UAB Medicine · 1 week ago
Net Revenue - Lead Analyst
Birmingham, AL
Full-time
Onsite
Entry, Mid Level
2+ years expUAB Medicine is a trusted provider of health care in Alabama, and they are seeking a Lead Analyst for their Net Revenue department. The role involves performing calculations and analysis of accounts receivable, preparing Medicare and Medicaid cost reports, and ensuring compliance with regulations to maximize reimbursement for the health system.
BiotechnologyHealth CareManufacturingPharmaceutical
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
Company
UAB Medicine
UAB medicine is a pharmaceutical company, it's operate in many country, mainly manufacturing heart problems medicine.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Doug Brewer
President, Tombigbee Healthcare Authhority and CEO, Whitfield Regional Hospital
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