Lead Reimbursement Analyst - Finance

Position Overview

• Department: General Finance
• Schedule: Full-time, Monday-Friday, 8am-5pm or 7am-4pm - Partial Remote
• Work Location: UAB St. Vincent's Birmingham, AL   
• Benefits for eligible positions include: generous paid time off, paid parental leave, Associate Assistance Program, Tuition Reimbursement Program, and more

What You Will Do

Perform the calculations and analysis of accounts receivable and valuation and third party reimbursement reporting, coordination of audits and monitoring of regulation changes. With minimal supervision prepares and files the Medicare and Medicaid cost reports and Blue Cross cost studies to ensure the maximizationof reimbursement received by UAB St. Vincent’s Health System; acts as liaison between Hospital and local intermediary; prepares quarterly mini cost reports; and prepares monthly journal entries for reimbursement adjustments.

• Assist in the preparation, review, and filing of Medicare and Medicaid cost reports.
• Review supporting schedules and coordinate with external advisor and fiscal intermediary for preparation of annual reports.
• Ensure compliance with CMS regulations, state Medicaid rules, and payer-specific requirements.
• Prepare applications and accounting for any state supplemental payment programs.
• Prepare reports and prepare month end journal entries in general ledger.
• Maintain documentation supporting reimbursement calculations and regulatory filings.
• Prepare Retro models.
• Analyze payer reimbursement methodologies including Medicare, Medicaid, managed care, and commercial contracts and calculates financial impact of changes in reimbursement.
• Prepare reimbursement calculations and projections for inpatient, outpatient, physician, and ancillary services.
• Identify reimbursement variances, underpayments, and revenue opportunities; recommend corrective actions.
• Support managed care contract analysis, modeling, and negotiation preparation.
• Assist with modeling proposed contract changes and renewals.
• Reconcile reimbursement payments to expected rates.
• Partner with Revenue Cycle, Patient Financial Services, and Clinical departments to resolve reimbursement issues.
• Serve as a reimbursement subject-matter resource for internal  stakeholders. 
• Participate in audits, appeals, and payer inquiries as needed.
• Assist the manager and director with budgeting and modeling net patient service revenue.
• Performs other duties as assigned.

What You Will Need

Minimum Requirements: 

• Bachelor’s degree in Finance, Accounting, Healthcare Administration, Business, or related field required.
• 2 years of healthcare reimbursement, revenue cycle, or financial analysis experience required
  • 4 years preferred.

Additional Preferences

No Additional Preferences

About UAB St. Vincent’s

UAB St. Vincent’s, a proud part of UAB Medicine, is a trusted provider of health care, serving Alabama for more than 125 years. With five hospitals and numerous clinics, we're a health care community deeply rooted in compassion, service, and respect for all, guided by the rich legacy of the St. Vincent’s name. We're committed to extending kindness and personalized care to patients, their families, and each other. We address the physical, psychological, social, and spiritual needs of our patients. We believe in the power of teamwork and unity, and foster a collaborative spirit among our more than 4,800 employees. As one of Alabama’s best hospitals as recognized by U.S. News & World Report, improving the health and lives of those we serve is at the heart of our mission. Join us in continuing our legacy of service and healing in central Alabama, where we can make a lasting impact together.