Reimbursement Analyst - Financial Services

Job Description

Unlock your potential for professional development! We are looking for a Full Time, Reimbursement Analyst to join our Financial Services Team!

Located in northwest Arizona, Kingman has a mild climate with stunning Arizona sunsets! In the shadows of beautiful mountain ranges and nearby lakes, Kingman is an outdoor enthusiasts' paradise with abundant sunshine and is a great community to live, work and play!

Benefits (Full Time Employees) We offer you an excellent total compensation package, including a competitive salary, comprehensive benefits, and growth opportunities:

• Exceptional Colleagues
  • Join us and you'll be a part of a culture where we support each other and celebrate what makes each of us a special person as we work together with integrity, compassion, teamwork, respect, and accountability.
  • Our leaders demonstrate their commitment by gathering feedback, supporting, and empowering team members to do their best work through regular leadership rounding.
• Health and Well-Being
  • Medical, Dental, Vision, Employer Paid HSA for HDHP participants, Robust Wellness and Employee Assistance Program, Employer Paid Group Life, Short & Long-Term Disability
  • Generous Paid Leave Accruals
  • 403b Pension Plan with Employer Contributions
  • Employee Recognition Programs, Employee Discounts, and Employee Referral Bonus Program
  • Employee Identity Theft Protection
  • On-site daycare exclusive to our employees’ children of all ages
• Career Growth and Development
  • Tuition Reimbursement/Scholarships for full-time employees
  • As a not-for-profit organization, our employees who have qualified student loans may be eligible for the Public Service Loan Forgiveness program
  • So much more!

Position Purpose:

Provides financial planning, preparation, and analysis of hospital operations through operational budget variance and labor management productivity, including reimbursement analysis to support net revenue optimization, payer contract performance monitoring, and regulatory reporting needs.

Responsibilities

1. Lead annual operating budget development, including staffing per unit standards, revenue/expense targets, and coordination of assumptions with department leaders.
2. Maintain disciplined monthly budget variance reporting; investigate root cause drivers and partner with leaders to implement corrective actions and sustainable process improvements.
3. Ensure accurate financial reporting by validating that revenues and expenses are recorded to appropriate general ledger accounts; support month-end close analysis and audit requests as assigned.
4. Manage financial systems and data integrity (budget uploads/downloads, general ledger updates, and report logic) to enable reliable monitoring, dashboards, and analysis.
5. Drive labor productivity performance through maintenance of labor standards, biweekly/monthly monitoring, peer comparisons, and identification of labor cost savings opportunities.

Responsibilities for Reimbursement Analyst:

• Develop and maintain reimbursement models/rate calculators to forecast net revenue and external payment impacts (e.g., Medicare/Medicaid, commercial, GME, ASPI, and other supplemental payments) based on volume, case mix, charge structure, fee schedules, and contract/regulatory changes.
• Analyze payer reimbursement performance (Medicare, Medicaid, and commercial) and external payment streams; identify underpayments/variances, trends, and actionable net revenue optimization opportunities, including reconciliation support for GME, ASPI, and other state/federal payments.
• Support payer contracting and renewals by validating contract terms/fee schedules, quantifying financial impact scenarios, and preparing negotiation exhibits and performance scorecards; incorporate CMS and state reimbursement considerations where applicable.
• Partner with Patient Financial Services, HIM/Coding, Charge Capture, and clinical/operational stakeholders to analyze denials, claims/underpayment variance, and documentation/charge issues; respond to internal/external payment questions and recommend revenue integrity and process improvements.
• Monitor reimbursement-related regulatory updates (e.g., Medicare IPPS/OPPS, Medicaid changes) and support required reporting (including Medicare/Medicaid cost report data pulls, schedules, and reconciliations); coordinate and track GME, ASPI, and other external payment submissions and manage payment-related queries with the State and CMS.

Qualifications

Education: Bachelor's degree in Business Administration, Accounting, or Finance.

Experience: 4 to 6 years’ experience at Accountant level with minimum of 3 years’ experience in organizational budget planning.

Skills, Knowledge, and Abilities:

• Requires discretion and independent judgment related to financial assessments that impact the successful business operations for the organization
• Knowledge of theory and application of general, financial, and budget accounting
• Knowledge of healthcare finance and reimbursement
• Knowledge of budgeting and labor productivity management systems and their uses
• Possess technical and professional accounting skills and familiarity with data processing capabilities and procedures
• Knowledge of Microsoft Office products and or comparable spreadsheets and word processors
• Ability to develop and maintain effective working relationships with others

Reimbursement Analyst:

• Maintain disciplined monthly reimbursement and net revenue variance reporting; investigate drivers and communicate actionable insights.
• Develop, maintain, and validate reimbursement models/rate calculators, document assumptions, sources, and version control.
• Interpret payer contracts and payment methodologies, translating terms into monitoring routines, reconciliations, and performance scorecards.
• Identify underpayments, payment variances, and trends; support claim-level and summary-level reconciliations and timely escalation/resolution.
• Communicate results clearly through dashboards, summaries, and presentations tailored to technical and non-technical stakeholders.

Decision Support Analyst:

• Experience building and maintaining operational/financial reporting (e.g., Power BI or comparable tools) and communicating trends, outliers, and key drivers.
• Ability to query, validate, and reconcile data (e.g., basic SQL or report-writer querying), ensuring accuracy, completeness, and auditability of decision support outputs.
• Ability to partner with clinical and operational stakeholders, facilitate requirements, and present analyses with clear narratives, assumptions, and recommended actions.
• Strong analytical and data management skills, including advanced Excel (pivot tables, Power Query) and comfort working with large datasets from multiple source systems.

Preferences

Experience: 6 years of general and financial account experience with healthcare finance; 5 years budgeting and labor management experience

Apply Now

When incredible people and incredible facilities like ours join together, incredible things happen. If you want to be a part of an incredible team that is dedicated to delivering the highest quality in patient care, we invite you to explore this opportunity with KRMC and apply online today.

Facility Profile

Kingman Regional Medical Center is the largest healthcare provider and the only remaining not-for-profit hospital in Mohave County, Arizona. As a 235-bed multi-campus healthcare system, our medical center includes more than 1,800 employees, 280 physicians/allied health professionals, and 250 volunteers. Kingman Regional Medical Center is recognized as an innovator in rural healthcare and a teaching hospital. We provide a full-continuum of highly-technical and specialized medical services to meet the healthcare needs of our community.

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Posting Date:

Locations: 3269 Stockton Hill Road Kingman AZ 86409