Who We Are
JPS Health Network is a $950 million, tax-supported healthcare system in North Texas. Licensed for 582 beds, the network features over 25 locations across Tarrant County, with John Peter Smith Hospital a Level I Trauma Center, Tarrant County's only psychiatric emergency center, and the largest hospital-based family medical residency program in the nation. The health network employs more than 7,200 people.
Acclaim Multispecialty Group is the medical practice group featuring over 300 providers serving JPS Health Network. Specialties range from primary care to general surgery and trauma. The Acclaim Multispecialty Group formed around a common set of incentives and expectations supporting the operational, financial, and clinical performance
outcomes of the network. Our goal is to provide high quality, compassionate clinical care for every patient, every time.
Why JPS?
We're more than a hospital. We're 7,200 of the most dedicated people you could ever meet. Our goal is to make sure the people of our community get the care they need and deserve. As community stewards, we abide by three Rules of the Road:
1. Own it. Everyone who wears the JPS badge contributes to our journey to excellence.
2. Seek joy. Every day, every shift, we celebrate our patients, smile, and emphasize positivity.
3. Don't be a jerk. Everyone is treated with courtesy and respect. Smiling, laughter, compassion - key components of our everyday experience at JPS.
When working here, you're surrounded by passion, diversity, and dedication. We look forward to meeting you!
For more information, visit www.jpshealthnet.org.
To view all job vacancies, visit www.jpshealthnet.org, www.jpshealthnet.org/careers, or www.teamacclaim.org.
Job Title:
Sr Financial Analyst Reimburse
Requisition Number:
38860
Employment Type:
Full Time
Division:
PLANNING, LABOR & DECISION SUPPORT
Compensation Type:
Salaried
Job Category:
Business / Professional
Hours Worked:
8:00AM - 5:00PM
Location:
JPOC 1350
Shift Worked:
Day
Job Description:
Job Summary: The Sr. Financial Reimbursement Analyst coordinates and provides senior level expertise and support for all Governmental Reimbursement activities. The Sr. Reimbursement Analyst provides maintenance, analysis, documentation, and quality reviews of third party reimbursements including performs analysis on reimbursement impact, completing cost reports, surveys, and net revenue determinations. This position will also be responsible for analyzing and reporting on the hospital’s financial performance as well as the ability to analyze complex financial data and communicate findings to hospital leadership.
Essential Job Functions & Accountabilities:
- Coordinates and completes Medicare/Medicaid and Tricare annual cost reports, as required by current regulations, including the development, implementation, and maintenance of time studies, statistics (both utilization and cost allocation), revenue and expense information.
- Manages and submits information requests for Medicare/Medicaid and Tricare audits, other regulatory filings, and external financial audits.
- Identifies and evaluates financial impact, prepares documentation, and files appeals for final Medicare/Medicaid settled cost reports. Assists with the development of business line pro-formas to determine financial impact to the organization.
- Assist in Net Revenue Month-End Close with analysis over Accounts Receivable Valuations, which include analyzing trends impacting reserves such as payor mix and the aging of accounts.
- Assist with financial reports and presentations for hospital leadership, including variance analysis and trend analysis.
- Partner with the revenue cycle team to analyze revenue trends, reimbursement patterns, and denials to enhance revenue capture and optimize revenue cycle performance.
- Assist with the Hospital’s Net Revenue Budgeting Process for All Payors.
- Develops recommendations on operational changes and/or process improvements affecting the organization.
- Coordinates updates to cost report software; ensures accuracy of information, ensures updates are incorporated.
- Analyzes impact of audit adjustments and confirms audit issues are consistent with Medicare/Medicaid regulations.
- Prepares required data submissions for Medicaid disproportionate share audits and reporting.
- Develops and maintains appropriate documentation for wage index and occupational mix reporting to the Medicare program.
- Takes the lead on rate calculations provided by third party payers and governmental agencies for accuracy.
- Takes the lead on the completion of provider-based attestations for Network Outpatient locations and updates Medicare enrollment forms, based on Network changes.
- Takes the lead on the completion of monthly analysis of third-party contractual allowance determinations.
- Develops and maintains good working relationships with Medicare Administrative Contractor.
- Work closely with hospital leadership and finance teams to develop strategies for maximizing net revenue.
- Job description is not an all-inclusive list of duties and may be subject to change with or without notice. Staff are expected to perform other duties as assigned.
Qualifications:
Required Qualifications:
- Bachelor's Degree in Accounting or related field from an accredited University.
- 5 plus years of experience working with healthcare operations reimbursement in a hospital environment or finance reimbursement in a consulting firm environment.
- 3 plus years of experience preparing third party cost reports of complex healthcare entities.
- 3 plus years of experience working with complex electronic financial systems, i.e. general ledger.
- 3 plus years of experience working with electronic cost reporting software.
Preferred Qualifications:
- Masters Degree in Accounting or related field from an accredited University.
- 3 plus years of experience preparing third party cost reports of complex healthcare entities within a heavily computerized network environment.
- Working experience with Strata.
Location Address:
1350 S. Main Street
Fort Worth, Texas, 76104
United States
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