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Cape Cod Healthcare · 2 hours ago

Sr Reimbursement Financial Analyst

Hyannis, MA

Full-time

Hybrid

Senior Level

$81K/yr - $105K/yr

5+ years exp

Cape Cod Healthcare is seeking a Senior Reimbursement Financial Analyst to assist the Director in analyzing and presenting data to ensure accurate net revenue reporting. The role involves maximizing third-party reimbursement through correct report filing and timely responses to requests.

Health Care

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

Consistently provides service excellence to all patients, family members, visitors, volunteers and co-workers

Challenges current working practices; 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

Qualification

Reimbursement analysisFinancial modelingAccounts Receivable analysisMS AccessExcelAnalytical skillsMeet deadlinesWork independently

Required

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