St. Vincent’s Health System · 9 hours ago
Net Revenue - Lead Analyst
US-AL-Birmingham
Full-time
Onsite
Mid, Senior Level
2+ years expSt. Vincent’s Health System is a trusted provider of healthcare in Alabama, serving the community for over 125 years. They are seeking a Lead Analyst to perform calculations and analysis of accounts receivable, manage Medicare and Medicaid cost reports, and ensure compliance with reimbursement regulations.
Health CareHospitalMedical
Responsibilities
Perform the calculations and analysis of accounts receivable and valuation and third party reimbursement reporting, coordination of audits and monitoring of regulation changes
With minimal supervision prepares and files the Medicare and Medicaid cost reports and Blue Cross cost studies to ensure the maximization of reimbursement received by UAB St. Vincent’s Health System; acts as liaison between Hospital and local intermediary; prepares quarterly mini cost reports; and prepares monthly journal entries for reimbursement adjustments
Assist in the preparation, review, and filing of Medicare and Medicaid cost reports
Review supporting schedules and coordinate with external advisor and fiscal intermediary for preparation of annual reports
Ensure compliance with CMS regulations, state Medicaid rules, and payer-specific requirements
Prepare applications and accounting for any state supplemental payment programs
Prepare reports and prepare month end journal entries in general ledger
Maintain documentation supporting reimbursement calculations and regulatory filings
Prepare Retro models
Analyze payer reimbursement methodologies including Medicare, Medicaid, managed care, and commercial contracts and calculates financial impact of changes in reimbursement
Prepare reimbursement calculations and projections for inpatient, outpatient, physician, and ancillary services
Identify reimbursement variances, underpayments, and revenue opportunities; recommend corrective actions
Support managed care contract analysis, modeling, and negotiation preparation
Assist with modeling proposed contract changes and renewals
Reconcile reimbursement payments to expected rates
Partner with Revenue Cycle, Patient Financial Services, and Clinical departments to resolve reimbursement issues
Serve as a reimbursement subject-matter resource for internal stakeholders
Participate in audits, appeals, and payer inquiries as needed
Assist the manager and director with budgeting and modeling net patient service revenue
Performs other duties as assigned
Qualification
Required
Bachelor's degree in Finance, Accounting, Healthcare Administration, Business, or related field
2 years of healthcare reimbursement, revenue cycle, or financial analysis experience required
Strong written and verbal communication skills
Proficiency in Excel (pivot tables, formulas, data analysis)
Strong analytical, quantitative, and problem-solving skills
Knowledge of Medicare and Medicaid reimbursement methodologies
Preferred
Accountant licensure required relevant to state in which work is performed preferred
4 years of healthcare reimbursement, revenue cycle, or financial analysis experience preferred
Benefits
Generous paid time off
Paid parental leave
Associate Assistance Program
Tuition Reimbursement Program
And more
Company
St. Vincent’s Health System
UAB St. Vincent’s is committed to delivering compassionate, personalized care to every patient.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Meredith Moorer
Human Resources Business Partner
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