Director Revenue Recognition - 40hrs

Connecticut Children's; Hartford (CT); On-site; USD 140,000 - 210,000; Full time

Benefits offered by this job

Comprehensive benefits package

Retirement savings plan with hospital

Job summary

Connecticut Children’s is seeking a Director of Revenue Recognition to lead the monthly, quarterly, and annual revenue analysis and reporting for CCMC and CCSG. The role ensures proper revenue recognition, supports audits, and guides budgeting and forecasting with cross-department collaboration.

The ideal candidate will have 5+ years in healthcare revenue cycle/finance, strong analytical and modeling skills, and extensive experience with payer contracts, CMS requirements, and regulatory

Qualifications

• Bachelor’s degree from accredited college or university.
• 5 years’ experience in Healthcare Revenue Cycle or Healthcare Finance departments.

Responsibilities

• Prepare monthly, quarterly, and annual revenue analysis and reporting across all departments.

Skills

Analytical skills

Financial modeling

Data analysis

Communication

Project management

Cross-functional collaboration

Education

Bachelor’s degree

Tools

Excel

Word

Healthcare financial systems

Job description

Job Description

The Director, Revenue Recognition is responsible for monthly, quarterly, and annual revenue analysis and reporting across all hospital and specialty group departments for both Connecticut Children's Medical Center (CCMC) and Connecticut Children's Specialty Group (CCSG). The role manages State and Federal reporting requirements, directs support for DSH and other audits, and ensures revenue is recognized in accordance with contracted terms through the month-end close process. The Director analyzes payer, physician, and patient payment information against applicable contract terms, government regulations, and internal policies, and supports annual revenue budgeting and forecasting. Work is performed under general supervision in close collaboration with Financial Planning and Financial Analysts across the department.

Responsibilities

Revenue Analysis & Reporting-40%

• Prepares monthly, quarterly, and annual revenue analysis and reporting across all hospital and specialty group departments
• Ensures revenue recognized for CCMC and CCSG through the month-end close process is in accordance with contracted terms for services rendered
• Demonstrates technical knowledge of generally accepted revenue recognition standards specific to the hospital industry
• Analyzes incoming payment information and communications from payers, physicians, and patients in conjunction with applicable contract terms, reimbursement schedules, government regulations, and internal policies
• Identifies and investigates revenue variances; prepares written analysis and presents findings to leadership as needed
• Monitors payer contract performance and identifies opportunities for revenue optimization or recovery
• Develops productive relationships across Finance departments, including Revenue Cycle, Financial Operations, Financial Reporting, and Contract Management

Budgeting & Forecasting

• Supports the annual revenue budget process, including preparation of supporting schedules and documentation
• Provides regular updates to revenue forecasts, incorporating changes in payer mix, utilization trends, contract terms, and regulatory developments
• Supports new business initiatives with revenue expectations and scenario modeling

Reimbursement & Compliance-20%

• Supports reimbursement analysis and regulatory compliance monitoring
• Ensures all actions are consistent with applicable government regulations, contractual terms, and internal policies and procedures
• Maintains current knowledge of changes to CMS regulations, state Medicaid policy, and managed care reimbursement methodologies

State & Federal Reporting Requirements-20%

Completes the following requirements in a timely manner:

• Coordinates information for the external preparation of the CMS Annual Cost Report
• Connecticut Hospital Association Surveys
• Children's Hospital Association Surveys
• DSH Survey
• OHS Annual Filing and OHS 12 Month Filing
• CHGME Grant:
  • Initial Application
  • FTE Documentation
  • Reconciliation Application

  Audit Support-10%

  • Directs the preparation of support materials related to DSH audits and other audit requirements as needed
  • Coordinates with internal departments and external auditors to ensure timely and accurate responses to audit inquiries
  • Performs Other Duties as Assigned.

  Qualifications

  Education and/or Experience Required

  • Education: Bachelor’s degree from accredited college or university
  • Experience: 5 years’ experience in Healthcare Revenue Cycle or Healthcare Finance departments

  License and/or Certification Required

  None.

  Knowledge, Skills and Abilities

  Knowledge

  • ICD-10, CPT coding, and medical terminology
  • Insurance regulations and reimbursement policies, including managed care, Medicare, and Medicaid
  • Generally accepted revenue recognition standards specific to the hospital industry
  • State and Federal reporting requirements applicable to healthcare finance
  • CMS cost report methodology and DSH program requirements
  • Healthcare financial management principles, including budgeting and forecasting
  • Microsoft Word and Excel; experience with healthcare financial systems preferred

  Skills

  • Strong analytical and financial modeling skills with a high degree of accuracy and attention to detail
  • Proficiency in data analysis, variance reporting, and revenue reconciliation
  • Excellent written and verbal communication skills, including the ability to present financial data clearly to varied audiences
  • Strong organizational and project management skills with the ability to manage multiple deadlines simultaneously
  • Ability to develop and maintain effective working relationships across departments

  Abilities

  • Ability to interpret and apply complex regulatory requirements, payer contracts, and internal policies
  • Ability to work independently under general supervision while exercising sound judgment
  • Ability to identify problems, analyze root causes, and recommend practical solutions
  • Ability to adapt to changing priorities in a dynamic healthcare environment
  • Commitment to maintaining strict confidentiality of all financial and patient-related information

  About Us

  Connecticut Children’s is the only health system in Connecticut that is 100% dedicated to children. Established on a legacy that spans more than 100 years, Connecticut Children’s offers personalized medical care in more than 30 pediatric specialties across Connecticut and in two other states. Our transformational growth establishes us as a destination for specialized medicine and enables us to reach more children in locations that are closer to home. Our breakthrough research, superior education and training, innovative community partnerships, and commitment to diversity, equity and inclusion provide a welcoming and inspiring environment for our patients, families and team members.

  At Connecticut Children’s, treating children isn’t just our job – it’s our passion. As a leading children’s health system experiencing steady growth, we’re excited to expand our team with exceptional team members who share our vision of transforming children’s health and well-being as one team.

  Connecticut Children’s offers a comprehensive compensation and benefits package for eligible team members, including medical, dental and vision insurance, hospital paid life and disability coverage, paid time off and leave programs, education and training assistance, a retirement savings plan with hospital match, and an employment assistance program. Eligibility for certain benefits is based on scheduled hours worked. All team members are eligible to participate in the retirement savings plan, regardless of scheduled hours worked. Additional benefit information is available here.