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Children's Wisconsin

Kids deserve the best.

Senior Financial Analyst – Revenue Integrity

Financial Planning and AnalysisFinancial Planning and AnalysisFull TimeRemoteSeniorTeam 1,001-5,000Since 1883H1B No SponsorCompany SiteLinkedIn

Location

Wisconsin

Posted

105 days ago

Salary

Not specified

Seniority

Senior

Bachelor Degree5 yrs expEnglish

Job Description

• Under general direction, performs a variety of complex financial reporting and general ledger functions relative to entities within CHHS to assure accurate charging and receivable balances. • Supports special projects in the areas of pricing and completes and submits external surveys for the hospitals. • Keeps current on third party regulatory changes and contractual reimbursement rates. • Prepares Hospitals’ month end contractual accruals to include review of unbilled and inhouse accounts. • Analyzes reports and transactions in the billing system for missing or incorrectly calculated contractuals reported in Epic at month end. • Proposes related journal entries to ensure accurate general ledger reporting. • Prepares monthly contractual variance analysis to include review of payer mix, financial class changes, large and/or unusual transactions for the month, and reasonableness of contractuals by payer. • Leads the monthly contractual close meeting with a structured and meaningful analysis for overall contractual and settlement reporting. • Prepares related account receivable reconciliations to the general ledger. • Prepares Epic Professional Billing month end contractual accruals for all CHHS entities and reviews related variances, payer mix and allowance trending data. • Analyzes related overall financial reporting reasonableness by payer category and provides insight into monthly variances to the team as needed. • Prepares related account receivable reconciliations to the general ledger. • Prepares, edits and posts journal entries, as needed. • For all CHHS entities, conducts monthly system balancing and reconciliations for reported charges, payments and adjustments between Epic and Workday’s General Ledger. • Communicates variances to leadership and obtains review sign off. • Prepares interim and annual audit workpapers to support A/R and contractual balances. This includes providing variance explanations for material percentage/amount differences and maintaining leadership review sign off documentation. • Acts as a liaison to the external auditors and the reimbursement team. • Provides tracking for third party settlement recognition in the general ledger. • For all CHHS entities, prepares monthly bad debt hindsight analysis and related year-end audit workpapers. • Assists in the charge creation process for requests that come from the Chargemaster team and the Surgicenter of Greater Milwaukee. • Assists with the preparation of CMS provider-based attestation packets and filing. This includes data gathering of required process flow and financial documentation, operational narratives and other clinical department policies and procedures. • Prepares and submits monthly statistical and annual WHA survey reporting. • Prepares and submits annual CHA survey reports. • Assists in additional external reporting that may be needed, for example Form 990 and Goldman Sachs. • Maintains a general understanding of billing and accounting systems. • Acts as a liaison between the Revenue Cycle, Managed Care and Finance department staff regarding data necessary to assess billing operations.

Job Requirements

  • Bachelor's Degree
  • Requires extensive knowledge of accounting and financial analysis principles, theories, and techniques of accounting acquired through completion of a Bachelor’s degree in Accounting required
  • 5+ years progressively responsible work experience with direct financial analyst experience required
  • Proficiency in Microsoft Excel and other software applications used to assemble, manipulate and/or format data and/or reports.
  • Previous experience with and working knowledge of Epic and Workday preferred
  • Analytical ability to find solutions to accounting problems.
  • License CPA-Certified Public Accountant (1) - State of Wisconsin preferred

Benefits

  • Equal opportunity / affirmative action employer
  • Committed to creating a diverse and inclusive environment

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