Position Summary:

Responsible for assisting in the compiling of complex reimbursement data to support management decision making and internal and external reporting for assigned subsidiaries.  Assists in coordination of reimbursement functions related to the strategic financial planning process.  Preparation and analysis of third-party reimbursement activity for month end and year end. Participates in reimbursement issues related to change in billing practices (i.e. provider based vs. freestanding), changes in Tax Ids, new business ventures, Certificate of Need applications (CONs), forecasts and annual budgets.

 

Essential Functions and Responsibilities:

1.      Prepares and or reviews the schedules required to support the submission of Medicare, Medicaid and Blue Cross cost report, complying with regulations. Analyzes third party cost report changes from prior years, investigating differences.

2.      Assists in preparing monthly contractual model and providing thorough analysis of the monthly contractual allowances for assigned subsidiaries.  Investigates and makes recommendations for updates to assumptions and/or methodology. 

3.      Maintains adequate reserve position by complete monthly reserve analysis identifying and reporting any increase or decrease from previously stated reserve position.

4.      Provides projections and analytical support during the fiscal year budgeted net revenue preparation as assigned.

5.      Researches and keeps abreast of third-party regulations and changes, providing analytical support through financial impact summarization. Estimates the financial impact any changes in payment assumptions and/or budget assumptions may have on the subsidiary and communicates as directed.

Qualifications:

Required:

·         Bachelor’s degree in finance, accounting or related field. 

·         Three (3) years of experience in a progressively more responsible reimbursement or finance role with reimbursement responsibilities.

Preferred: 

·         CPA or MBA preferred. 

 

Equal Opportunity Employer of Minorities/Females/Disabled/Veterans.

Additional Information Schedule: Full-time Requisition ID: 25000368 Daily Work Times: Standard Business Hours Hours Per Pay Period: 80 On Call: No Weekends: No