workday
Posted 4 weeks ago
Senior Reimbursement Analyst
Job description
Facility: Work from Home - Hybrid - Ohio Department: Reimbursement Schedule: Full time Hours: 40 Job Details: The Senior Reimbursement Analyst is responsible for optimizing the organization’s financial performance through comprehensive reimbursement and revenue cycle data analysis. This role conducts in depth evaluations of reimbursement, denial, and payment variance data to identify trends by payer, service line, provider, and operational department. The analyst translates complex data into actionable insights that support leadership decision making and revenue integrity. This position develops and delivers advanced reporting and dashboards that assess end to end revenue cycle performance, including the financial impact of front end processes (eligibility, authorization), mid cycle functions (coding, documentation), and back end outcomes (denials, underpayments, net reimbursement). The Senior Reimbursement Analyst prepares required cost reports and ensures compliance with third party payer and regulatory reporting requirements. In addition, the role performs contract performance and reimbursement variance analysis to evaluate expected versus actual reimbursement, identify underpayments, and support payer negotiations. The analyst leads root cause analysis of denials and revenue leakage, quantifying financial risk and recommending data driven process improvements to enhance net revenue realization. The Senior Reimbursement Analyst partners with revenue cycle, finance, clinical, and operational leaders to provide guidance on reimbursement strategies, implement predictive and performance based analytics, and establish benchmarks and key performance indicators (KPIs). This role plays a critical part in advancing automation, standardization, and best practices in revenue cycle analytics to proactively mitigate risk, improve efficiency, and sustain financial performance. Department Specific Job Details: Education Bachelor's degree required Master's degree (MBA/MHA) preferred Experience 3 years of hospital and physician billing and reimbursement data, data analytics required 5 years preferred Healthcare administration, finance, or related experience required 5+ Years in Healthcare revenue cycle preferred Skills/Competencies Proficiency in utilizing Microsoft Excel and other database management software Knowledge of EPIC Proven Analytic and problem-solving skills Understanding of cost reporting #Talroo At Dayton Children's, we believe that each moment counts with our patients, families, and with each other. We are moving at a fast pace and are looking for the right talent for our team at Dayton Children's. We want people who embody our values and want to become a part of the Dayton Children's difference. If this is you, apply today! Our values: We commit to safety - We ensure every action and decision prioritizes the safety of patients, families, and employees. We serve with compassion - We bring generosity, empathy, and kindness to all interactions. We own every moment - We take pride in everything we do. We’re better together - We collaborate, communicate, and support one another to deliver optimal care. We innovate with purpose - We adapt and change to improve pediatric care, for today and tomorrow. We value and respect each person - We create an inclusive space where everyone feels welcome and respected. Dayton Children’s is proud to be an Equal Opportunity Employer that values diversity and will not discriminate against minorities, women, protected veterans, individuals with disabilities, or based on age, color, gender identity, national origin, race, religion, sex, sexual orientation, or transgender status.
Skills and functions
- Data Analytics