Reimbursement Analyst II

Reimbursement Analyst II

Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 138 hospital-based locations, in addition to its home-based services and virtual care offerings.

The reimbursement analyst is responsible for supporting Dignity Health hospitals with the technical expertise necessary for the preparation of monthly financial statements and to fulfill various reporting requirements in a manner which is consistent with the mission and philosophy of Dignity Health.

Principal responsibilities include assisting with the compilation of month-end net revenue calculations and analyses using the revenue cycle analytics (RCA) tool. Prepares supporting documentation in a timely and accurate manner. Participates in the implementation of the revenue cycle analytics (RCA) tool to include developing mapping tables, reconciling daily and monthly interfaces, and participating in implementation meetings. Provides documentation to accounting teams for preparation of journal entries and reconciliations for patient accounts receivable reserves including contractual allowances, administrative adjustments, charity, and bad debts in a timely and accurate manner. Assists in the preparation of analyses for general accounting, patient accounting, departmental directors, and CFOs. Assists with the submission of reserve information for compliance with Dignity Health policy and procedure. Assists in the review of new reimbursement / revenue cycle strategies for the purpose of ensuring compliance and promotion of best practices. Supports annual internal / external financial audits to ensure accuracy of valuations of net patient accounts receivables. Assists in the preparation of the annual Medicare TriCare and Medicaid reports. Collects and reviews data and documentation from the facility(s) necessary to file the appropriate federal and state reports in a timely and compliant manner. Helps to ensure the filed reports are timely and compliant with all federal and state regulations and guidelines. Assists with research of government reimbursement changes, advocacy positions, and issues related to government programs. Other regulatory net revenue AR and finance analysis as assigned.

Minimum qualifications include a bachelor's degree in accounting, finance, business administration, or related field required. Strong Microsoft Excel skills. Work style that fosters credibility by developing loyalty, teamwork, and respect at all levels in the organization as well as with consultants, internal / external auditors, and other outside parties. Strong analytical skills and attention to detail. Strong verbal communication skills. Strong interpersonal skills; ability to collaborate well with others. Preferred qualifications include one year of finance and / or accounting experience preferred.