Sr. Reimbursement Analyst (Hybrid Remote)

Job Description

Be a part of a world-class academic healthcare system at UChicago Medicine as a Senior Reimbursement Analyst f or the Finance -System Controllers department.

This role is a hybrid remote opportunity where the expectation is to come in office as needed(about twice a month). The office is at our Burr Ridge, IL location.

Job Summary :

The Senior Reimbursement Analyst provides net revenue and third-party reimbursement support and analysis to Finance leadership.

The senior will provide analysis, monitoring and reporting of net revenues; the annual cost reports; surveys; and other reimbursement related needs.

The analyst can address the highly complex, regulated and evolving environment of government & commercial reimbursement, its valuation for revenue and receivables and a basic understanding of compliance to federal and state requirements, including generally accepted accounting principles (GAAP).

The analyst may provide support for preparation of community benefit and tax reporting requirements including various annual surveys.

They will assist in the maintenance of revenue cycle analytic software tool (RCA) used for net revenue purposes as well as maintain cost reporting software.

They will also work with the Director / Manager in completion of strategic reimbursement financial plans, short and long term.

Essential Job Functions :

• Provide analysis of net revenue through the use of Revenue Cycle Analytics (RCA), in accordance with generally accepted accounting principles and an understanding of the revenue cycle process and regulatory reporting.
• Provide analysis and support in the use of net revenue from third parties, such as Medicare Medicaid and Blue Cross (PSR, SPCL, and experience reports).

Basic understanding of nuances to reimbursements and regulations for various payers including governmental agencies.

• Assist with implementation of Revenue Cycle Analytics and other RCA type reporting needs
• Assist with the analysis of net patient service revenue for budgeting / forecasting purposes, modeling impacts from changes in reimbursement and regulations
• Assist with net patient service revenue reporting for purposes of annual audit, community benefit, quarterly / annual survey requirements as outlined by regulations and prescriptive instructions from various agencies.
• Assist in the preparation of Medicare, Medicaid, BX, Champus Cost reports in compliance with federal register, contracts and reimbursement agreements.
• Provide detailed analysis around organ acquisition, bad debts, GME / IME and other critical Medicare reimbursements.
• Collaborates with Leadership in the preparation of cost reports.
• Assist in the maintenance of cost reporting software.
• Performs other duties assigned.

Required Qualifications :

• Bachelor’s degree in Accounting, Finance or other mathematic based degrees
• Minimum 5 years experience in progressively responsible analytical position or approximately 2 years public accounting experience.
• CPA preferred
• Crowe Certified Net Revenue Analyst (CNRA) preferred
• Experience with Kodiak (previously known as CROWE) Revenue Cycle Analytics ( RCA ) tool is preferred.

Knowledge of cost reporting software is preferred.

Advanced computer skills required including knowledge and proficiency with spreadsheet and database programs.

Ability to learn new software and processes.

Excellent written and oral communication skills are essential.

Logical, clear thinking, and independence is crucial.

Knowledgeable on revenue cycle processes, large data elements and complexity

Must be able to articulate issues in a precise, substantive manner.

Position Details :

• Job Type / FTE : Full Time (1.0FTE)
• Shift : Days 8 : 30am- 5pm M-F
• Unit / Department : Finance -System Controllers OFC
• Location : Burr Ridge - 2x a month (flexible - minimum 1x a quarter in office)
• CBA Code : Non-Union

Must comply with UCMC’s COVID-19 Vaccination requirement as a condition of employment. If you have already received the vaccination, you must provide proof as part of the pre-employment process.

This is in addition to your compliance with the Flu Vaccination requirement as well. Medical and religious exemptions will be considered consistent with applicable law.

Lastly, a pre-employment physical, drug screening, and background check are also required for all employees prior to hire.