Assist with planning and preparing revenue analysis for system-wide programs, projects, and services, while monitoring revenue budgets and benchmarking activities.
Support system intermediary data requests, audits, and exit conferences.
Assist in preparing information for system-wide external financial audits, as well as Medicare and Medicaid interim and year-end cost reports.
Coordinate the year-end system financial audit with external auditors and reimbursement staff.
Develop and maintain appropriate relationships with the Fiscal Intermediary and external auditors.
Prepare analysis and recommendations to ensure regulatory reviews are completed accurately and on time.
Participate in the development and preparation of system-wide budgeting for Gross and Net Patient Revenue to ensure accuracy, timeliness, and compliance with accounting standards.
Analyze and review the monthly accounts receivable valuation and provide recommendations to ensure optimal reimbursement.
Develop and coordinate the system-wide monthly closing process related to Medicare/Medicaid liabilities and allowances on patient receivables.
Monitor processes to ensure accurate payment for Medicare/Medicaid and review interim payments for accuracy, appropriateness, and potential liability.
Request adjustments from United Government Services (UGS) and update internal systems.
Develop and apply understanding of Medicare and Medicaid regulations pertaining to current and proposed reimbursement.
Work with Government Affairs and external consultants to provide reimbursement expertise.
Coordinate with Financial Planning on system budgets as they relate to third-party reimbursement and provide support for retrospective financial review and pro forma development.
This position requires travel and may be exposed to weather and road conditions.
Bachelor's degree in Finance or a related field.
Typically requires 3 years of reimbursement experience, including preparation of Medicare/Medicaid cost reports, regulations, and analysis, modeling, and reporting of third-party payers.
Demonstrated expertise with Medicare and Medicaid regulations in a health care or federal intermediary setting.
Knowledge of third-party regulations and the relationship of financial statements to reimbursement strategy and compliance.
Strong accounting background with experience preparing and/or reviewing health care financial statements.
Proficiency with Microsoft Office applications including Excel, PowerPoint, Word, and Access, as well as data management tools.
Proficiency in data mining and analysis.
Ability to work independently in a complex environment with strong initiative and high-quality analytical output.
Excellent written and verbal communication skills with the ability to communicate revenue cycle issues to all levels of the organization.
Preferred: advanced Excel skills, accounting skills, healthcare experience, PowerBI experience, Epic analytic tools, accounts receivable experience, and ledger entry experience.
Location
Milwaukee, Wisconsin, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
Yes
Posted
3 weeks ago