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Sr Reimbursement Financial Ana

Company: Cape Cod Healthcare Inc.
Location: Plymouth
Posted on: May 3, 2021

Job Description:

  • Utilize expertise with PC based relational database and spreadsheet systems to analyze third party contractual allowances and propose adjustments as necessary.
  • Develop and maintain financial models that identify the most appropriate managed care contract terms and methods and to simulate the impact of those terms.

  • Assists in preparing monthly calculation of net patient service revenue for physician practices and acute care hospitals

  • Responsible for monitoring and reacting to changes in various elements of care such as shift in IP and QP utilization, ALOS, patient acuity, payments, discharge disposition and payer mix and to ensure that systems are in place to capture data to facilitate such analysis.

  • 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 a successful annual audit of the cost reports.

  • Assist in the development of the annual net revenue budget.

  • Utilize accounting/finance and PC knowledge to prepare expense, revenue and statistical schedules required for completion of the annual Cost reports; HCFA-2552, RSC-403, HCFA 287-05 HCF-1 and HCF-3.

  • Prepare analysis and documentation for all other government reporting as required by Federal and State Regulations.

  • Analyze the impact of changes in the Medicare and Medicaid Regulations as well as other third party insurers.

  • Perform other work-related duties as assigned or requested.


  • Minimum of Bachelor's degree in accounting.
  • 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.

Keywords: Cape Cod Healthcare Inc., Plymouth , Sr Reimbursement Financial Ana, Other , Plymouth, Massachusetts

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