Senior Financial Reimbursement Analyst - Software Guidance & Assistance, Inc. (SGA, Inc.)

Software Guidance & Assistance, Inc., (SGA), is searching for a Senior Financial Reimbursement Analyst for a CONTRACT assignment with one of our premier Healthcare clients in Aurora, IL.

Responsibilities :Assist with expense and accrual analyses on a monthly basis as assigned.

• Prepare monthly financial statements and supporting schedules.
• Prepares monthly third party contractual allowance calculations and analyses for all entities by maintaining query files and monthly preparing calculation worksheets and journal entries.
• Oversee the development and maintenance of systems and procedures to optimize reimbursement from third party payers including Medicare, Medicaid Blue Cross and Managed Care companies.
• Assists with potential reimbursement project reviews as necessary.
• Coordinates and oversees monthly and annual bad debt and charity care expense calculations and analyses.
• Updates the Medicare and Medicaid reimbursement rates as directed.
• Coordinates and oversees the completion of third party financial analysis as required.
• Prepares and files the annual Medicare, Medicaid, and CHAMPUS cost reports with the help of third party consulting firm.
• Prepares annual contractual allowance, bad debt and charity care budgets with supporting schedules.
• Assists with wage index annual review.
• Participates in the Denial Committee meetings.
• Works with the Director of Patient Financial Services to analyze third party payer payment issues.
• Works with Care Management to address third party payer requests.
• Work with EPIC team to ensure AR financial requirements are addressed in functional requirements and reporting needs.

Required Skills :Bachelor's degree in Accounting, Finance or other related field.

• Minimum of 3 - 5 years experience in a similar position with reimbursement experience.
• Proficiency in Windows based computer software in a network environment including spreadsheet, database and word processing software applications.
• Ability to prioritize work based on multiple deadlines.
• Effective verbal and written communication skills.

Preferred Skills :Prefer previous experience in a health care environment.

• CPA certification desirable.
• Knowledge of Lawson General Ledger a plus.

SGA is a technology and resource solutions provider driven to stand out. We are a women-owned business. Our mission: to solve big IT problems with a more personal, boutique approach. Each year, we match consultants like you to more than 1,000 engagements. When we say let's work better together, we mean it. You'll join a diverse team built on these core values: customer service, employee development, and quality and integrity in everything we do. Be yourself, love what you do and find your passion at work. Please find us at https://sgainc.com/

SGA is an Equal Opportunity Employer and does not discriminate on the basis of Race, Color, Sex, Sexual Orientation, Gender Identity, Religion, National Origin, Disability, Veteran Status, Age, Marital Status, Pregnancy, Genetic Information, or Other Legally Protected Status. We are committed to providing access, equal opportunity, and reasonable accommodation for individuals with disabilities in employment, and our services, programs, and activities. Please visit our company EEO page to request an accommodation or assistance regarding our policy.