Sr. Financial Analyst - Reimbursement

Who We AreJPS Health Network is a $950 million, tax-supported healthcare system in North Texas. Licensed for 582 beds, the network features over 25 locations across Tarrant County, with John Peter Smith Hospital a Level I Trauma Center, Tarrant County's only psychiatric emergency center, and the largest hospital-based family medical residency program in the nation. The health network employs more than 7,200 people.

Acclaim Multispecialty Group is the medical practice group featuring over 300 providers serving JPS Health Network. Specialties range from primary care to general surgery and trauma. The Acclaim Multispecialty Group formed around a common set of incentives and expectations supporting the operational, financial, and clinical performance

outcomes of the network. Our goal is to provide high quality, compassionate clinical care for every patient, every time.

Why JPS?We're more than a hospital. We're 7,200 of the most dedicated people you could ever meet. Our goal is to make sure the people of our community get the care they need and deserve. As community stewards, we abide by three Rules of the Road:

1. Own it. Everyone who wears the JPS badge contributes to our journey to excellence.

2. Seek joy. Every day, every shift, we celebrate our patients, smile, and emphasize positivity.

3. Don't be a jerk. Everyone is treated with courtesy and respect. Smiling, laughter, compassion - key components of our everyday experience at JPS.

When working here, you're surrounded by passion, diversity, and dedication. We look forward to meeting you!

For more information, visit www.jpshealthnet.org.

To view all job vacancies, visit www.jpshealthnet.org, www.jpshealthnet.org/careers, or www.teamacclaim.org.

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Job Title:

Sr. Financial Analyst - Reimbursement

Requisition Number:

34155

Employment Type:

Full Time

Division:

ACCLAIM ADMIN SERVICES

Compensation Type:

Salaried

Job Category:

Business / Professional

Hours Worked:

M-F 8AM-5PM

Location:

Acclaim Magnolia

Shift Worked:

Day

Job Description:

Description: The Sr. Financial Analyst - Reimbursement coordinates and provides senior level expertise and support for all Governmental Reimbursement activities. The Sr. Financial Analyst - Reimbursement provides maintenance, analysis, documentation, and quality reviews of third party reimbursements including performs analysis on reimbursement impact, completing cost reports, surveys, and net revenue determinations.

Typical Duties:

1. Coordinates and completes Medicare/Medicaid and Tricare annual cost reports, as required by current regulations, including the development, implementation, and maintenance of time studies, statistics (both utilization and cost allocation), revenue and expense information.
2. Manages and submits information requests for Medicare/Medicaid and Tricare audits, other regulatory filings, and external financial audits.
3. Identifies and evaluates financial impact, prepares documentation, and files appeals for final Medicare/Medicaid settled cost reports. Assists with the development of business line pro-formas to determine financial impact to the organization.
4. Develops recommendations on operational changes and/or process improvements affecting the organization.
5. Coordinates updates to cost report software; ensures accuracy of information, ensures updates are incorporated.

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6. Analyzes impact of audit adjustments and confirms audit issues are consistent with Medicare/Medicaid regulations.
7. Prepares required data submissions for Medicaid disproportionate share audits and reporting.
8. Develops and maintains appropriate documentation for wage index and occupational mix reporting to the Medicare program.
9. Manages the analysis of rate calculations provided by third party payers and governmental agencies for accuracy.
10. Coordinates the completion of provider-based attestations for Network Outpatient locations and updates Medicare enrollment forms, based on Network changes.
11. Coordinates the completion of monthly analysis of third party contractual allowance determinations.
12. Develops and maintains good working relationships with Medicare Administrative Contractor.
13. Performs other job related duties as assigned.

Qualifications:

Required Education and Experience:
• Bachelor's Degree in Accounting or related field from an accredited University.
• 5 plus years of experience working with healthcare operations reimbursement in a hospital environment or finance reimbursement in a consulting firm environment.
• 3 plus years of experience preparing third party cost reports of complex healthcare entities.
• 3 plus years of experience working with complex electronic financial systems, i.e. general ledger.
• 3 plus years of experience working with electronic cost reporting software.
• Intermediate knowledge of Microsoft Office, to include Word, Excel, PowerPoint, and Outlook.

Preferred Education and Experience:

• Master's Degree in Accounting or related field from an accredited University.
• 3 plus years of experience preparing third party cost reports of complex healthcare entities within a heavily computerized network environment.

Location Address:

200 W. Magnolia

Fort Worth, Texas, 76104

United States