Reimbursement Analyst Senior

Hourly Pay Range:

Reimbursement Analyst Senior

Position Highlights:

• Position: Reimbursement Analyst Senior
• Location: Warrenville, IL
• Full Time/Part Time: Full Time
• Hours: Monday-Friday, 8am-4:30pm
• Required Travel: no

Job Summary:

The Senior Reimbursement Analyst is responsible for leading and overseeing complex reimbursement processes at the hospital. This role includes in-depth analysis of reimbursement data, compliance with healthcare regulations, and the development of strategies to maximize revenue through effective billing and reimbursement practices.

What you will do:

• Conduct in-depth analysis of healthcare reimbursement data, including Medicare, Medicaid, and commercial insurance, to identify trends, opportunities, and discrepancies.
• Stay current with federal and state regulations related to healthcare reimbursement and ensure the hospital's practices align with all applicable guidelines.
• Lead efforts to maximize revenue by optimizing reimbursement rates, identifying opportunities for increased reimbursement, and negotiating favorable contract terms with payers.
• Oversee the preparation, review, and timely submission of cost reports for Medicare and Medicaid, ensuring accuracy.
• Play a key role in contract negotiations with payers, securing advantageous reimbursement terms and rates.
• Lead the analysis of claim denials, implement strategies to reduce denials, and manage the resolution of complex denial issues.
• Generate and present reports on reimbursement metrics, financial performance, and key performance indicators to senior leadership.
• Assess the financial impact of proposed changes to reimbursement rates, contracts, and regulatory updates.
• Coordinate and assist in financial and compliance audits related to reimbursement, providing documentation and explanations as needed.
• Provide guidance, training, and mentorship to junior analysts and hospital staff on reimbursement-related matters.

What you will need:

• Education: Bachelors Degree Required, Masters Degree Preferred
• Certification: Certified Professional Biller, Certified Reimbursement Professional, Preferred
• Experience: 5+ years, Experience in healthcare reimbursement, financial analysis, or a related field, with at least 2 years in a senior or leadership role. Expertise in financial analysis, data management, and the use of financial software and spreadsheet applications.

Benefits (For full time or part time positions):

• Career Pathways to Promote Professional Growth and Development
• Various Medical, Dental, Pet and Vision options
• Tuition Reimbursement
• Free Parking
• Wellness Program Savings Plan
• Health Savings Account Options
• Retirement Options with Company Match
• Paid Time Off and Holiday Pay
• Community Involvement Opportunities

Endeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals - Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) - all recognized as Magnet hospitals for nursing excellence. For more information, visit www.endeavorhealth.org.

When you work for Endeavor Health, you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential.

Please explore our website (www.endeavorhealth.org) to better understand how Endeavor Health delivers on its mission to "help everyone in our communities be their best".

Endeavor Health is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information.

At Endeavor Health, we are united by a shared commitment to working together to create a culture of connection and belonging-each of us bringing different skills and experiences as we deliver safe, seamless, and personal care. Every person, every time. We are committed to fostering an environment where all team members can be their best, learn, and pursue excellence together.

EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.