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Children's Wisconsin · 3 months ago

Senior Financial Analyst - Revenue Integrity (Remote)

United States

Full-time

Remote

Senior Level

5+ years exp

Children's Wisconsin is a nationally recognized health system dedicated solely to the health and well-being of children. They are seeking a Senior Financial Analyst - Revenue Integrity to perform complex financial reporting and general ledger functions, ensuring accurate charging and receivable balances while supporting special projects in pricing and external surveys for the hospitals.

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Responsibilities

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

Qualification

Financial analysisAccounting principlesMicrosoft ExcelEpicWorkdayCPA LicenseAnalytical ability

Required

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

Analytical ability to find solutions to accounting problems