Director Reimbursement Analytics

Director Reimbursement Analytics Advocate Aurora Health - 3.6 Milwaukee, WI Job Details Full-time $75.40 - $120.65 an hour 21 hours ago Qualifications Medicare Managing healthcare operations budgets Accounting experience within healthcare industry Bachelor's degree Healthcare financial management Medicaid Budget management in healthcare General management Hospital experience

Full Job Description Major Responsibilities:

Overseeing the completion of required monthly financial analyses for Enterprise Advocate Health service lines, including hospitals, medical groups, and continuing care. Assisting departmental leadership with Valuation Allowance accounts and supporting calculations with external financial auditors during year-end audits. Developing and forecasting Enterprise and Market net revenue budgets, ensuring accurate and timely budgeting for Gross and Net Patient Revenue. Partnering with Managed Health departmental leadership for the valuation of Medicare cost report reserves and monitoring reimbursement appeals and cost report settlements. Managing Medicaid supplemental payment accounting and ensuring reconciliation of balances with external financial auditors. Leading the explanation of budget to actual variances for Enterprise, Region, and Market contractual discounts. Overseeing the external financial statement audit process, including audit planning and preparation of audited financial statements. Acting as the finance representative for Epic and Net Revenue Projects, managing relationships with Revenue Cycle leadership. Ensuring ongoing compliance with Advocate Health's internal control plan and directing the overall Accounting Operations internal controls. Directing departmental continuous process improvement and coordinating internal and external auditors' requests and queries. Licensure, Registration, and/or

Certification Required:

None Education Required:

Bachelor's degree in accounting, or bachelor's degree in finance or related field.

Experience Required:

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. Includes 3 years of management experience in managing staff and budgets.

Knowledge, Skills & Abilities Required:

Physical Requirements and Working Conditions:

This position requires travel, therefore, will be exposed to weather and road conditions. Operates all equipment necessary to perform the job. Exposed to a normal office environment. This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.