Senior Government Reimbursement Analyst - Prime Healthcare Management Inc

Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 45 hospitals and has more than 300 outpatient locations in 14 states providing more than 2.6 million patient visits annually. It is one of the nation’s leading health systems with nearly 50,000 employees and physicians. Fourteen of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team!

We are an Equal Opportunity Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation, or other protected characteristics.  If you need special accommodation for the application process, please contact Human Resources.  Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf

Assist in preparation of various government cost reports and support their audits.

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EDUCATION, EXPERIENCE, TRAINING

Required qualifications:

1. Bachelor’s degree or 3 years of equivalent experience in Reimbursement.
2. 2 or more years Revenue Cycle, Finance/Accounting experience or Government Reimbursement experience with hospital system.
3. Experience reviewing Medicare deductibles, coinsurance, and cost sharing.
4. Strong analytical skills and ability to prepare financial statements and models.
5. Experience working with financial and patient account data.
6. Proficiency in Windows Office software and ERP systems (i.e., EPIC, Meditech)
7. Superb Excel skills (v-lookups, sum if, sum product, indirect, etc.)

Preferred qualifications:

1. Two or more (2+) years of revenue cycle and or cost report analytical experience with hospital systems.
2. Experience reviewing and documenting policies around deductibles and coinsurance.
3. Strong communication skills to explain the Medicare bad debt log processes.
4. Experience working with external vendors and related data for monitoring progress.

Prime Healthcare offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options.  Benefits may vary based on employment status, i.e. full-time, part-time, per diem or temporary.  A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $67,204.80 to $99,777.60 on an annualized basis. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.