Sr Reimbursement Financial Ana
Company: Cape Cod Healthcare Inc.
Posted on: May 3, 2021
- 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
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
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
- Minimum of Bachelor's degree in accounting.
- 5 - 7 years experience in acute care hospital
- 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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