Job Title: Senior Reimbursement Specialist
Category: Finance
Employment Type: Full-Time
Schedule: Days, 8:00 AM – 4:30 PM
Pay Range: $40.36 – $52.47 per hour
Position Summary
Aligned Solutions is seeking a Senior Reimbursement Specialist for a well-respected company who is responsible for managing government payer reimbursement, including Medicare and Medicaid, and maintaining monthly net revenue and net accounts receivable (Net AR). This role ensures regulatory compliance, prepares Medicare cost reports, manages Medicaid payment systems, and communicates complex reimbursement activities and regulatory changes to leadership.
Key Responsibilities
Prepare and analyze Medicare and Medicaid cost reports, settlements, and audits
Demonstrate deep understanding of DSH, PPS/OPPS, S-10, and Wage Index calculations
Maintain Net AR contractual reserve accounts using Kodiak Revenue Cycle Analytics
Analyze GME and IME data, including resident FTEs, caps, costs, and reimbursements
Ensure accurate reporting of resident rotations via IRIS and GME data systems
Coordinate reporting for all State Medicaid Special Payment Programs
Support financial reporting, including month-end revenue valuations and cost variance analysis
Conduct regulatory impact analysis and communicate findings to leadership
Assist with IRS Form 990 data collection and Schedule H – Community Benefit reporting
Serve as a primary contact for reimbursement-related inquiries and external audits
This position is highly visible to senior leadership and plays a critical role in financial performance. The role operates independently and is a key contributor to reimbursement and financial analysis functions.
Qualifications
Education:
Bachelor’s degree in Accounting, Finance, or Healthcare Administration required
Master’s degree preferred
Experience:
Minimum 5 years of experience in healthcare finance/reimbursement
At least 3 years of experience with Medicare Cost Report preparation
Strong knowledge of reimbursement principles and revenue cycle processes
Certifications/Licensure:
Not required
Technical Skills:
Advanced proficiency in Microsoft Excel
Experience with Syntellis Axiom, Strata Cost Accounting, HFS Cost Reporting, INFOR FSM, and EPIC preferred
Strong analytical, organizational, and communication skills