Senior Reimbursement Analyst, Net Revenue PB

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🔥 0 minutes ago

⚔️ Virginia, West Virginia – Remote

⚔️ Virginia – Remote ⛰️ West Virginia – Remote

⏰ Full Time

🟠 Senior

🧐 Analyst

👻 Ghost score 10%

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WVU Medicine

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

WVU Medicine is a comprehensive health system affiliated with West Virginia University, providing medical services through a network of hospitals across West Virginia. The system includes notable facilities such as J. W. Ruby Memorial Hospital, WVU Medicine Children's, and various other regional medical centers. WVU Medicine offers a wide range of healthcare services, including specialized and advanced medical treatments such as robotic heart surgery. It's also involved in medical education, research, and community health initiatives, emphasizing a mission of delivering high-quality care to the communities it serves.

📋 Description

• Perform complex net revenue analysis and reimbursement activities for assigned hospitals and payers • Support month-end close, annual budget preparation, contractual and third-party reserve analysis, journal-entry preparation, and net revenue reconciliation • Provide advanced analytical and technical support for departmental net revenue reimbursement activities • Serve as a senior technical resource and subject matter expert for reimbursement analysts, specialty groups, committees, stakeholders, and the Revenue Cycle Analytics application • Collaborate with reimbursement, accounting, revenue cycle, operational stakeholders, and site accountants to analyze and resolve reimbursement issues • Prepare annual net revenue reimbursement budget models and explain significant assumptions or variances • Apply reimbursement knowledge involving IME, GME, DSH, RHC, bad debt, medical education, and supplemental payment programs • Analyze monthly contractual reserve estimates and prepare journal entries • Provide peer training, technical guidance, and knowledge transfer • Lead or contribute expertise to process-improvement initiatives, system implementations, committee work, and cross-functional projects • Reconcile daily Epic accounts receivable, transaction, and charge files and resolve system data variances • Review and update application settings for reserve calculations • Perform complex variance, trend, and root-cause analyses and present findings to reimbursement and finance leadership • Develop and improve analytical models, reconciliations, procedures, and internal controls

🎯 Requirements

• Bachelor’s degree in Business Administration, Accounting or Finance • Four (4) years of work experience in finance or accounting • Advanced analytical, critical-thinking, problem-solving, and reconciliation skills • Advanced proficiency in Microsoft Excel, including complex formulas, pivot tables, data validation, and analysis of large datasets • Knowledge of healthcare reimbursement, net revenue methodologies, contractual allowances, third-party reserves, and accounts-receivable valuation • Ability to sit and work at a computer for extended periods of time • Ability to communicate effectively through verbal, written, and electronic methods • Ability to perform repetitive hand and wrist movements associated with keyboarding, data entry, and use of standard office equipment • CPA Certification preferred • Master’s degree in accounting, finance, or business administration preferred • Two (2) years experience performing healthcare net revenue calculations, contractual reserve analysis, reimbursement budgeting, or month-end close activities preferred