Senior Reimbursement Financial Analyst Job at Cape Cod Healthcare, Hyannis, MA

MElZMmsvREpTWE5oV1hjUmUrZkVqZ0d5N3c9PQ==
  • Cape Cod Healthcare
  • Hyannis, MA

Job Description

PURPOSE OF POSITION:

The Sr. Reimbursement Analyst will assist the Director by analyzing and presenting data from a variety of sources which will advance the goals and objectives of the organization and ensure that the net revenue for the system is correctly stated. The Analyst will also ensure that third-party reimbursement is maximized by filing reports correctly and responding to all requests timely.

PRIMARY DUTIES AND RESPONSIBILITIES:

  • Utilize accounting/finance and PC knowledge to prepare expense, revenue and statistical schedules required for completion of the annual Cost reports; CMS-2552, CHIA Hospital Cost Reports, CMS-2540, CMS 287-22 , CMS 1728, State UCCR reports, CHIA SNF-CR and MGT-CR, and CHIA Home Health cost report.
  • Prepare monthly contractual reserve models
  • Utilize expertise with PC based relational database and spreadsheet systems to analyze third party contractual allowances and propose adjustments, as necessary.
  • Responsible for monitoring and reporting changes in various elements of care such as shift in IP and OP utilization, ALOS, patient acuity, payments, discharge disposition and payer mix, ensuring that systems are in place to capture data to facilitate such analysis.
  • Work collaboratively with IT and BI to automate data extracts needed for governmental reporting.
  • Prepare independent analysis of available data to identify potential areas of improvement by comparing actual performance to established norms and benchmarks.
  • Prepare documentation and net revenue analysis required for the year-end financial audits.
  • Work with Medicare auditors to ensure successful annual audits of the cost reports and any components audited separately.
  • Assist in the development of the annual net revenue budget.
  • Prepare analysis and documentation for all other government reporting and follow up as required by Federal and State Regulations.
  • Analyze the impact of changes in Medicare and MassHealth (EOHHS) Regulations as well as for other third-party insurers.
  • Perform other work-related duties as assigned or requested.
  • Challenges current working practice; identifies process improvement opportunities and presents recommendations and solutions to management. Engages and commits to the organization’s culture of continuous improvement by actively participating, supporting, and promoting CCHC Pillars of Excellence.

EDUCATION/EXPERIENCE/TRAINING :

  • Minimum of bachelor’s degree in accounting preferred or equivalent combination of education and experience in Reimbursement
  • 5 - 7 years’ experience in acute care hospital finance/accounting.
  • Knowledge and experience in the following areas: Accounts Receivable analysis, developing financial models, payer contracts and reimbursement analysis, and accounting.
  • Excellent analytical skills.
  • Excellent PC skills: MS Access, Excel or comparable PC based database skills required.
  • Ability to work with minimum supervision.
  • Ability to meet deadlines.

Job Tags

Shift work,

Similar Jobs

Abrazo Medical Group

Employed Thoracic Surgery Opportunity in Phoenix, Arizona! Job at Abrazo Medical Group

Elevate Thoracic Surgery in Phoenix: Join Biltmore Cardiology Tenet Healthcare, in partnership with the renowned Biltmore Cardiology, is seeking a highly skilled Thoracic Surgeon with experience across all aspects of non-cardiac thoracic surgery to join our expanding...

Hanwha Convergence USA

O & M Field Tech II - Solar Field Job at Hanwha Convergence USA

 ...including LOTO, PPE, and safe working practices. Perform site security and visual inspections of vegetation, facilities, water ways and roads. Monitor repairs performed by contractors and provide detailed breakdowns of work performed. Advanced knowledge of... 

Children's Nebraska

Pediatric Radiologist Job at Children's Nebraska

 ...Childrens Nebraska, in collaboration with the University of Nebraska College of Medicine, is seeking a fellowship-trained Pediatric Radiologist to join our dynamic and collegial team. As part of our established division of eight pediatric radiologists, you will contribute... 

Acro Service Corp

Warehouse Associate Job at Acro Service Corp

Timings- 6.30AM to 6.30PM/6.30PM to 6.30AM (Rotating Shift) Position Summary: Responsible for the safe and efficient operation of simple automated assembly machines. This individual will ensure the continued operation of assembly machines through interpretation of and...

Motive Workforce

Heavy Equipment Operator Job at Motive Workforce

 ...If you are a Heavy Equipment Operator with civil experience in the construction world, we would love to talk to you! Make an Impact. Move the Earth. Protect the Environment. Are you a skilled Heavy Equipment Operator with experience on civil infrastructure...