Adventist Health · 12 hours ago
Sr. Reimbursement Analyst - Onsite
ONE Adventist Health Way, Roseville, CA, 95661, US
Full-time
Onsite
Mid, Senior Level
$77K/yr - $116K/yr
5+ years expAdventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii. They are seeking a Senior Reimbursement Analyst to develop and maintain systems for valuing Patient Accounts Receivable and Third-party settlements, ensuring accurate filing of government cost reports.
Elder CareHealth CareHospitalMedicalNon ProfitWellness
Responsibilities
Reviews, analyzes and interprets executed insurance contracts, government regulations and other noncontracted business reimbursement methods. Sets up and maintains a Patient Account Receivable valuation system using historical payment averages with the use of logic and judgment to effectively represent most accurate result
Reviews, analyzes and interprets government regulations, applicable contract terms and cost accounting principles to set up and maintain monthly Settlement estimates which accurately calculate expected payments and contractual adjustments from all payers
Analyzes revenue and contractual adjustment variances against both budget and historical trend, by both payer and business segment to inform the markets about their operational performance results on a monthly basis. Present variances to management in standardized categorizes such as volume, payer mix, service mix, acuity mix, prior period adjustments and yield
Works with local markets, system shared services units and, as appropriate, with external consultants to collect and evaluate all information necessary for the accurate and complete preparation of both interim cost reports, and the filing of annual governmental cost reports
Works with all appropriate internal parties to defend filed cost reports to government auditors. Tracks and manages the settlements of Prior Year cost reports and any appropriate appeals of adjustments included by the auditors in their final Notice of Program Reimbursement reports
Performs other job-related duties as assigned
Qualification
Required
Bachelor's Degree or equivalent combination of education/related experience: Required
Five years' relevant experience: Preferred
Benefits
Additional individual compensation may be available for this role through differentials, extra shift incentives, bonuses, etc.
Base pay is only a portion of the total rewards package, and a comprehensive benefits program is available for qualifying positions.
Company
Adventist Health
Adventist Health is a Adventist Health is a not-for-profit health care organization .
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Gwen Mathews
CEO Ukiah Valley Medical Center, SrVP Operations AH Northern Cal Network
Kerry L. Heinrich
President and CEO
Recent News
The Business Journal
2025-12-11
The Business Journal
2025-11-13
Company data provided by crunchbase