Analytical Financial Analyst - Healthcare Reimbursement

Analytical Financial Analyst - Healthcare Reimbursement

Goldsboro, NC $62,089 - $83,099 a year

Join a dynamic healthcare finance team as an Analytical Financial Analyst specializing in reimbursement services. This full-time, day-shift role supports the development, administration, and monitoring of reimbursement strategies and ensures compliance with evolving regulatory requirements.

Key Responsibilities

• Assist with reimbursement functions across multiple healthcare entities, including Medicare, Medicaid, and Tricare programs.
• Support preparation of annual Medicare and Medicaid cost reports by coordinating program logs, financial and statistical data, and physician time studies.
• Help manage periodic rate changes initiated by fiscal intermediaries and regulatory agencies.
• Review and interpret changes in government reimbursement regulations to maintain compliance.
• Develop and improve record-keeping procedures in response to new reimbursement regulations or payment methods.
• Assist with audits, reviews, and certifications conducted by fiscal intermediaries and independent auditors.
• Analyze and coordinate changes according to healthcare government regulations and intermediary bulletins.
• Support reserve analysis to measure adequacy of Medicare/Medicaid reserves for assigned hospitals.
• Contribute to special projects such as feasibility studies, financial analyses, contract negotiations, and operational reviews.
• Perform other related duties as assigned.

Education

An associate degree in Accounting, Finance, or a related field is required.

Experience

Minimum of three years in a hospital reimbursement environment or with a Medicare Administrative Contractor (MAC). Experience with multi-facility billing and financial reporting is preferred.

Skills and Requirements

• Proficiency with Cost Report software, preferably HFS.
• Advanced skills in spreadsheets, including pivot tables, filters, and lookup functions.
• Strong computer literacy with Windows, Excel, and Word.
• Ability to manage diverse tasks under firm deadlines without sacrificing accuracy.
• Effective communication skills to interact with various management levels.
• Physical ability to read reports and operate computer terminals; mobility to meet with management across service areas.

Audit and Technical Competencies

• Maintain policies and procedures for regulatory compliance.
• Organize and maintain a central repository of healthcare regulations and bulletins.
• Develop and update system-wide procedures to ensure timely and accurate processing of government changes.
• Communicate with external consultants and intermediaries for regulatory interpretations.
• Provide education and training on federal guidelines and regulatory changes.

This position serves a diverse healthcare network in a southeastern regional area of the United States, offering an opportunity to impact healthcare finance across multiple facilities and services.