Dignity Health Senior Reimbursement Analyst in Rancho Cordova, California
Dignity Health, one of the nation’s largest health care systems, is a 22-state network of more than 9,000 physicians, 63,000 employees, and 400 care centers, including hospitals, urgent and occupational care, imaging and surgery centers, home health, and primary care clinics. Headquartered in San Francisco, Dignity Health is dedicated to providing compassionate, high-quality, and affordable patient-centered care with special attention to the poor and underserved. In FY17, Dignity Health provided $2.6 billion in charity care, community benefit, and unpaid cost of government programs. For more information, please visit our website at. You can also follow us on and.
Location: Systems Office - Phoenix, Sacramento and/or Pasadena
The Senior Reimbursement Analyst is responsible for providing cost report preparation, cost report appeals, audit preparation and other duties related to the regulatory reimbursement services of Dignity Health. The position maintains current knowledge of Medicare, Medicaid and other State and Federal regulations. The Sr. Reimbursement Analyst interacts with customers and ensures value is delivered and customer satisfaction is achieved. The Sr. Reimbursement Analyst also assists in the improvement of internal business processes and meeting future reimbursement service needs.
The Senior Reimbursement Analyst carries out his/her duties by adhering to the highest standards of ethical and moral conduct, acts in the best interest of Dignity Health and fully supports Dignity Health’s Mission, Philosophy and core values of Collaboration, Dignity, Excellence, Justice, and Stewardship. The Senior Reimbursement Analyst reports to the Reimbursement Managers and/or Directors.
Prepares interim and annual cost reports for Medicare, Medicaid and other State or Federal agencies for Dignity Health facilities and regions
Calculates periodic adjustments for deductions from revenue, revenue reserves, bad debt and other revenue adjustments related to regulatory reimbursement for all Dignity Health facilities and regions in accordance with Dignity Health policies and procedures
Assist the Reimbursement Managers and/or Directors with recommendations for internal Dignity Health strategy by evaluating current growth, anticipating future needs, and assessing impact of services delivered
Assists in the maintenance of standardized policies and procedures and third party settlement methodologies
Reviews operational reports, identifies opportunities/problems, and makes recommendations for improving processes
Assesses the impact of new products, technology, and processes on the existing organization and makes recommendations for improvement
Required Non-Technical Competencies:
Commitment to Dignity Health Values
Required Technical Competencies:
Medicare Regulatory Reporting
Medicaid (Medi-Cal) Regulatory Reporting
Accounts Receivable and Cash Collection
Capital and Fixed Assets
Reimbursement – Monthly Analysis Process
Minimum of five (5) years of experience with all aspects of Medicare and Medicaid (Medi-Cal) regulations monitoring and report processes required
Experience as hospital Reimbursement staff or auditing experiences with Fiscal Intermediary required
Minimum of five (5) years of experience and excellent working knowledge of general accounting, government reimbursement, appeals and audits in a complex organization, and maintaining relationships with internal and external entities such as general accounting, patient accounting, and fiscal intermediaries required
Experience and knowledge of current reimbursement regulations and applications in a complex healthcare environment required
Bachelor’s degree in Business Administration, Accounting or equivalent work experience required
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Dignity Health is an Equal Opportunity/ Affirmative Action employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law. For more information about your EEO rights as an applicant, please
Dignity Health will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c).
External hires must pass a post offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances.
If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request . We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA).
Dignity Health participates in E-verify.
Job ID 2018-68943
Employment Type Full Time
Hours / Pay Period 80
Facility Corporate Service Center
Location Rancho Cordova
Standard Hours varies
Work Schedule 8 Hour