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Accounting Reimbursement Analyst I

Remote, USA Full-time Posted 2026-06-15

Ensign Services, Inc. is a subsidiary of The Ensign Group, Inc. and is a national leader in the post-acute care industry. The Accounting Reimbursement Analyst I role offers an opportunity for new accounting graduates or students to gain hands-on experience in healthcare accounting, focusing on financial data preparation and multi-state cost reporting.

Responsibilities

  • Prepare financial data and supporting workpapers to assist with the preparation and filing of Medicare and Medicaid cost reports across multiple states
  • Ensure the accuracy of monthly balance sheet reconciliations for asset and liability accounts
  • Compile, maintain, and review supporting documentation for balance sheet accounts to ensure completeness and audit readiness
  • Analyze payment reports to identify and communicate cost report adjustments related to asset and liability accounts
  • Review monthly occupancy reports and support occupancy-related calculations used in reporting
  • Collaborate closely with service center accounting teams, including payroll, accounts payable, accounts receivable, tax, general ledger, and financial reporting, to support accurate and timely financial processes
  • Provide support for ad hoc projects and special initiatives as business needs arise

Skills

  • Bachelor's degree in Accounting (or equivalent experience) preferred, or current enrollment in an accounting program
  • Basic understanding of GAAP accounting principles is a plus
  • Proficiency with standard office software, including Outlook and Word, with strong Excel skills, required
  • Strong communication skills, with excellent attention to detail and the ability to prioritize and manage multiple projects
  • Eagerness to learn and grow, with a curiosity to build new skills and knowledge
  • Some experience using accounting software is a plus, but not required
  • Experience with Workday Financials is a plus, but not required

Benefits

  • Medical/dental/vision coverage
  • Company-provided life insurance
  • 401(k) with company match
  • Sick/vacation plans
  • Access to our fully equipped onsite gym (San Juan Capistrano office location)
  • Supporting our employee’s professional growth and development through our Learning Management System
  • Training sessions and seminars

Company Overview

  • Ensign Services, Inc. offers healthcare services including skilled nursing, assisted living, and rehabilitation. It was founded in 1999, and is headquartered in San Juan Capistrano, California, USA, with a workforce of 10001+ employees. Its website is https://www.ensignservices.net.
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