Senior Financial Analyst- Reimbursement

Beth-Israel-Lahey-Health; Boston (MA); On-site; USD 83,000 - 112,000; Full time

Job summary

Charlestown, MA-based Beth Israel Lahey Health is hiring a Senior Reimbursement Reporting Analyst to support third-party reimbursement efforts and the valuation of Third-Party AR. Reporting to the Director, Cost Reporting & Reimbursement, the role covers cost reporting, audits, interim rate and settlement calculations, net revenue preparation, and analysis.

You will collaborate with the Reimbursement team and Finance staff to ensure compliance with CMS/State regulations and provide financial

Qualifications

• Experience with Medicare/Medicaid cost reporting and reimbursement.
• Ability to develop financial models for AR and net revenue.
• Collaborate with Finance and PFS teams on reimbursement processes.

Responsibilities

• Maintain Medicare and CHIA cost reports for accuracy and timeliness.
• Develop and present estimated financial impact of Medicare changes.
• Create and audit AR financial models and general ledger entries.
• Support annual net revenue and budget preparation across units.
• Coordinate with PFS team on cash reconciliations and GL mappings.

Skills

Reimbursement reporting

Financial analysis

Regulatory compliance

Education

Bachelor's degree in finance or accounting

Job description

Charlestown, MA • Beth Israel Lahey Health • Full-time • DayWhen you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.The Senior Reimbursement Reporting Analyst, reporting to the Director, Cost Reporting & Reimbursement, participates in a wide variety of tasks in support of the institution’s Third-Party reimbursement efforts and valuation of the Third-Party Accounts Receivable. Responsible for the full range of reimbursement functions: cost reporting, audit, interim rate and settlement calculation, net revenue preparation and analysis, net revenue budget preparation and various special projects. Assist in the management of projects and work closely with all members of the Reimbursement work team, including the Director, other Sr. Financial Analysts and Financial Analysts, as well as other Finance personnel.Job Description:Additional Job DescriptionKeep abreast of Center for Medicare and Medicaid Services and State Regulations where changes and updates may have an impact on the BILH reporting and compiling of required information.Develop and present to Manager the estimated financial impact of the annual changes in Medicare rules and regulations associated with reimbursement related issues, such as DSH, IME, GME, EHR and Bad Debts in addition to any Quality Measures Reporting (Value Based Purchasing & Readmission Adjustments and Medicare Cost Reporting changes.Develop and maintain monthly Hospital and Professional Accounts Receivable (AR) financial models; creating the monthly Third-Party contractual allowance and reserve for bad debt general ledger journal entries by business unit and reconcile entries to the general ledger to review with Manager.Compile components of Net Revenue in order to assist management in the review of monthly, annual and budgeted Net Revenue for specific Business Units.Analyze and report monthly case mix information to management with explanations for significant changes versus budget and month to month comparisons.Assist in the annual preparation and submission of the Medicare and Center for Health Information and Analysis (CHIA) Cost Reports ensuring expense, revenue and statistical information is accurate and subsequent audits.Responsible for the accumulation and reporting of the Medicare Physician Time Allocation, along with assisting in the development and presentation of educational programs offered to each department.Develop, update, explain and maintain quarterly Third-Party contractual reserve rates by payer; implementing these rates into the Hospital and Professional AR financial models to estimate and report the net value of AR.Maintain Medicare Bad Debt and Crossover logs for Medicare Reimbursement.Create and audit monthly Observation log for Medicare Reimbursement.Assist in all aspects of gathering and reporting transplant related information to Medicare and develop financial modeling to measure the reimbursement impact of interim Medicare payments versus final settlements.Provide summary and detailed financial analysis in support of AR contractual and Third-Party reserves to auditors.Submit monthly HSN surcharge report to the state. Assist in the Area Wage Index (AWI) audit, creating documentation related to Salaries & Wages, Contract Labor, Pension and other Wage Related Costs. Create IME reports for submission and invoice verification.Assist in maintaining Resident and Fellow rotation schedules and demographic information for filing with Medicare.Work closely with PFS Team on matters that effect reimbursement, including Cash reconciliations, Credit Balance reviews and mapping AR transactions to the GL.Attends meetings as required and participate on various committees as requested.Pay Range:$83,200.00 USD – $111,904.00 USDThe pay range listed for this position is the annual base salary range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law.As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.Equal Opportunity Employer/Veterans/DisabledJob detailsEmployment: Full-timeHours/Week: 40Shift: DayCategory: Billing, Collections, & Patient Financial ServicesPay Range: $83,200.00 USD - $111,904.00 USDFLSA: ExemptReq ID: JR101287