Sr Reimbursement Analyst

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Position Details

Department: CORP | Financial Planning & Analysis
Location: Phoenix
Shift: Mon-Fri, Days, 8am-5pm
Category: Accounting & Finance
Posting #: 992899
Employee Type: Full-Time

Position Summary

This position oversees the recording and analysis of the net patient service revenue and patient accounts receivable. This position will possess expert analytical skills necessary to evaluate material variances, trends, and correlations in A/R, revenue, reimbursement and volume.

Position Duties

  • Prepares monthly net revenue and A/R reserve calculations.
    1. Contractual allowance calculation
    2. Bad debt allowance calculation
    3. Allocation of contractual adjustments
    4. Post activity to General ledger and reconcile to revenue system
  • Generates monthly revenue and A/R reporting package.
    1. A/R valuation
    2. Net revenue by type & by payor
    3. A/R aging
    4. Trending of allowance percentages and payor mix
    5. Reporting for all material revenue variances
    6. Prepare recommendations of financial plans, trends, and operating forecasts
  • Prepares necessary financial audit workpapers.
    Acts as the primary point of contact for external auditors during interim and year end fieldwork preparing all necessary schedules/supporting documentation and responding to inquiries.
  • Assists with the calculation of the budget for net patient service revenue.
    Works with Decision Support and Revenue Cycle teams to prepare the annual budget and long range forecast for net patient service revenue.
  • Medicare cost report preparation.
    In Coordination with third party cost report preparer, handles all cost report preparation, filing, audits, and appeals including preparation of supporting documentation. Prepares accounting entries and exhibits to accurately record the cost report impact. Updates monthly revenue calculations based on the latest annual cost report.
  • Performs miscellaneous job related duties as requested.

Phoenix Children's Mission, Vision, & Values

Mission

To advance hope, healing and the best healthcare for children and their families

Vision

Phoenix Children's will be the leading pediatric health system in the Southwest, nationally recognized for exceptional care, innovative research and advanced medical education.

We realize this vision by:

  • Offering the most comprehensive care across ages, communities and specialties
  • Investing in innovative research, including emerging treatments, tools and technologies
  • Advancing education and training to shape the next generation of clinical leaders
  • Advocating for the health and well-being of children and families
Values
  • We place children and families at the center of all we do
  • We deliver exceptional care, every day and in every way
  • We collaborate with colleagues, partners and communities to amplify our impact
  • We set the standards of pediatric healthcare today, and innovate for the future
  • We are accountable for making the highest quality care accessible and affordable

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Position Qualifications

Please review the following qualifications and specify whether you meet each of the requirements listed.

Education

Do you meet this requirement or have the ability to obtain it
within the timeframe listed in the requirement?
1. Bachelors degree in Accounting or Finance.
Required
2. Masters degree in Accounting or Finance.
Preferred

Experience

Do you meet this requirement or have the ability to obtain it
within the timeframe listed in the requirement?
1. Five (5) years of post-degree experience in accounting.
Required
2. Two (2) of the five (5) years of experience must be in a complex hospital or healthcare setting.
Required

Special Skills

Do you meet this requirement or have the ability to obtain it
within the timeframe listed in the requirement?
1. General understanding of DRG and CPT/HCPC Medical Coding and Medical Terminology.
Required
2. Strong knowledge of Medicare and Medicaid reimbursement methodologies and cost report preparation
Required
3. Strong MS Excel Skills
Required

Additional Requirements

Do you meet this requirement or have the ability to obtain it
within the timeframe listed in the requirement?
1. Certified Public Accountant or Certified Management Accountant
Preferred

Physical Requirements & Occupational Exposure/Risk Potential

1. Physical Requirement - Hearing - Constantly
2. Physical Requirement - Reaching - Occasionally
3. Physical Requirement - Sitting - Constantly
4. Physical Requirement - Standing - Occasionally
5. Physical Requirement - Talking - Frequently
6. Physical Requirement - Walking - Occasionally
7. Physical Requirement - Near Vision - Constantly
8. Physical Requirement - Color Discrimination - Frequently
9. Physical Requirement - Use of keyboard, mouse and/or computer equipment - Constantly
10. Physical Requirement - Lift up to 35 pounds without assistance - Occasionally
11. Occupational Exposure/Risk Potential - Inside office environment - Applicable
I have reviewed the qualifications, physical requirements and occupational exposure/risk potential for this position and wish to apply