Sr Financial Analyst, Reimbursement

University Hospitals - Shaker Heights, OH (30+ days ago)3.9

University Hospitals (UH) is a community-based healthcare system which serves patients at more than 150 locations throughout Northern Ohio, including seven wholly owned and four affiliated hospitals.

Committed to advanced care and advanced caring, UH encompasses the regions largest network of primary care physicians, outpatient centers and hospitals. The network also offers specialty care physicians to treat almost every disease and condition, skilled nursing, elder health, rehabilitation and home care services, and occupational health and wellness. University Hospitals is the second largest private sector employer in Northeast Ohio and is within the top five largest private sector employers in the state of Ohio.

Position Summary:
Performs analytical, reimbursement, and hospital related cost report, audit and appeal functions for Hospitals in the UH System under direct oversight of Manager and Director of the UH Reimbursement Department.

Essential Duties:
 Provide support for hospital month-end close processes for assigned hospitals
 Maintain up-to-date knowledge of Medicare / Medicaid rules and regulations
 Interpret third-party legislative rules and regulations and the impact on operations and financial performance
 Assist and/or prepare internal system and/or hospital administrative data requests
 Prepare annual hospital cost reports in accordance with CMS, State of Ohio, and Department of Defense (TriCare) regulations
 Ensure that all supporting work papers are clear and concise and will meet requirements of CMS, State of Ohio and TriCare auditors as well as external/internal auditors
 Assist and/or prepare audit responses and appeals of cost report issues
 Prepare interim cost reports as needed for selected hospitals
 Working alongside staff in general accounting, assist with new reporting and modeling tools, budget preparation and reimbursement analysis for new product lines
 Assist with preparation of annual community benefits report
 Provide support for 340B, Graduate Medical Education, Transplant, Tele-Medicine, Home Health and Hospice programs and other system initiatives
 Work in adherence with established departmental procedures and/or protocols.
 Identify and resolve readily identifiable, clearly-defined problems in course of activities.
 Initiate and maintain positive relationships with patients/customers and co-workers
 Takes responsibility for self-development and supports a learning environments
 Display commitment to the mission of the UH system and its values
 Perform other related duties as assigned

  • This role may encounter Protected Health Information (PHI) as part of regular responsibilities. UH employees must abide by all requirements to safely and securely maintain PHI for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.

Education Requirements:
Bachelor’s degree, preferably in Finance or Accounting, required

CPA or advanced degree would be added bonus

Special Skills & Equipment Knowledge:
Five plus years accounting or finance experience required.

Hospital reimbursement experience required
Must possess strong written and verbal communication and interpersonal skills
Must be detail-oriented and organized, with aptitude for accuracy
Must demonstrates professional demeanor
Notable client service, communication, presentation and relationship building skills required
Ability to function independently and as a team player in a fast-paced environment required
Proficiency in using PCs, Microsoft Office suite required
Knowledge and proficiency in using Medicare cost reporting software preferred

Preferred Qualifications:
Five plus years experience in Medicare/Medicaid Cost Reports experience preferred.