OneMain Financial Jobs

Purpose of Position: The Sr. Reimbursement Analyst will assist the Director by analyzing & presenting data from a variety of sources which will advance the goals & objectives of the organization & ensure that the net revenue for the system is correctly stated. The Analyst will also ensure that third-party reimbursement is maximized by filing reports correctly & responding to all requests timely. Description Utilize accounting/finance & PC knowledge to prepare expense, revenue & statistical schedules required for completion of the annual Cost reports; CMS-2552, CHIA Hospital Cost Reports, CMS-2540, CMS 287-22, CMS 1728, State UCCR reports, CHIA SNF-CR & MGT-CR, & CHIA Home Health cost report. Prepare monthly contractual reserve models Utilize expertise with PC based relational database & spreadsheet systems to analyze third party contractual allowances & propose adjustments as necessary. Responsible for monitoring & reporting changes in various elements of care such as shift in IP & OP utilization, ALOS, patient acuity, payments, discharge disposition & payer mix, ensuring that systems are in place to capture data to facilitate such analysis. Work collaboratively with IT & BI to automate data extracts needed for governmental reporting. Prepare independent analysis of available data to identify potential areas of improvement by comparing actual performance to established norms & benchmarks. Prepare documentation & net revenue analysis required for the year-end financial audits. Work with Medicare auditors to ensure successful annual audits of the cost reports & any components audited separately. Assist in the development of the annual net revenue budget. Prepare analysis & documentation for all other government reporting & follow up as required by Federal & State Regulations. Analyze the impact of changes in Medicare & MassHealth (EOHHS) Regulations as well as for other third-party insurers. Perform other work-related duties as assigned or requested. Consistently provides service excellence to all patients, family members, visitors, volunteers & co-workers. Challenges current working practices; identifies process improvement opportunities & presents recommendations & solutions to management. Engages & commits to the organization?s culture of continuous improvement by actively participating, supporting, & promoting CCHC Pillars of Excellence. Qualifications Minimum of bachelor\'s degree in accounting preferred or equivalent combination of education & experience in Reimbursement 5 - 7 years\' experience in acute care hospital finance/accounting. Knowledge & experience in the following areas: Accounts Receivable analysis, developing financial models, payer contracts & reimbursement analysis, & accounting. Excellent analytical skills. Excellent PC skills: MS Access, Excel or comparable PC based database skills required. Ability to work with minimum supervision. Ability to meet deadlines. Schedule Details: Full-Time, Monday-Friday, Core Hours 8:00a-4:30p EST (Remote Candidates Considered)