Reimbursement Analyst

Job Description

Reimbursement Accountant | Munson Healthcare

The Tone:
This is a full-time role at Munson Healthcare, located remotely in Michigan, United States. Munson Healthcare is northern Michigan’s largest healthcare system, with eight award-winning community hospitals serving over half a million residents across 29 counties. This role offers a unique career opportunity beyond routine accounting, allowing you to continually learn and contribute to important financial decisions. As a Reimbursement Accountant, you will be integral to health system administrators and managers’ decision-making processes, supporting strategic business plans and special projects. Joining Munson Healthcare means working in one of the most beautiful regions in the country while delivering outstanding care and living by values of excellence, teamness, positivity, creativity, and a commitment to exceptional experiences.

The TL;DR
• Role: Full Time
• Type: Full-time
• Location: Remote, Michigan, United States

• Mission: To ensure accurate, compliant, and well-documented third-party cost reports and financial analyses that support strategic decision-making and optimize reimbursement for Munson Healthcare.
• Tech Stack: Microsoft Office products, data extraction software

What You’ll Actually Do
• Support Strategic Decision-Making: Apply excellent project management skills to provide financial information and analysis crucial for health system administrators and managers, supporting the development of business plans and other special projects.
• Generate Compliant Reports: Complete accurate, compliant, and well-documented third-party cost reports, including analyzing financial and statistical data to assess accuracy, consistency year-over-year, and to understand their effects on institution’s reimbursement or final settlements.
• Oversee Payer Transactions: Verify and analyze rate calculations and final settlements submitted by third-party payers and governmental agencies for accuracy, and reconcile revenue between hospital financial reports and third-party payer/governmental agency reports.
• Manage Audits and Appeals: Assist with third-party cost report audits, provide support in response to inquiries from third-party auditors, external financial auditors, and internal auditors, and participate in suggesting and preparing formal appeals to third-party and governmental agencies.
• Enhance Financial Forecasting: Prepare interim cost reports for independent audit review, contribute to the annual budget’s internal contractual estimation and the case mix system, and provide up-to-date reimbursement rate information to the Accounting Department to enhance monthly contractual allowance calculations.

The Must-Haves
• Background: Bachelor’s Degree in Accounting or Finance is required, with a CPA preferred.
• Experience: Two to four years of experience in finance is necessary, preferably within a healthcare-related environment.
• Skills: Possess strong knowledge of principles and technical methods of accounting and financial analysis pertinent to healthcare institutions and health systems, alongside the ability to interpret federal and state laws, CMS guidelines, GAAP, GAAS, and professional audit guides. Proficiency with computer applications, including Microsoft Office products and data extraction software, is also required.
• Bonus: A Master’s Degree in Business Administration is preferred.