Who We Are
Valley Health System is a not-for-profit network of hospitals, urgent cares, physician practices, and services. Expanding across Virginia, West Virginia, and Maryland, we are devoted to the health of all who call our 18-county area home.
A vital resource for healthcare, we are the region’s largest employer, a dependable community partner, and are at the leading edge of clinical innovations.
We are looking for passionate, innovative, and caring people who will each bring their unique skills and perspectives to our workplace.
What You Will Do:
The Reimbursement Analyst assists in the preparation and submission of Medicare/Medicaid cost reports, and other regulatory filings as assigned. Assists in the preparation of monthly third-party account transactions, and A/R Reserve analysis. Assists in the periodic updates of the hospital encounter cost system. Provides ad-hoc financial analysis and reports requested.
Responsibilities and Duties
Assists in the preparation and submission of Medicare, Medicaid, and other regulatory cost reports.
Maintain knowledge of current regulatory guidelines and assist with development of reimbursement strategies to maximize revenue.
Plan, prepare, and review monthly third-party settlement estimates and accounts receivable reserves.
Assists with cost report audits as well as external financial audits surrounding third-party settlements and accounts receivable hindsight analysis.
Analyze third party settlements and correspondence for accuracy and reimbursement implications.
Supports the internal encounter costing software and perform periodic cost updates.
Provide ad-hoc financial analysis and reports to Senior Management as requested.
Contribute to overall financial success of the System in continuous pursuit of the fulfillment of its Mission.
What You Will Bring:
Education
Bachelor's degree in Accounting or Finance required
Experience
Working knowledge of third-party reimbursements and Medicare and Medicaid cost reports preferred.
Qualifications
Proficiency with Microsoft Excel, and Medicare Cost Report Software required.
Knowledge of third party (Medicare, Medicaid, and other agencies) reimbursement rules and regulations preferred.
Knowledge of third-party reimbursement techniques preferred.
Detailed knowledge of accounting systems related to the reimbursement field required.
Ability to develop financial and statistical models for third party cost reimbursements and enhancements via automated office equipment preferred.
Highly detail oriented and organizational skills required.
Ability to meet assigned deadlines required.
Excellent communication and interpersonal skill with a focus on customer service required.
Proven critical thinking and problem-solving abilities to maximize performance and results required.
What You Will Get:

At Valley Health, we believe everyone is a caregiver, and our goal is to create an environment where our caregivers thrive physically, financially, and emotionally. In addition to a competitive salary, our most popular benefits for full-time employees include:
• A Zero-Deductible Health Plan
• Dental and vision insurance
• Generous Paid Time Off
• Tuition Assistance
• Retirement Savings Match
• A Robust Employee Assistance Program to help with many aspects of emotional wellbeing
• Membership to Healthy U: An Incentive-Based Wellness Program
Valley Health also offers a health savings account & flexible spending account for childcare, life insurance, short-term and long-term disability, and professional development. In addition, several perks come with working for the largest employer in the region, such as discounts to on-campus dining, and more.
To see the full scale of what we offer, visit valleyhealthbenefits.com.
Exclusions apply
We celebrate, support, and thrive on our differences for the benefit of our employees, our patients, and the communities we serve.
We are neighbors caring for neighbors, and our goal is always to help those we serve get well, feel well, and stay well.
EOE
Criminal Background Checks
VA State Police
3rd party Background Check
FLSA Classification
Exempt
Grade
115
Physical Demands
1 A Abstractor/Analyst