Pay Range:

$39.43 - $51.29

SEARHC is a non-profit health consortium which serves the health interests of the residents of Southeast Alaska. We see our employees as our strongest assets. It is our priority to further their development and our organization by aiding in their professional advancement.

Working at SEARHC is more than a job, it’s a fulfilling career. We offer generous benefits, including retirement, paid time off, paid parental leave, health, dental, and vision benefits, life insurance and long and short-term disability, and more.

Responsible for developing reports and analyzing data from various sources to support preparation of month-end accounting close, financial analysis for AR and revenue, and annual cost report filings and other ad hoc analyses for Finance leadership. Extensive knowledge of reimbursement concepts and regulations is required to file reports accurately and to inform management of the impact of changing reimbursement regulations. Good communication skills are imperative to coordinate information from various sources and to coordinate the annual audit.

Key Essential Functions and Accountabilities of the Job

Conducts monthly review of net revenue and provides commentary on month over month changes key factors such as volume and payor mix.

Maintains Third Party reserve schedules.

Partnering with System Director of Finance and external cost report consultants on annual preparation of cost reports. Includes support of any Medicare and Medicaid audits.

Actively participates in professional organizations and other avenues for information pertaining to changes in reimbursement regulations.

Provides recommendations to Finance leadership on operational, organizational and accounting structures to maximize reimbursement.

Consults with operational leaders on new services to evaluate reimbursement impact.  Provides recommendation to operational and finance leaders on opportunities to maximize reimbursement.

Core Responsibilities

Coordinates gathering all data required for completion of cost reports from various departments, systems and external sources.

Analyzes data from all sources to ensure accuracy and consistency.

Prepares reimbursement budget models with accuracy using the most current proposed and final regulations.

Verifies and analyzes interim rate calculations and final settlements by third party payors for accuracy.

Maintains and continually improves on technical skills needed to manipulate data.

Works with consultants on various reimbursement projects. Prepares requested data, reviews for accuracy and communicates effectively to complete projects timely.

Reviews and interprets all new reimbursement legislation and communicate to management.

Reviews state and federal regulations and other reimbursement education publications to analyze the reimbursement impact of regulatory changes on the hospital and become an expert on issues related to Medicare and Medicaid reimbursement.

Prepares monthly contractual reserve analysis by gathering all necessary data, manipulating the data, reviewing for accuracy and proposing necessary journal entries.

Calculates third party receivables and payables monthly. Prepares any necessary journal entries and maintains detailed schedules of all calculations.

Promotes and contributes positively to the teamwork of the department by assisting co-workers, contributing ideas and problem-solving with co-workers.

Participates in performance improvement through planning and implementing change and maintaining and improving productivity through attendance and participation in staff meetings, committees, task forces, cross functional groups, projects and discussion with hospital management and staff.

Participates in periodic commercial payor meetings, performs analysis on proposed contract changes to evaluate financial impact and provides recommendations on contract amendments to maximize reimbursement.

Education, Certifications, and Licenses Required

Bachelor's degree or an equivalent combination of education and/or work in

Experience Required

Five years minimum in hospital or physician billing office

Experience in completing hospital charging practices and the revenue cycle flow in hospital financial systems

Knowledge of

Cost report preparation (with strong preference placed on critical access and/or cost-based reimbursement)

Industry trends in payor contracting and reimbursement

Critical accounting concepts associated with AR and third-party reserves

Strong preference placed on Indian Health Services (IHS)

Skills in

Critical thinking (problem solving, troubleshooting)

Developing new methods to define and identify statistical outliers

Ability to

Review and interpret federal and state regulatory guidance and evaluate financial implications in regulatory changes

Work on different projects simultaneously, work in fast paced setting and multitask in a fast paced

environment and appropriate handle overlapping commitments and deadlines

Computer Skills

Highly proficient in relevant computer applications including Microsoft Office programs, including Word, Excel

Manipulating large datasets (500,000+)

Cerner and other electronic records applications

Required Certifications:

If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!