Accounting Reimbursement Analyst I      Position Type: Full Time, non-exempt employee Salary Range: $26.00 - $32.00 an hour, DOE. Location: This position based onsite at the Service Center in San Juan Capistrano, CA and may offer a hybrid work option after a 90-day probationary period (not fully remote).   About the Company: 
Ensign Services, Inc. (“ESI”) is a subsidiary of The Ensign Group, Inc. whose affiliated entities are considered national leaders in the fast-growing post-acute care industry. ESI provides service and support to over 378 facilities in the long-term care continuum that employ over 55,000 employees. ESI is known as the “Service Center” and provides the facilities and leaders it serves with “back-office” support in areas such as accounting, construction, compliance, human resources, information technology, learning and development, legal and risk management and recruiting. This structure allows the onsite leaders and caregivers to focus on day-to-day care and operational issues in their individual operations.  What sets ESI apart from other companies is the quality of our most valuable resource - our people.   We take our core values of Celebration, Accountability, Passion for Learning, Love One Another, Intelligent Risk Taking, Customer Second, and Ownership (“CAPLICO”) seriously.  We want an individual in this role who will demonstrate these values through actions and words. About the Opportunity   The Accounting Reimbursement Analyst I role is great opportunity for a new accounting graduate or current accounting student to build a strong foundation in healthcare accounting. You’ll gain hands-on exposure to core accounting principles, financial analysis, and multi‑state cost reporting while working alongside experienced accounting teams in a collaborative, learning-focused environment. Specific Duties include, but are not limited to: 

• 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.

Position Requirements:

• 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.
• Some experience using accounting software is a plus, but not required.
• Experience with Workday Financials is a plus, but not 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.

Additional Information:

• Pre‑employment criminal background screening required.

What We Offer
We are committed to providing a competitive benefits and compensation package which includes medical/dental/vision coverage, company-provided life insurance, 401(k) with company match, and sick/vacation plans. Additionally, enjoy access to our fully equipped onsite gym (San Juan Capistrano office location).  We also believe in supporting our employee’s professional growth and development through our Learning Management System as well as training sessions and seminars. Take a look at these benefits (and more!) at www.ensignbenefits.com    Ensign Services, Inc. is an equal opportunity employer.  If you need assistance or accommodation during the application process, please contact us at 888-659-3616.    Job ID 1495