches, and analyzes prior year reopening and appeals.
Prepares financial month-end close reporting for Net Revenue.
Responsibilities include, but are not limited to, accessing databases, utilizing reporting tools to extract data, generating reports, performing data analysis, and drafting system/process improvement recommendations.
Prepares analyses and interprets highly complex reimbursement issues.
Prepares complex financial models and analyses to assure proper reimbursement.
Participates in third-party payer impact analysis and recommendations.
Participates in developing and monitoring appeals with third-party payers.
Provides analytical reimbursement support, consulting, and education to the corporate office and member organizations.
Job Qualifications:
4+ years of A/R Reimbursement experience in healthcare
B.S. Degree in Accounting, Finance, or similar
Government cost reporting and/or A/R Valuation experience
Ideal candidate will be in the Eastern or Central Time Zones
For immediate consideration, please apply online.About Aston Carter: Aston Carter provides world-class corporate talent solutions to thousands of clients across the globe. Specialized in accounting, finance, human resources, talent acquisition, procurement, supply chain and select administrative professions, we extend the capabilities of industry-leading companies. We draw on our deep recruiting expertise and expansive network to meet the evolving needs of our clients and talent community with agility and excellence. With offices across the U.S., Canada, Asia Pacific and Europe, Aston Carter serves many of the Fortune 500. We are proud to be a ClearlyRated Best of Staffing® double diamond winner for both client and talent service.Diversity, Equity & Inclusion At Aston Carter, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through:
Hiring diverse talent
Maintaining an inclusive environment through persistent self-reflection
Building a culture of care, engagement, and recognition with clear outcomes
Ensuring growth opportunities for our people
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email [email protected] (%[email protected]) for other accommodation options.