Job Details
Senior Revenue Cycle Reimbursement Analyst - Remote Work Schedule
2025-04-30 Alaska Native Tribal Health Consortium (ANTHC) Anchorage,AK
Description:
Alaska Native Tribal Health Consortium has a hiring preference for qualified Alaska Native and American Indian applicants pursuant to P.L. 93-638 Indian Self Determination Act.
Summary
Under general direction of the Vice President of Revenue Cycle, the Senior Revenue Cycle (RC) Reimbursement Analyst will support revenue cycle by managing the reimbursement analysis processes for ANTHC. The Senior RC Reimbursement Analyst will be responsible for preparing the monthly contractual allowances for all payors, prepare analyses for month-end close meetings, and assist with the annual contractual budget and forecasting processes.
Responsibilities
Manages monthly close analysis and accounting, including systematic process providing insight into various reimbursement impacts such as payor mix, service mix, operational changes and prior period adjustments. Prepares the calculation of Accounts Receivable and reserves for all payors including the timely submission of the monthly journal entry. Prepares all contractual allowance percentages from Kodiak/Crowe reimbursement model as well as other tools as needed. Prepares trend reports and analyses of charges, payments and contractual allowance and explain significant variances. Provides support as needed to Finance and Operations on reimbursement related matters. Assists in the annual contractual budget and forecasting process. Assists with the preparation of the model template to be utilized in the annual budget process for third party reimbursement. Reviews government agency bulletins, publications, and the Federal Register to understand proposed and actual state and federal government statutory and regulatory changes that impact ANTHC and analyzes the financial and operational impact of the changes to ANTHC.
Monitors revenue variances in collaboration with operations. Identifies and researches opportunities to enhance revenue/reimbursement. Assists with the annual financial audit. Reviews payor contract rates and monitors monthly payment results for variances. Perform reviews of over and under payments based on expected reimbursement to amounts allowed by payors. Research root-causes for issues arising from the monthly AR valuation. Performs interim-month reviews of patient accounts and evaluate impact on month-end AR valuation. Work with other revenue cycle areas to determine impact of billing operations to AR valuation. Work with revenue cycle staff to acquire data regarding payment, denials and other related data as it relates to AR valuation.
Prepares logs and data needed for the preparation of Medicare and Medicaid cost reports and interim reviews. Maintains current working knowledge of Medicare, Medicaid and other regulations. Prepares various financial analyses as requested by management. Prepares and analyzes financial data for opportunities. Assist with provider enrollment. Foster a culture of quality and continuous improvement within revenue cycle, promoting teamwork and collaboration.
Other Information
Knowledge, Skills, Abilities:
Bachelor's degree in finance, accounting, business administration, or another similar field. Progressively responsible professional work experience may be substituted on a year-for-year basis for college education.
Minimum Experience Qualification
Non-supervisory – Five (5) years of work experience. An equivalent combination of relevant education and/or training may be substituted for experience.
Additional Requirements
According to the needs of the organization, some incumbents in this job class may be required to obtain specific technical certifications and programming language skills.
Senior Revenue Cycle Reimbursement Analyst - Remote Work Schedule
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Senior Revenue Cycle Reimbursement Analyst - Remote Work Schedule
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The Alaska Native Tribal Health Consortium is a non-profit Tribal health organization designed to meet the unique health needs of Alaska Native and American Indian people living in Alaska. In partnership with the more than 171,000 Alaska Native and American Indian people that we serve and the Tribal health organizations of the Alaska Tribal Health System, ANTHC provides world-class health services, which include comprehensive medical services at the Alaska Native Medical Center, wellness programs, disease research and prevention, rural provider training and rural water and sanitation systems construction.
ANTHC is the largest, most comprehensive Tribal health organization in the United States, and Alaska's second-largest health employer with more than 3,100 employees offering an array of health services to people around the nation's largest state.
Our vision: Alaska Native people are the healthiest people in the world.
ANTHC offers a competitive and comprehensive Benefits Package for all Benefit Eligible Employees, which includes:
- Medical Insurance provided through the Federal Employee Health Benefits Program as a Tribal Employee, with over 20 plans and tiers.
- Cost-Share Dental and Vision Insurances
- Discounted Pet Insurance
- Retirement Contributions with Pre-Tax or Roth options into a 403(b).
- 401(a) ANTHC Retirement Plan: After one year of employment, ANTHC will begin making matching contributions of up to 5% of your eligible pay, based on your own contributions. In addition, you may be eligible for an annual discretionary contribution of up to 3% from the employer.
- Paid Time Off starts immediately, earning up to 6 hours per pay period, with paid time off accruals increasing based on years of service.
- Eleven Paid Holidays
- Paid Parental Leave or miscarriage/stillbirth eligibility after six months of employment
- Basic Short/Long Term Disability premiums, Accidental Death and Dismemberment (AD&D) Insurance, and Basic Life Insurance are covered 100% by ANTHC, with additional options for Short-Term Disability Buy-Up Coverage and Voluntary Life for yourself and your family members.
- Flexible Spending Accounts for Healthcare and Dependent Care.
- Ancillary Cash Benefits for accident, hospital indemnity, and critical illness.
- On-Site Child Care Facility with expert-designed classrooms for early child development and preschool.
- Employee Assistance Program with support for grief, financial counseling, mental/emotional health, and discounted legal advice.
- Tuition Discounts for you and your eligible dependents at Alaska Pacific University.
- On-Site Training Courses and Professional Development Opportunities.
- License and certification reimbursements and occupational insurance for medical staff.
- Gym Access to Alaska Pacific University includes a salt water pool, rock climbing, workout gym, and steep discounts for outdoor equipment rentals.
- Emergency Travel Assistance
- Education Assistance or Education leave eligibility
- Discount program for travel, gym memberships, amusement parks, and more.
Alaska Native Tribal Health Consortium has a hiring preference for qualified Alaska Native and American Indian applicants pursuant to P.L. 93-638 Indian Self Determination Act.
Summary
Under general direction of the Vice President of Revenue Cycle, the Senior Revenue Cycle (RC) Reimbursement Analyst will support revenue cycle by managing the reimbursement analysis processes for ANTHC. The Senior RC Reimbursement Analyst will be responsible for preparing the monthly contractual allowances for all payors, prepare analyses for month-end close meetings, and assist with the annual contractual budget and forecasting processes.
Responsibilities
Manages monthly close analysis and accounting, including systematic process providing insight into various reimbursement impacts such as payor mix, service mix, operational changes and prior period adjustments. Prepares the calculation of Accounts Receivable and reserves for all payors including the timely submission of the monthly journal entry. Prepares all contractual allowance percentages from Kodiak/Crowe reimbursement model as well as other tools as needed. Prepares trend reports and analyses of charges, payments and contractual allowance and explain significant variances. Provides support as needed to Finance and Operations on reimbursement related matters. Assists in the annual contractual budget and forecasting process. Assists with the preparation of the model template to be utilized in the annual budget process for third party reimbursement. Reviews government agency bulletins, publications, and the Federal Register to understand proposed and actual state and federal government statutory and regulatory changes that impact ANTHC and analyzes the financial and operational impact of the changes to ANTHC.
Monitors revenue variances in collaboration with operations. Identifies and researches opportunities to enhance revenue/reimbursement. Assists with the annual financial audit. Reviews payor contract rates and monitors monthly payment results for variances. Perform reviews of over and under payments based on expected reimbursement to amounts allowed by payors. Research root-causes for issues arising from the monthly AR valuation. Performs interim-month reviews of patient accounts and evaluate impact on month-end AR valuation. Work with other revenue cycle areas to determine impact of billing operations to AR valuation. Work with revenue cycle staff to acquire data regarding payment, denials and other related data as it relates to AR valuation.
Prepares logs and data needed for the preparation of Medicare and Medicaid cost reports and interim reviews. Maintains current working knowledge of Medicare, Medicaid and other regulations. Prepares various financial analyses as requested by management. Prepares and analyzes financial data for opportunities. Assist with provider enrollment. Foster a culture of quality and continuous improvement within revenue cycle, promoting teamwork and collaboration.
Other Information
Knowledge, Skills, Abilities:
- Knowledge of revenue cycle metrics and drivers, particularly in billing and collections (A/R days, cash goals, aging, compliance metrics).
- Knowledge of Alaska Tribal Health System, local, state, federal and Tribal rules, regulations, and operational guidelines and directives; and accrediting agency standards (i.e.: The Joint Commission, American Medical Association).
- Knowledge of generally accepted accounting principles, practices and their applications.
- Knowledge of principles of healthcare reimbursement. Demonstrated expertise with Medicare and Medicaid regulations in a health care or federal intermediary setting.
- Knowledge and understanding of third-party regulations and the interrelationship of financial statements to not only comply with regulations but to maximize and develop strategies to increase the organization's reimbursement rate with ongoing changes.
- Strong Accounting background and knowledge in preparing and/or reviewing health care financial statements which are required to perform accurate account analysis.
- Ability to thrive in a high-volume, fast paced environment, while being efficient with a high level of integrity and confidentiality.
- Solid attention to detail and ability to work well within a deadline driven environment.
- Knowledge of industry standards, best practices, and software. Knowledge of Alaska Tribal Health System, ANTHC, and Alaska Native culture(s).
- Knowledge of the Privacy Act of 1974 and HIPAA Privacy Rule. Strong quantitative, analytical, and problem-solving skills.
- Excellent oral and written communication skills with ability to effectively communicate with all levels of management.
- Skill in operating a personal computer utilizing a variety of applications.
- Ability to provide leadership and influence others.
- Ability to foster effective working relationships and build consensus.
- Ability to manage multiple priorities and tasks concurrently, meeting deadlines, and changing priorities.
Bachelor's degree in finance, accounting, business administration, or another similar field. Progressively responsible professional work experience may be substituted on a year-for-year basis for college education.
Minimum Experience Qualification
Non-supervisory – Five (5) years of work experience. An equivalent combination of relevant education and/or training may be substituted for experience.
Additional Requirements
According to the needs of the organization, some incumbents in this job class may be required to obtain specific technical certifications and programming language skills.
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