Director Reimbursement Analytics
Advocate Health | |
United States, Wisconsin, Allenton | |
May 09, 2024 | |
Supports the Vice President, Reimbursement in all matters related tothird-party accounting within the AAH service area. In addition, this position is to serve as a key liaison between the Reimbursement department and hospital financial leadership as well as governmental auditors and will be looked to as a departmental leader in technical issues related to the monthly financial close. Monitors proposed and final government reimbursement regulations and provides oversight in the development of the financial analysis around government and commercial reimbursement to determine the overall impact the changes have on the organization. Proposes changes to strategies to address the changes in reimbursement in order to maximize AAH's reimbursement.
Scheduled Hours Corporate business hours. This position is primarily remote; willing to consider out of state candidates. Licenses & Certifications None Required. Degrees Bachelor's Degree in Accounting, or Bachelor's Degree in Finance or related field. Required Functional Experience Typically requires 7 years of experience in health care reimbursement or public accounting with a concentration in hospital auditing that includes extensive auditing of the hospital net patient service revenue area, Medicare, Medicaid, or Blue Cross. Required Management Experience Includes 3 years of management experience in managing staff and budgets. Knowledge, Skills & Abilities Ability to use Microsoft Office programs. Ability to use Medicare/Medicaid cost reporting software. Ability to use AAH's general ledger, accounts payable, payroll, patient accounting, and decision support systems. Must possess strong analytical and accounting skills. Must possess detailed knowledge of various reimbursement methodologies such as DRG, per-diem, capitation and percent of charges. Must possess detailed knowledge of Medicare and Medicaid reimbursement rules as well as a detailed understanding of the Illinois Blue Cross UPP system and Graduate Medical Education, Disproportionate Care, Transplant programs, and 340B issues. Must possess the ability to work independently and under stressful conditions. Must be able to work weekends during peak cost reporting times, budget season and during year-end audit. Must possess strong communication and interpersonal skills and the ability to communicate revenue cycle issues to all levels of the organization. |