SENIOR REIMBURSEMENT ANALYST
Job Field: Office Jobs
Location: Escondido, CA
Salary: $Not stated
JOB SUMMARY:
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<tr><td valign="top" width="450"><b>Our client, located in Escondido, California, is seeking a Senior Reimbursement Analyst to perform the following duties:* Responsible for performing monthly calculations of allowances for patient accounts receivables (contractual and bad debt)* Review actual patient account activity by financial class to ensure allowances recorded on the balance sheet reflect a reasonable estimate of collectability* Analyze monthly activity in receivable allowance accounts (balance sheet), contractuals and bad debt expenses (income statement) in comparison to revenue generated by financial class* Investigates suspicious charge entries and balances* Assists with a wide variety of revenue cycle activities, including report production and process improvement changes* Work with key revenue management areas to resolve and improve cash collections processes* Obtains/creates reports to provide management with reimbursement/ contractual trends* Uses sound judgment and resourcefulness in decision-making and problem-solving, as well as able to think and work independently* Capable of a high degree of independence in the performance of a variety of complicated tasks* Prepares cost reports related to the Medicare, Medi-Cal and CHAMPUS programs* Represents the Hospital in audits of the cost reports including analysis of proposed audit adjustments and preparation of arguments for cost report re-openings and appeals * Prepares valuations of government payors'' net revenues for annual operating budgets and for business plans* Performs analyses of cost report settlements for reflection in the financial statements and in conjunction with the independent financial statements audit* Responsible for ensuring proper mapping for patient account activity received from Patient Business Services into the General Ledger* Work closely with individuals preparing/appealing cost reports and reconciles third-party due to and due from accounts* Mentors others within the finance depart
KEY REQUIREMENTS:
Not stated