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   Current UPMC employees must apply in HR Direct

Reimbursement Analyst, Senior (Harrisburg)

  • Job ID: 586266640
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours: Monday to Friday, 8:00 a.m. to 4:30 p.m.
  • Shift: Day Job
  • Facility: Pinnacle Health Support Services
  • Department: Revenue Integrity
  • Location: 409 South Second Street, Harrisburg PA 17104
  • Union Position: No
  • Salary Range: $27.17 to $42.45 / hour

Description

Our Finance team is growing, and we have an opening for the role of Reimbursement Analyst Senior in our Harrisburg, PA, office. In this role, you will conduct and document complex financial analysis projects in addition to providing functional advice and training to less experienced financial analysts. 
If your background is in accounting or finance, you have a strong understanding of governmental reimbursement, and you are looking to join a dynamic team with opportunities for career growth, consider applying today! 

Responsibilities:

  • Responsible for handling financial and third party government audits.
  • Maintain an ongoing understanding of government regulations as they relate to reimbursement issues, analyze the impact of these regulations and apply these to the documentation that is maintained for the preparation of the third party cost reports.
  • Perform other related third party reimbursement responsibilities as required by manager
  • Responsible for key Revenue Enhancement initiatives such as the Disproportionate Share, Resident Training, Wage Index, Transplants and Physicians which account for large reimbursement dollars.
  • Responsible for a clear and thorough understanding of the cost report software to ensure its efficient and accurate use. Also maintain backup files of all old and new software versions to ensure our ability to restore, return, and revise prior cost reports due to audit or appeal circumstances.
  • Analyze and review all third payer Cost Report Accruals accounts, report any discrepancies or inaccuracies to appropriate management personnel in order to maintain the integrity of the financial statements.
  • Analyze and review government third party interim payment rates and prepare data submission to third party payers to update interim payment rates and report interim rate updates to corporate and facility departments.
  • Supervise several projects and related staff at same time.
  • Prepare appeals, or other required information for third party payers
  • Train and assist in the training of Reimbursement Associate
  • Prepare third party cost reports for fiscal year end and acts as support to all other departments at facilities within UPMC
  • Review, analyze, and document all third party audit adjustments, recommending either acceptance or rejection of those adjustments.
  • Develop cost reports for Pennsylvania Psychiatric Institute

 

Qualifications

  • Bachelor's degree in accounting/finance or related business field required.
  • Four years of related experience in the reimbursement field or health care finance field preferred.


Licensure, Certifications, and Clearances:
Clearances must be dated within 90 days
 

  • Act 33 with renewal
  • Act 34 with renewal
  • Act 73 FBI Clearance with renewal

  • UPMC is an Equal Opportunity Employer/Disability/Veteran

Total Rewards

More than just competitive pay and benefits, UPMC’s Total Rewards package cares for you in all areas of life &emdash; because we believe that you’re at your best when receiving the support you need: professional, personal, financial, and more.

Our Values

At UPMC, we’re driven by shared values that guide our work and keep us accountable to one another. Our Values of Quality & Safety, Dignity & Respect, Caring & Listening, Responsibility & Integrity, Excellence & Innovation play a vital role in creating a cohesive, positive experience for our employees, patients, health plan members, and community. Ready to join us? Apply today.

   Current UPMC employees must apply in HR Direct