Allegheny Health Network Careers

Date Posted: 10/17/16
Job Title: Reimbursement Analyst
Position Number: 53803
Location: Corporate Office

Allegheny Health Network is an integrated delivery network focused on preserving health care choice and providing affordable, high-quality care to the people in our communities. With more than 17,000 employees including 7,400 health care professionals, nearly 200 primary care and specialty care practices, Allegheny Health Network includes seven hospitals in Pennsylvania with nearly 2,400 licensed beds.

Allegheny Health Network’s clinical expertise ranges from primary care to the most complex surgical procedures. Services include cancer diagnosis and treatment, cardiovascular care, neurological and neurosurgical services, organ transplantation, orthopedic and rehabilitation services, and women’s health.

Job Summary: Performs third-party reimbursement services, serves as a technical resource on reimbursement issues verifying third party payments. Assists in preparation of the cost reports and monthly financial closing duties. Assists with review of cost reports and budgets. Assists with oversight of Medicare and Medicaid field audits

including analysis of audit adjustments and their financial impact. Assists with process improvements and special projects, working closely with the manager and senior staff.

Status: Full-Time
Non-Union

Job Responsibilities:

• Assists in preparation, evaluation and maintenance of processes in support of regulatory and third party updates including quarterly workpapers, annual audits, cost accounting and third part cost reporting.
• Stays abreast of issues impacting the healthcare industry, especially those that have a financial impact to WPAHS (including the ability to read and evaluate government regulations) and communicates those issues to team and management.
• Records, classifies and summarizes financial transactions and events in accordance with generally accepted accounting principles. Interprets financial transactions and events for users who make economic or business decisions.
• Maintains processes and performs calculations to support the monthly close process and the generation of the monthly financial statements.
• Provides expertise and education related to budgeting, revenue recognition, reimbursement, system and process changes.
• Performs other duties as assigned or required.                               

Education: Bachelor's degree in Accounting, Finance or related field required. Master's degree preferred.

Complexity of Work: Works under minimal supervision. Provides guidance and direction to less experienced staff. Performs duties in accordance with departmental guidelines. Seeks direction for issues outside of guidelines.

Required Experience: Minimum 4 years in third-party reimbursement in a healthcare environment required. Proficiency with spreadsheet applications and database management.