Talent.com
Senior Revenue and Reimbursement Analyst
Senior Revenue and Reimbursement AnalystMiddlesex Hospital • Middletown, CT, United States
Senior Revenue and Reimbursement Analyst

Senior Revenue and Reimbursement Analyst

Middlesex Hospital • Middletown, CT, United States
job_description.job_card.30_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

Position Highlights

  • Department : Finance
  • Hours : 40.00 per week
  • Shift : Shift 1

This is an onsite position.

Position Summary

The Senior Revenue & Reimbursement Analyst provides oversight and support for Revenue Cycle workflow processes using data analytics. This position works closely with the Revenue Integrity team. The Senior Revenue & Reimbursement Analyst assures all established billing, systems, and process requirements have been met in order to ensure timely and optimal reimbursement. Through the analysis of key performance indicator data, the Senior Revenue & Reimbursement Analyst works to improve Revenue Cycle production and efficiency. The Senior Revenue & Reimbursement Analyst recommends changes that will positively impact the Revenue Cycle and help meet industry benchmarks and meet A / R performance goals and productivity. The Senior Revenue & Reimbursement Analyst will improve and implement internal controls over the revenue cycle and will work closely with IT on interface and system issues as required to improve the flow of data. The Senior Revenue & Reimbursement Analyst may lead projects for the Revenue Cycle. This position will be responsible for complete revenue analytics including month end reporting of gross to net and accounts receivable valuation.

Essential Duties & Responsibilities

  • Perform analysis of financial performance of the revenue cycle function to identify areas of opportunity
  • Responsible for various standard, recurring reporting functions to support revenue cycle operational business needs
  • Assists revenue cycle leaders in working closely with organizational stakeholders to improve financial performance based on analytic findings
  • Completes regular root cause analysis of financial transactions
  • Monitor key performance indicators for internal and external parties
  • Prepares summary findings of analysis for department leadership review
  • Cultivates internal relationships to assist in understanding department workflows
  • Engage regularly with finance department leaders on improvement opportunities identified through data analysis
  • Provides analytics for and supports special projects as needed (e.g. Underpayment review)
  • Support investigation into claims patterns, payer mix evaluation and other strategic analytics to optimize payer performance.
  • Analyze claims and other healthcare data to identify areas of opportunity and provide recommendations to business stakeholders
  • Develop analytical models that are well-documented containing advanced formulas and functions that are used to evaluate historical trends, forecast future expectations, or draw conclusions
  • Point person for month end revenue close including gross revenue and patient stat analysis and accounts receivable valuation calculations.
  • Explore price transparency data and create meaningful cost of care comparisons to competitor networks
  • Develop, improve, and streamline financial processes, reports, and planning tools
  • Oversee and enhance institutional cost accounting practices
  • Act as a liaison between the Finance division and other hospital areas as well as physician practices
  • Collaborate with business leaders and business intelligence analysts to prepare multi-year business plans for new programs and initiatives to identify impact on clinical volumes, organizational and program financials, and evaluate return on investment
  • Collaborates with Managers on gross revenue and other factors, then utilizes that information to calculate the budgeted net revenue.
  • Works with the Manager on various cost report schedules as assigned.
  • Monitor the status of Medicare Cost report appeals, including dates and working with the appropriate individuals on the issues. Creates a tracking mechanism to avoid missed opportunities.
  • Completes gross revenue and stat analysis. Works with the various departments on issues.
  • Collaborates on various statistical reporting based on the timeframes dictated by the survey. I.E. CHA, AHA, Magnet, DashBoard, etc.
  • Minimum Qualifications

  • 5 years in Hospital Reimbursement and Finance
  • Bachelor's degree (preference for Business Analytics, Finance & Economics, Mathematics, Statistics, Data Science, Health Economics)
  • Preferred Qualifications

  • Prior experience with revenue cycle, financial reporting, revenue recognition, analytics and inferential statistics, and use of advanced Power BI tools
  • Preferred Education :

  • Masters in Business Administration, Healthcare Administration or related field
  • Certification / Credentials :

    Knowledge, Skills, Abilities :

  • Understanding of provider reimbursement, procedure codes (CPT-4, HCPCs), diagnosis codes (ICD-10), and health insurance business.
  • Knowledge of payer contracts and contract interpretation
  • Good communication skills
  • Excellent computer skills
  • Strong analytical skills
  • Ability to work independently
  • Comprehensive Benefits Offered

  • Competitive and affordable benefits package
  • Shift Differentials
  • Continuing Education assistance
  • Tuition reimbursement
  • Student Loan relief through Fiducius
  • Quick commute access from I-84, Route 9 and surrounding areas
  • About Middlesex Health

    The Smarter Choice for your Career!

    Come join one of Connecticut's Top Workplaces, and a Magnet designated organization! At Middlesex Health, we have a unique combination of award-winning talent, world-class technology, and patient-first care that's making health care better. Through our affiliation with the Mayo Clinic Care Network, Middlesex Health has access to the most advanced medical knowledge and research available.

    serp_jobs.job_alerts.create_a_job

    Senior Reimbursement Analyst • Middletown, CT, United States

    Job_description.internal_linking.related_jobs
    Travel Physical Therapist

    Travel Physical Therapist

    CompHealth Inc. • Wallingford, CT, US
    serp_jobs.job_card.permanent
    Physical Therapist for a travel job in Wallingford, Connecticut.Job Description & Requirements.Though your CompHealth recruiter will be your single point of contact, they are backed by dozens o...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Physical Therapist

    Physical Therapist

    ATI Physical Therapy • Springfield, MA, United States
    serp_jobs.job_card.full_time
    Are you a Physical Therapist looking to thrive in a supportive, balanced environment? Join ATI, a leader in Physical Therapy, where you'll be part of a team redefining MSK care.With a mission to de...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    RCM Product Manager

    RCM Product Manager

    Saisystems International • Branford, CT, United States
    serp_jobs.job_card.full_time
    RCM Product Manager – Digital Health.Shelton, Connecticut (On-site).Join Saisystems International’s Digital Health team as an RCM Product Manager. You will lead strategy and delivery for revenue cyc...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Business Analyst

    Business Analyst

    The Computer Merchant, LTD. • Springfield, MA, US
    serp_jobs.job_card.full_time
    JOB TITLE : Business Analyst Life Insurance JOB LOCATION : Springfield, Boston, or NYC (hybrid) WAGE RANGE • : $65 - 72 / hr. W2 only - Must be USC or GC Req # : 36633194 Year long contract REQUIRED EXPERI...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel - MRI Tech

    Travel - MRI Tech

    Titan Medical (Nebraska) • Haddam, CT, United States
    serp_jobs.job_card.full_time
    WHEN YOU WORK FOR US, WE WORK FOR YOU.With Titan Medical, you gain access to thousands of travel nursing and allied health jobs across the country. You also get unmatched service.From the moment you...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
    Unit Manager (RN) Short Term Rehab

    Unit Manager (RN) Short Term Rehab

    Riverside Health & Rehabilitation Center • Wallingford, Connecticut, United States
    serp_jobs.job_card.full_time
    A Great Place to Work Riverside is a proud affiliate of National Health Care Associates.As a Certified Great Place to Work, we think that you are going to love it here. Your work will be meaningful ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
    Travel MRI Tech - $2,243 to $2,487 per week in Boston, MA

    Travel MRI Tech - $2,243 to $2,487 per week in Boston, MA

    AlliedTravelNetwork • Springfield, Massachusetts, US
    serp_jobs.job_card.full_time
    AlliedTravelNetwork is working with LRS Healthcare to find a qualified MRI Tech in Boston, Massachusetts, 02114!.Ready to start your next travel adventure? LRS Healthcare offers a full benefits pac...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    President

    President

    Confidential • Guilford, CT, US
    serp_jobs.job_card.full_time
    Respected biomedical device company.The Company is in search of a President to provide strategic leadership, operational oversight, and financial stewardship. The successful candidate will be respon...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
    Senior Analyst, Finance Operations- Pricing Support

    Senior Analyst, Finance Operations- Pricing Support

    Cardinal Health • Hartford, CT, United States
    serp_jobs.job_card.full_time
    What Finance Operations contributes to Cardinal Health.Finance oversees the accounting, tax, financial plans and policies of the organization, establishes and maintains fiscal controls, prepares an...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel MRI Tech - $2,302 to $2,552 per week in Boston, MA

    Travel MRI Tech - $2,302 to $2,552 per week in Boston, MA

    AlliedTravelNetwork • Springfield, Massachusetts, US
    serp_jobs.job_card.full_time
    AlliedTravelNetwork is working with LRS Healthcare to find a qualified MRI Tech in Boston, Massachusetts, 02115!.Ready to start your next travel adventure? LRS Healthcare offers a full benefits pac...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Physical Therapist - $2,500 per week

    Travel Physical Therapist - $2,500 per week

    CompHealth Inc. • Wallingford, CT, United States
    serp_jobs.job_card.permanent
    Physical Therapist for a travel job in Wallingford, Connecticut.Job Description & Requirements.Interested in this assignment? Or maybe you still have not found what you are looking for? Contact one...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Tumor Registrar

    Tumor Registrar

    Middlesex Health • Middletown, US
    serp_jobs.job_card.full_time
    The Tumor Registrar (Oncology Data Specialist) assures thorough, accurate and quality data collection as required by the Commission on Cancer (CoC), the Surveillance, Epidemiology and End Results P...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    RN - L&D Recovery Postpartum, LDRP

    RN - L&D Recovery Postpartum, LDRP

    Baystate Medical Center, MA • Springfield, MA, United States
    serp_jobs.job_card.full_time
    RN - L&D Recovery Postpartum, LDRP.Cure Healthcare is seeking a RN - L&D Recovery Postpartum, LDRP for positions in Springfield, Massachusetts. Current Massachusetts license and AHA BLS and ACLS req...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    RN ER

    RN ER

    Specialty Professional Services, Corp. • Springfield, MA, United States
    serp_jobs.job_card.full_time
    Our Client is currently seeking ER for positions in Springfield, MA for a 4×10 Nights shift.The ideal candidate will possess a current MA license or Compact license Depending on the state.You must ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Associate Analyst, Rates

    Associate Analyst, Rates

    Eversource • Berlin, CT, United States
    serp_jobs.job_card.full_time
    This position will be responsible for the preparation of detailed analysis of customer rates and revenues; development and implementation of rate proposals. and the administration of the Company’s ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Continuous Improvement Leader

    Continuous Improvement Leader

    Howmet • Branford, CT, United States
    serp_jobs.job_card.full_time
    Commercial Street, Branford, CT, 06405, US.Remote Work Schedule Availability?.This position entails access to export-controlled items and employment offers are conditioned upon an applicant's abili...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Claims Specialist - Rideshare Commercial Claims PIP and Medical Payment Adjuster

    Claims Specialist - Rideshare Commercial Claims PIP and Medical Payment Adjuster

    Liberty Mutual Insurance • Simsbury, Connecticut, United States
    serp_jobs.job_card.full_time
    Schedule : Full-Time Salary Range : USD $56000.Job Category : Claims Description At Liberty, you'll thrive in a hybrid setting that fosters in-person collaboration, innovation and growth.This approach...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Associate Analyst, Rates

    Associate Analyst, Rates

    Eversource Energy • Berlin, CT, United States
    serp_jobs.job_card.full_time
    This position will be responsible for the preparation of detailed analysis of customer rates and revenues; development and implementation of rate proposals. and the administration of the Company's ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted