To research, compile and analyze financial information through reporting functions and to participate in the ongoing development of systems to facilitate that process. To assist Revenue Cycle and Billing Operations management in planning, designing, measuring and assessing improvement opportunities within Revenue Cycle and serve as a resource for other members of the department. To participate in the mid and fiscal year audits and conduct special projects/analyses.
Position is responsible for creating financial and informational reporting for Revenue Cycle and Operations Management, Finance Management, and Payor Relations on an as needed and ongoing basis. Performs various analysis projects depending on management needs. Projects include, but are not limited to, providing support for preparation of financial models for current and proposed business transactions, analyzing the potential financial impact of various contract and government changes, evaluating payor adherence to contract terms and rates, assisting with overpayment disputes, and charge and patient volume analysis.
Responsible for updating, trouble shooting, and maintaining the payment calculator Access database. Prepares reports to include Scheduled Reporting and Divisional Meetings and Reports at Month end and meeting presentation reports created and prepared for all 5 divisions and departments/physicians within each division. Other responsibilities include Ad hoc Reports created and prepared based on management and leadership needs and Key Performance Indicators (KPIs) quarterly project to gather Revenue Cycle financial measures to evaluate overall performance. Supports the year-end audit process by performing risk assessments on high dollar and aged accounts on a monthly and weekly basis. Participates in regular meetings with Accounting leadership to discuss individual accounts. Assists management in completion of audit schedules for Accounting at year-end.
·Reporting and Data Analysis
Produce, monitor and analyze reports on results related to goals of Revenue Cycle Management departments. Provide support for preparation of financial models/analyses to support current and proposed business transactions, performance improvement initiatives, etc. Establish schedule and priorities for development and production of both ad hoc and recurring reports for consolidated Revenue Cycle performance measures, as well as Revenue Cycle Operations and Customer Service functions. Disseminate reports to applicable management both within Revenue Cycle departments and to other departments and divisions throughout the Medical Center. Develop, maintain and implement processes and performance metrics for measuring and assessing services. Assist Payor Relations and Revenue Cycle Management as necessary in evaluating the impact of various payment methods on CCHMC's revenues and collections. Support annual pricing comparison and benchmarking analyses. Refine existing models and develop new tools to support forecasting, benchmarking and to measure financial performance.
·Revenue Cycle Reporting/Relationships
Interact with all levels of management within the Medical Center to assist in the analysis, preparation and interpretation of Revenue Cycle Management related data. Provide support for business processes to ensure effective and efficient operations. Recommend approaches for improvement activities, recommend and perform new processes, collect and measure data, develop processes based on performance and communicate results. Assist as an analytic resource in the resolution of complex issues and concerns in the Revenue Cycle Management departments. Act as a liaison between Revenue Cycle Management and Decision Support/IS to perform financial analysis, ensure data integrity, and implement reporting requirements. Participate in ongoing development of Business Plan initiatives via financial and operational support and recommendations. Act as a liaison between Cincinnati Children's and outside agencies and the community as applicable.
·Fiscal and Calendar Year Audits
Provide support in twice yearly audit within the Revenue Cycle. Monitor and review patient accounts to determine if expected reimbursement is adhering to payor contracts and government regulations. Identify potential risk through ongoing analysis and interpretation of individual account details. Communicate with Operation and Accounting leadership to aid in minimizing risk. Ensure accurate and timely financial reporting to the Accounting department and Revenue Cycle Management leadership. Assist with post audit requests and reporting from Accounting and external audit team.
·Systems and Technology
Apply technical knowledge to meet the reporting needs of Revenue Cycle departments. Utilize Excel and Access database systems to assist management with developing reporting as needed. Evaluate system and technology processes as required to improve efficiency, accuracy and consistency in operations. Assist in maintaining the Expected Payment Calculator database used to house all available calculators and payor contract rules. Support maintenance of contract updates and payor changes within the database on an ongoing basis. Correct any programming issues as they arise.
Skills & Competencies
Effective verbal, written and/or interpersonal communication skills.
Ability to analyze data to make judgments and recommendations
Using formulas, mathematics, graphs, charts, and tables to solve numerical problems; quickly and efficiently working with numbers; drawing accurate inferences from numerical data
Possess strong organization skills and attention to detail
Basic understanding of work flow
Pursuing work with little supervision or assistance; directing one's own efforts
Ability to effectively manage multiple tasks simultaneously.
·MS Office - Advanced:
Advanced skill in Microsoft Office programs
·Bachelor's degree OR Equivalent combination of education and experience
·2 years related experience Preferred:
·Degree in Business, Accounting, Finance or related discipline
·Experience working in a hospital OR Experience in a physician group system