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Accountant / Reimbursement Analyst

The Reimbursement Analyst is an integral member of the Intermountain Financial Services team, primarily responsible for the accurate preparation, timely filing, audit management, and final settlement of required government reports. The Reimbursement team both complements and draws from Accounting, Finance, Budgeting, Health Information Management, and Patient Financial Services in carrying out its role in the organization. Routine accountabilities include making complex and varied calculations of Medicare, Medicare Advantage, Utah Medicaid, Out of State Medicaid, and Medicaid HMO discount accruals, having a direct and sizable impact on the hospital's margins. Discount calculations are also an integral component of the annual operating budget. The Reimbursement Team is charged with optimizing reimbursement from these payers and other governmental sources while maintaining full compliance with laws, regulations, and internal standards.
A successful analyst possesses an excellent work ethic, demonstrates accountability, is highly organized, and is able to manage occasional heavy workloads and/or multiple projects. He or She will enjoy working with numbers, building spreadsheets, and have an aptitude for performing analysis, data mining, studying laws and regulations, and understanding how they apply to and affect the organization. Critical thought, attention to detail, and excellent computer skills are essential.

Essential Job Duties
  • 1. Performs specifically defined tasks related to routine and non-routine/complex reimbursement functions. Timely and accurately completes assigned tasks.
  • 2. Performs or reviews reimbursement processes (i.e., reconciliation of third-party G/L accounts, calculation of actual and budgeted contractual allowances and variances, monitoring of individual claims (logs), etc.). Interacts with HIM, PAS, and hospital finance staff as needed.
  • 3. Prepares or reviews cost reports and surveys, reviews audit adjustments and settlements, and files appeals and exception requests to appropriately maximize reimbursement. Interacts with Medicare Administrative Contractor, State Medicaid, and hospital personnel as needed.
  • 4. Understands and stays current on laws and regulations related to reimbursement.
  • 5. May act as a technical resource to others. May have responsibility for coordinating and reviewing work of others. May perform lead or limited supervisory duties.

Minimum Requirements
  • Bachelor's degree in Accounting, Finance, or other business related field,
  • or Master's degree in Accounting, Finance, or other business related field. Education must be obtained from an accredited institution. Degree will be verified.
  • Computer skill experience including: spreadsheets, databases, word processing, and Internet.
Physical Requirements
  • Interact with others requiring the employee to communicate information.
  • Operate computers and other office equipment requiring the ability to move fingers and hands.
  • See and read computer monitors and documents.
  • Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment.
Preferred Requirements
  • Masters of Accountancy