REIMBURSEMENT ANALYST | Decision Support

Salina Regional Health Center

REIMBURSEMENT ANALYST

POSITION SUMMARY
Responsible for monthly and annual third-party contractual allowance accruals. Ensures accurate third-party reimbursement through various strategic financial planning mechanisms. Supports the development of management reports and data analysis to aid Administration in the decision-making process. Assists in the preparation of the Medicare cost report.

POPULATION SERVED: n/a
OSHA CATEGORY III

ESSENTIAL JOB FUNCTIONS

QUALITY
Prepares monthly and annual projections for all third-party payor contractual allowances ensuring accurate reimbursement.
Assists in the preparation, completion and filing of cost reports to third-parties on a timely basis.
Utilizes strategic financial planning software to assist the Controller in developing long-range financial projections.
Participates in and provides support to the Community Benefit Committee including financial reporting of community benefits.
Assists in the preparation of work-papers in response to audits by third-party auditors.
Performs updates as necessary to reimbursement software programs.

ACCESS
Develops and maintains standard and custom management reports from software programs to assist management in decision making.
Enhances professional growth and development through participation in education programs, literature, staff meetings, and workshops to maintain knowledge necessary to perform job duties.

STEWARDSHIP
Assists in the development and communication of decision support educational materials to all levels of management.
Adheres to all policies, procedures, standards of care, regulatory guidelines and Code of Ethical Conduct.

ORGANIZATIONAL VALUES

PATIENT CENTERED
Keeps the welfare of the patient at the center of all decisions and actions by maintaining a customer-centered focus at all times.
Advocates for patients and their families by practicing behaviors that create a culture of patient focused activity.

QUALITY
Expects excellence of self and others.
Questions the status quo; uses creativity and innovation to engage in performance and process improvement.
Identifies and mitigates risk.

INTEGRITY
Is honest and ethical in all matters.
Demonstrates teamwork/cooperation within and across departments, understanding others perspectives and resolving conflict constructively.

TRUST
Safeguards the privacy, security, and confidentiality of protected health information at all times.
Treats all people with dignity; supports diversity; and understands related issues.
Is flexible and adaptable to change; demonstrates a positive and supportive attitude; and willingly accepts change.

SUSTAINABILITY
Holds self and others accountable in the use of SRHC supplies, and completion of tasks in a timely, efficient, and productive manner.
Volunteers for or accepts new or additional duties/responsibilities for the greater good of the department, organization, and/or patient.

POSITION QUALIFICATIONS

MINIMUM EDUCATION
Masters Degree in Accounting, Business Administration, or Finance; or
CPA or HFMA Certification in lieu of masters degree

MINIMUM EXPERIENCE
Five years professional experience in Accounting or Finance

REQUIRED REGISTRATION/LICENSE/CERTIFICATION
CPA or HRMA Certification

PHYSICAL DEMANDS
Lifts, positions, pushes and/or transfers up to 20 pounds
Primarily sedentary work
Manual dexterity and mobility
Near acuity: ability to see clearly at 20 inches or less

WORKING CONDITIONS
Subject to varying and unpredictable situations
Subject to many interruptions; pressure due to multiple calls, inquires, and/or deadlines
Subject to irregular hours (days, evenings, weekends, holidays)
Occasional travel may be required

EMPLOYEE ACKNOWLEDGEMENT
In signing the job description, I attest that I will adhere to Salina Regional Health Center’s policies, procedures, and regulatory standards, including but not limited to complying fully with the Corporate Compliance Program and Code of Ethical Conduct; and participating actively in the Quality Assessment and Performance Improvement Plan, including identifying and mitigating risk to patients.

I acknowledge that I have read, understand, and accept the qualifications, responsibilities, and performance expectations outlined in the job description.  I recognize that these duties form the basis for my performance evaluations, and that management reserves the right to assign additional tasks or change existing essential job functions as operational needs dictate.  I confirm that I am able to perform the essential functions of this position with or without reasonable accommodation.