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Inspire health. Serve with compassion. Be the difference. Job Summary Responsible for compiling complex reimbursement data to support management decision making and internal and external reporting for assigned entities. Assists in coordination of net revenue functions related to the strategic financial planning process. Responsible for the integrity of net revenue.
This position can be considered for a hybird work schedule. Accountabilities
Prepares and or reviews the schedules required to support the submission of Medicare, Medicaid and Tricare cost reports, complying with regulations. Analyses third party cost report changes from prior years, investigating differences. - 30% Prepares monthly reserve model and provides thorough analysis net revenue variances for assigned entities. Investigates and makes recommendations for updates to assumptions and/or methodology. Prepares and timely submits mid-month projections of net revenue for assigned entities. - 20% Maintains adequate reserve position by completing monthly reserve analysis identifying and reporting any increase or decrease from previously stated reserve position. - 5% Provides complex projections and analytical support during the fiscal year budgeted net revenue preparation. - 5% Researches and keeps abreast of third party regulations and changes, providing analytical support through financial impact summarization. Estimates the financial impact any changes in payment assumptions and/or budget assumptions may have on the subsidiary and communicates as directed. - 10% Coordinates the collection of data and/or preparation of schedules for third party financial audits, settlements, and cash reconciliations. - 5% Responsible for reconciliation of all balance sheet allowance and settlement accounts on a monthly basis as assigned. Prepare quarterly reporting of balance sheet changes and settlement changes to correctly reflect the quarter ending balance sheet position. - 10% Provides complex reimbursement analysis for new product line development or for existing product line analysis as requested or scheduled. - 3% Leads the maintenance of the net revenue model software timely, updating weights, rates, and other information needed as to properly reflect net revenue. - 5% Provides advanced support to net revenue analyst and actively participates in training and developing staff in net revenue analytics and processes. Maintains established policies, procedures and department objectives. Participates in quality assessment and continuous quality improvement activities as directed through identification of quality improvement opportunities, collection and evaluation of data, and implementation of action plans. - 7%
Supervisory/Management Responsibilities This is a non-management job that will report to a supervisor, manager, director or executive. Minimum Requirements
Bachelor's Degree - In Accounting, Finance, or related field. 3 years - With progressively more net revenue responsibilities in the role.
Knowledge, Skills or Abilities
Basic computer skills Knowledge of office equipment (fax/copier) Proficient computer skills (word processing, spreadsheets, database) Data entry Mathematical skills Third party language and interpretation Microsoft Excel, Word, PowerPoint
Work Shift Day (United States of America)
Location Prisma Health Corporate Office
Facility 7001 Corporate
Department 70019009 Net Revenue
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
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Prisma Health
Dec 20, 2024