Senior Financial Analyst - Revenue Integrity

Senior Financial Analyst - Revenue Integrity

Location : Remote (Milwaukee Area Preferred)

What you will do :

Under general direction, performs a variety of complex financial reporting and general ledger functions relative to entities within CHHS to assure accurate charging and receivable balances. Supports special projects in the areas of pricing and completes and submits external surveys for the hospitals. Essential Functions

• Keeps current on third party regulatory changes and contractual reimbursement rates.
• Prepares Hospitals' month end contractual accruals to include review of unbilled and inhouse accounts. Analyzes reports and transactions in the billing system for missing or incorrectly calculated contractuals reported in Epic at month end. Proposes related journal entries to ensure accurate general ledger reporting. Prepares monthly contractual variance analysis to include review of payer mix, financial class changes, large and / or unusual transactions for the month, and reasonableness of contractuals by payer. Leads the monthly contractual close meeting with a structured and meaningful analysis for overall contractual and settlement reporting. Prepares related account receivable reconciliations to the general ledger.
• Prepares Epic Professional Billing month end contractual accruals for all CHHS entities and reviews related variances, payer mix and allowance trending data. Analyzes related overall financial reporting reasonableness by payer category and provides insight into monthly variances to the team as needed. Prepares related account receivable reconciliations to the general ledger. Prepares, edits and posts journal entries, as needed.
• For all CHHS entities, conducts monthly system balancing and reconciliations for reported charges, payments and adjustments between Epic and Workday's General Ledger. Communicates variances to leadership and obtains review sign off.
• Prepares interim and annual audit workpapers to support A / R and contractual balances. This includes providing variance explanations for material percentage / amount differences and maintaining leadership review sign off documentation. Acts as a liaison to the external auditors and the reimbursement team.
• Provides tracking for third party settlement recognition in the general ledger. For all CHHS entities, prepares monthly bad debt hindsight analysis and related year-end audit workpapers.
• Assists in the charge creation process for requests that come from the Chargemaster team and the Surgicenter of Greater Milwaukee.
• Assists with the preparation of CMS provider-based attestation packets and filing. This includes data gathering of required process flow and financial documentation, operational narratives and other clinical department policies and procedures.
• Prepares and submits monthly statistical and annual WHA survey reporting. Prepares and submits annual CHA survey reports. Assists in additional external reporting that may be needed, for example Form 990 and Goldman Sachs.
• Maintains a general understanding of billing and accounting systems. Acts as a liaison between the Revenue Cycle, Managed Care and Finance department staff regarding data necessary to assess billing operations.

What you will need :

Licenses and Certifications :

Children's Wisconsin is an equal opportunity / affirmative action employer. We are committed to creating a diverse and inclusive environment for all employees. We treat everyone with dignity, respect, and fairness. We do not discriminate against any person on the basis of race, color, religion, sex, gender, gender identity and / or expression, sexual orientation, national origin, age, disability, veteran status, or any other status or condition protected by the law.