Requisition ID: 19832

Location: Bolingbrook Corporate

Location Address:
1000 Remington Boulevard, Bolingbrook, IL 60440-5114 United States (US)

Daily Hours: 8
Standard Hours: 0
Employment Status: Full-time
Employment Type: Regular
Shift: Day
FLSA: E

SUMMARY

Under the general direction of the System Director Third Party Reimbursement, coordinates, monitors, and supervises all activities to ensure the timely, accurate and consistent accounting and reporting of the activity related to the identified regions hospitals' net patient service revenue and other third party reimbursement matters including the completion of annual cost reports for its respective regional facilities. A region is defined as a minimum of three hospitals.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Reviews the monthly, quarterly, and annual computations of the hospitals net patient revenue. Analyze critical computations which include contractual, bad debt/charity, and third party adjustments and allowances. Review and assist with year-end analysis as required for external financial statement audit process to help ensure the accuracy of the hospitals' financial statements.
• Communicate and explain significant changes in computations noted above on a monthly and year-end basis to hospitals and corporate finance leadership.
• Assists third party consultants on projects in specified payment areas of the cost reports and other reimbursement areas as needed.
• Review and at time prepare various financial analyses related to net patient revenue and other third party implications as required by Senior Management.
• Possess knowledge of current Medicare, Medicaid, and Blue Cross payment rules and regulations. Acts as a technical resource regarding all Medicare, Medicaid and Blue Cross reimbursement issues for all acute care facilities and the long term care facility, HFMC. Participates in the review of actual and proposed changes to government regulations. Ensures compliance with regulations related to third party reimbursement.

QUALIFICATIONS

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Strong analytical capabilities and leadership skills required

• Ability to work with leaders throughout the system to assess and implement corporate policies and procedures regarding all financial aspects including internal control, compliance and reporting

• Ability to work with mathematical concepts such as probability and statistical inference

• Experience with data analysis, project management and knowledge management

• Weekend work at year end and other peak times may be necessary.

• Occasional local travel, specifically to corporate offices located in Bolingbrook, Frankfort, Des Plaines, or Chicago

Education and/or Experience

• Bachelor's Degree with major in Accounting, Finance, or Mathematics. CPA / MBA preferred.

• Five years of experience in healthcare setting including General Ledger Accounting, Payroll, internal audit, financial analysis, financial information systems. Public accounting experience preferred.

• Strong management/supervisory skills

• Thorough knowledge and understanding of third party reimbursement principles and regulations is required.

• Strong knowledge of US GAAP, internal controls and financial reporting required

• Experience with financials of multi hospital systems preferred

Computer Skills

• Proficient with Microsoft Office suite

• Proficient with Medicare/Medicaid cost reporting software.

• Ability to use healthcare information systems, such as EPIC and Meditech

• Knowledge of Revenue Cycle Analytics (RCA), an account receivable software tool, is preferred

Certificates, Licenses, Registrations

• C.P.A. preferred
• CB
• #LI-MR1

Business Unit: Corporate (LRHC and LPH)

COMPANY OVERVIEW:

EOE of Minorities/Females/Vets/Disability