Senior Financial Reimbursement Analyst - Revenue Cycle Department at ECLARO

Aurora, IL

About the Job

Senior Financial Reimbursement Analyst - Revenue Cycle Department
Job Number: 25-03443

Progress on your journey to success! ECLARO is currently recruiting for a Senior Financial Reimbursement Analyst - Revenue Cycle Department in the Aurora, IL area for one of our clients.

ECLARO’s client is a leading provider of healthcare workforce software and solutions. If you’re up to the challenge, then take a chance at this rewarding opportunity!

Job Duration: 2 years (with possibility to extend)

Position Overview:

Responsible for the reporting and analysis of net patient service revenue by payer and financial class.
Will design and maintain financial spreadsheets, databases and systems to accurately track and report AR, contractual allowances and payments by payer to be used in the calculation of allowance on non-zero balance accounts during the monthly contractual allowance accrual process.
Will help coordinate activities of accountants in preparing monthly schedules of contractual allowance and bad debt accruals. Help identify data issues, problems, or data anomalies and be able to present solutions in a timely manner.
Will also report and analyze monthly bad debt and charity care expenses. Additional responsibilities include supporting all of the independent and Federal and State government and payer audits.
Will assist in any additional financial accounting duties as assigned. Analyst will work with the Director of Patient Financial Services to trend and reduce insurance denials. Will also work closely with the Controller on financial reimbursement projects for other entities.
Primary Customers: Accounting Manager, Director of Accounting, Controller, Fiscal Services Department, Patient Financial Services Department, Client Health and Administrative Team.

Responsibilities:

Client Performance Areas/Behaviors:
- Patient/Family/Customer First:
  - Treats others with courtesy, respect and caring touch in all interactions.
  - Goes the extra mile to identify, fulfill and exceed customer needs. Puts those needs first.
  - Promotes patient rights, patient safety and ensures confidentiality and privacy at all times.
  - Recognizes, respects, and effectively communicates with all cultures.
- Continuous Improvement:
  - Continuously looks for, suggests and works on better ways to conduct work.
  - Is open to new ideas and changes.
- Promotes Teamwork and Partnerships:
  - Treats each employee as an equal and valued member of the team; works cooperatively with other employees to complete the work.
  - Willingly flexes to meet the changing workload demands and priorities.
  - Helps make client a great place to work by promoting positives and committing to resolve problems.
  - Upholds client Employee Behavior Standard in all interactions to improve teamwork and enhance patient satisfaction.
  - Adheres to the Code of Conduct of client in the performance of job duties.
- Team Relationships:
  - Coached by: Accounting Manager, Director of Accounting and Controller .
- Performace Area/Expectations:
  - Monthly Financial Reporting Close:
    - Assist with expense and accrual analyses on a monthly basis as assigned.
    - Prepare monthly financial statements and supporting schedules.
  - Third Party Reimbursement:
    - 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 Client 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.

Pay Rate: $50.00. - $75.00/hr.

If hired, you will enjoy the following ECLARO Benefits:

401k Retirement Savings Plan administered by Merrill Lynch
Commuter Check Pretax Commuter Benefits
Eligibility to purchase Medical, Dental & Vision Insurance through ECLARO

If interested, you may contact:
Shiela Garcia
646-849-5355
shiela.garcia@eclaro.com
Shiela Garcia | LinkedIn

Equal Opportunity Employer: ECLARO values diversity and does not discriminate based on Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.