Top 1 Associate Governmental Program Analyst Jobs in Auburn, CA

Sr. Reimbursement Analyst
Adventist Health —Roseville, CA
- $78,000 - $116,104 a year
- Full-time
- Office
- Bachelor's degree
- Experience equivalent to degree accepted

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Sr. Reimbursement Analyst
Adventist Health —Roseville, CA
Works with local markets, system shared services units and, as appropriate, with external consultants to collect and evaluate all information necessary for the…
$78,000 - $116,104 a year
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Sr. Reimbursement Analyst

Adventist Health -
Roseville, CA

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Job Details

Full-time
$78,000 - $116,104 a year

Qualifications

Budget-to-actual reports
Appeals
Contract documentation review
Cost accounting analysis
Preparation of internal financial performance reports
Contract review
Data systems development
Insurance claim appeals processing
Contract interpretation
Budget monitoring
Valuation
Developing accounting systems
External financial audit coordination
Trend analysis
Bachelor's degree
Cost analysis report preparation
Cost estimate preparation
Variance analysis reporting
Cost estimates
Monthly financial performance reviews
Senior level
Healthcare reimbursement methods
Audit support

Full Job Description

Adventist Health Roseville is looking for Sr. Reimbursement Analyst for Full-Time Day Shift. We are looking for great individual who can work onsite to our location in Roseville, CA

Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect.

Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work.

Job Summary:

Develops and maintains systems for valuing Patient Accounts Receivable and Third-party settlements and explaining Net Revenue variances to budget and historical trends. Ensures that complete data is collected for the accurate and complete filing of government cost reports. Tracks and Manages adjustments by government auditors and ensures appeals are filed of any adjustments by auditors which are considered inappropriate.

Job Requirements:

Education and Work Experience:

Bachelor's Degree or equivalent combination of education/related experience: Required
Five years' relevant experience: Preferred

Essential Functions:

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.

Organizational Requirements:

Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.

Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.

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Associate Governmental Program Analyst jobs in Auburn, CA

Sr. Reimbursement Analyst

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