Facility:
Work from Home - Hybrid - Ohio
Department:
Reimbursement
Schedule:
Full time
Hours:
40
Job Details:
The Senior Reimbursement Analyst is responsible for optimizing the organization’s financial performance through comprehensive reimbursement and revenue cycle data analysis. This role conducts in depth evaluations of reimbursement, denial, and payment variance data to identify trends by payer, service line, provider, and operational department. The analyst translates complex data into actionable insights that support leadership decision making and revenue integrity.
This position develops and delivers advanced reporting and dashboards that assess end to end revenue cycle performance, including the financial impact of front end processes (eligibility, authorization), mid cycle functions (coding, documentation), and back end outcomes (denials, underpayments, net reimbursement). The Senior Reimbursement Analyst prepares required cost reports and ensures compliance with third party payer and regulatory reporting requirements.
In addition, the role performs contract performance and reimbursement variance analysis to evaluate expected versus actual reimbursement, identify underpayments, and support payer negotiations. The analyst leads root cause analysis of denials and revenue leakage, quantifying financial risk and recommending data driven process improvements to enhance net revenue realization.
The Senior Reimbursement Analyst partners with revenue cycle, finance, clinical, and operational leaders to provide guidance on reimbursement strategies, implement predictive and performance based analytics, and establish benchmarks and key performance indicators (KPIs). This role plays a critical part in advancing automation, standardization, and best practices in revenue cycle analytics to proactively mitigate risk, improve efficiency, and sustain financial performance.
Department Specific Job Details:
Education
Experience
3 years of hospital and physician billing and reimbursement data, data analytics required
5 years preferred
Healthcare administration, finance, or related experience required
5+ Years in Healthcare revenue cycle preferred
Skills/Competencies
Proficiency in utilizing Microsoft Excel and other database management software
Knowledge of EPIC
Proven Analytic and problem-solving skills
Understanding of cost reporting
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