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Scheduled Weekly Hours:
40Work Shift:
Days (United States of America)Senior Reimbursement Analyst - Revenue Management
SUMMARY
This position is responsible for providing critical analytical and reimbursement support for reimbursement functions including Medicare, Medicaid, or other third party cost report, related audits, appeals, disproportionate share hospital (DSH), drug discount program (340B) CPT/HCPCS codes changes for assigned 4-6 entities. The analyst completes the monthly and year end entries for third party reserves and summarizes data on reimbursement functions for market and local finance leadership.
RESPONSIBILITIES
- Prepares workpapers, reviews and submits annual Medicare and Medicaid cost reports and various other regulatory filings that may be required on behalf of System.
- Coordinates Medicare and Medicaid cost report reviews and audits. Audits and reviews include overall cost report, wage index, bad debt, S-10, Medicaid log and Medicaid eligible days.
- Prepares monthly settlement reserve entries.
- Researches reimbursement and regulatory issues and provides analyses to System Director or other stakeholders.
- Reviews net revenue analytics and identifies areas where additional analysis is required.
- Assist in the annual budgeting process for net revenue
- Produce reports, analyzes and integrates data and completes other projects accurately and efficiently.
- Prepares reimbursement related reports or analyses as needed to serve reimbursement leadership.
REQUIREMENTS
- Bachelor’s degree in Accounting or Finance required. Graduate (Master’s) degree in Accounting or Finance preferred.
- Minimum 3 years experience in consulting or multi-hospital acute-care health system regarding Medicare and Medicaid reimbursement and cost report preparation .
- Experience with Ohio, Kentucky, Virginia, and/or South Carolina Medicaid reimbursement, Medicare medical education reimbursement, Medicare wage index and/or Medicare critical access hospital reimbursement preferred.
- Ability to research reimbursement issues and provide practical and concise interpretations.
- Strong organizational skills and uses critical thinking to query appropriate data for projects.
- Excellent analytical and computer skills.
- Ability to effectively communicate and interact with regional and corporate office associates.
- Excellent oral and written skills as well as strong interpersonal skills.
- Ability to work independently and proactively with limited supervision.
Bon Secours Mercy Health is an equal opportunity employer.
As a Bon Secours Mercy Health associate, you’re part of a Mission that matters. We support your well-being – personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way.
What we offer
Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)
Medical, dental, vision, prescription coverage, HSA/FSA options, life insurances, mental health resources and discounts
Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders
Tuition assistance, professional development and continuing education support
Benefits may vary based on the market and employment status.
Department:
SS Revenue Management - ReimbursementIt is our policy to abide by all Federal and State laws, as well as, the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a). Accordingly, all applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you’d like to view a copy of the affirmative action plan or policy statement for Mercy Health– Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employer, please email [email protected]. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at [email protected].
Skills Required
- Bachelor's degree in Accounting or Finance
- At least 3 years of experience in consulting or a multi-hospital acute-care health system involving Medicare and Medicaid reimbursement and cost report preparation
- Ability to research reimbursement issues and provide practical, concise interpretations
- Strong organizational skills and critical-thinking ability to query appropriate data
- Excellent analytical and computer skills
- Effective communication and interaction with regional and corporate associates
- Excellent oral and written communication and strong interpersonal skills
- Ability to work independently and proactively with limited supervision
- Master's degree in Accounting or Finance
- Experience with Ohio, Kentucky, Virginia, or South Carolina Medicaid reimbursement; Medicare medical education reimbursement; Medicare wage index; or Medicare critical access hospital reimbursement
Mercy Health Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Mercy Health and has not been reviewed or approved by Mercy Health.
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Parental & Family Support — Eight weeks of paid parental leave and Bright Horizons back‑up care indicate robust support for growing families. Adoption assistance and additional family services further reinforce this pillar.
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Healthcare Strength — Multiple medical plan options (Plus, Flex, Save/HDHP) with resources like Spring Health and care navigation provide comprehensive health support. Administration via AmeriBen and standard dental/vision options create a mainstream, navigable package.
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Retirement Support — Employer contributions include a match (50% of the first 4% contributed) and, in many cases, a core contribution subject to eligibility. Immediate eligibility to contribute supports long‑term savings.
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What We Do
At Mercy Health, we understand that every family is a universe. A network of people who love, and support, and count on one other to be there. Everybody means the world to someone and we are committed to care for others so they can be there for the ones they love. With nearly 35,000 employees across regions of Ohio and Kentucky, we’re one of the largest health care systems in the country. At each of our more than 600 points of care, we deliver high-quality, compassionate care with one united purpose: to help our patients be well in mind, body and spirit.
