Develops and maintains systems for valuing patient accounts receivable and third-party settlements, while explaining net revenue variances against budget and historical trends. Ensures complete data is collected for accurate and complete filing of government cost reports. Tracks and manages adjustments made by government auditors and supports appeals for any inappropriate adjustments.
Located in the metropolitan area of Sacramento, Adventist Health's corporate headquarters are based in Roseville, California.
Bachelor's degree or an equivalent combination of education and related experience is required.
Five years of relevant experience is preferred.
The role requires the ability to:
- Review, analyze, and interpret executed insurance contracts, government regulations, and non-contracted reimbursement methods
- Set up and maintain patient accounts receivable valuation systems using historical payment averages, logic, and judgment
- Interpret government regulations, contract terms, and cost accounting principles to maintain monthly settlement estimates
- Analyze revenue and contractual adjustment variances against budget and historical trends by payer and business segment
- Prepare interim and annual government cost reports
- Work with internal teams and external consultants to support cost report preparation and auditor defense
- Track settlements of prior year cost reports and file appeals when appropriate
Location
California, US
Employment Type
Full-time
Experience Level
Senior
Salary Range
$78,000 - $116,104
Remote work allowed
No
Posted
1 week ago