Senior Reimbursement Accounting Analyst
PACS Group • Full Time
Posted on Sat, Sep 19, 2026
Job Description
The Senior Reimbursement Accounting Analyst will be responsible for preparing and analyzing Medicare and Medicaid cost report templates, inputting information into the cost report program, and ensuring proper costs are identified in specific departments and cost centers. This role requires strong analytical skills, attention to detail, and the ability to work independently to meet deadlines.
Responsibilities
· Prepare and maintain Medicare and Medicaid cost report workpapers, supporting schedules, and reimbursement analyses in accordance with federal and state regulatory requirements
· Compile, validate, and reconcile financial, statistical, labor, and census data utilized in cost report preparation and reimbursement reporting
· Analyze general ledger activity, trial balances, and supporting documentation to ensure accurate cost reporting treatment and proper allocation of expenses
· Perform detailed account analysis to identify reimbursement-related costs and ensure expenses are accurately assigned to the appropriate departments and cost centers
· Review cost reports and supporting schedules for completeness, accuracy, and compliance with applicable reimbursement regulations and filing requirements
· Research and interpret Medicare, Medicaid, and state-specific reimbursement regulations and apply findings to complex reimbursement scenarios
· Respond to cost report audits by providing all documentation requested by the auditor, including
· invoices, journal entry backup, and other items as requested
· Interact with facility staff and PACS staff to obtain required documentation and any items identified in analyzing accounts
· Work independently and be deadline-oriented to complete assignments and meet required deadlines for filing cost reports and responding to auditors
· Train other team members on how to perform various cost reporting tasks
· Manage Medicare/Medicaid bad debt analysis for accounting, cost reporting, and audit purposes
· Reconcile general ledger accounts associated with cost reporting
· Understand how cost reports affect rate setting
Education and Experience
· Bachelor's degree preferred in Finance, Accounting, or a related field with 2-5 years of experience or equivalent combination of education and experience, including 6-8 years of relevant reimbursement, finance, or accounting experience
· Advanced proficiency in Microsoft 365 applications, including Excel and Copilot enabled productivity tools
· Workday experience desired
· Knowledge of Medicare and Medicaid cost reporting requirements is preferred
· Strong analytical and problem-solving skills
· Excellent attention to detail and organizational skills
· Ability to work independently and manage multiple tasks
simultaneously
Join PACS: Elevate Healthcare with Us!
PACS is elevating healthcare by revolutionizing our approach to leadership and quality care. Guided by our core values of love, excellence, trust, accountability, mutual respect, and commitment, we strive to foster a culture of compassionate care within our teams and the communities we serve. As we grow rapidly, exciting opportunities await you to engage in impactful projects and contribute valuable insights to stakeholders nationwide.
If you're ready to make a difference and embrace our mission of creating real change, we invite you to join us at PACS. Together, let’s shape the future of healthcare!
Join Our Team and Thrive!
At PACS, we believe our employees are our greatest asset. That’s why we offer an exceptional benefits package designed to enhance your well-being and support your lifestyle.
Our Comprehensive Benefits Include
Health Coverage: Enjoy medical, dental, and vision plans to keep you and your family healthy.
PTO and Vacation: Benefit from generous paid time off and holidays to relax and recharge.
Financial Wellness: Take advantage of Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) to manage your healthcare expenses effectively.
Retirement Planning: Secure your future with our 401(k) plan, complete with company contributions to help you build your retirement savings.
Support When You Need It: Our Employee Assistance Plan (EAP) provides confidential support for personal and professional challenges.
Join us at PACS and take advantage of a workplace that truly values you!
We celebrate diversity and are committed to creating an inclusive environment for all employees. We welcome applicants of every race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, and any other protected characteristic. Employment decisions are based on qualifications, merit, and business needs.
AuditFriendly salary estimate
The employer did not post a salary for this role. Based on AuditFriendly's salary intelligence model (comparable live postings, role, seniority, and location), we estimate base pay of $50,000–$75,000 per year (median ~$59,000). This is an AuditFriendly estimate, not an employer-provided figure.
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