Details
Posted: 23-Jun-22
Location: Phoenix, Arizona
Salary: Open
Internal Number: 2205014642
Helping people feel better isn�t just about the treatment we give � the relationships we create and the compassion we share are just as important. Abrazo hospitals make a difference in the lives of our communities and the lives of those we work alongside every day. We know it takes a special person to work in healthcare, and we are committed to providing our people with an enriching and rewarding environment.
From your first day, you�ll be part of a group of some of the most talented nursing professionals united in a common goal to care for those in our community. Ready to work with awe-inspiring teammates who are dedicated to making a difference? Join us in going above and beyond.
Financial Analyst II Full Time Days Position Summary
Apply all aspects of strategic, financial and accounting analyses to ensure the appropriate optimal reimbursement within the CHN via various audits to include but is not limited to: Compliance (before and after billing), Denial Review, Medicare Service Specific Reviews, Medical Necessity Reviews, Advance Beneficiary Notice, Observation, CCI and as issues or concerns present. As a liaison between the Admitting Department, Business Office and Clinical Areas, the incumbent will provide guidance and training as needed. May perform comprehensive studies including comparisons to actual results. Support service lines, programs and departments in achieving financial goals, improving processes and generating efficiencies.
RESPONSIBILITIES:
Accountable for preparation and/or evaluation of statistical, financial, demographic and/or valuation data for internal and external customers including regulatory agencies, payers, and senior management of the organization.
Record, report and/or monitor fiscal and budgetary operations while supporting the vision and direction of the organization and its various products/programs/service lines.
Interpret and identify financial problems and research effective solutions.
Communicate with customers, co-workers and management.
Support efforts to manage change, innovation as well as foster teambuilding.
Function as a liaison with Department Directors, Patient Financial Services, Physicians and Regulatory Payers (Federal, State, and County). Maintain direct contact with internal department directors and physicians regarding financial analysis (throughout the entire revenue cycle) of reimbursement with third party payers to maintain up to date information. External contact consists of federal agencies and patients.
Maintain high level knowledge of compliance requirements relative to regulatory third party reimbursement and educating specific CHN department heads as appropriate.
Review of clean claim billing, denials and medical necessity issues to ensure appropriate optimal reimbursement.
Provides training sessions for selected department directors, physicians and staff members designed to reduce coding/billing errors.
Perform other specialized financial and revenue analyses as required.
Level 2 � Proficient (in addition to above duties)
Design and implement routine or ad hoc reports.
Consult and advise financial management on technical or operational problems identified through the accounting and reporting processes.
Recommend changes and new procedures and protocols based on identified needs.
Level 3 � Subject Matter Expert (in addition to above duties)
Assist the Manager/Director as requested in review and update of department functions and procedure revisions.
Give input to Manager/Director concerning operational procedures and budget planning.
Assist in training, mentoring others in acquiring skills.
Qualifications:THE FINANCIAL ANALYST II FULL TIME DAYS CANDIDATE WILL POSSESS THE FOLLOWING EDUCATION, LICENSE/CERTIFICATIONS, AND EXPERIENCE.
Education
Required: Bachelor degree in Finance, Business, or Accounting with combination of education, education, training or equivalent.
Preferred: Master�s Degree.
Experience
Required: 4 years of auditing, medical reimbursement and insurance or relevant experience and direct experience in a complex health care provider organization.
Preferred: 6 years relevant business experience, 2 years in healthcare industry.
Skills
Required: Team building, problem solving, critical thinking, good interpersonal communication (both written and oral), technical knowledge in accounting and finance areas. Verbal and written communication skills.
Knowledge
Required: Required: Knowledge of CPT-4 and ICD-9 coding. Strong knowledge of Medicare, Managed Care, and other 3rd party payer as related to hospital operations. Knowledge of Accounting and Finance principles and financial analysis; knowledge of fiduciary responsibilities as related to the laws, rules and regulations as defined by the Federal, State and JCAHO statues.
Preferred: Skilled Nursing Facility, hospital-based physician, professional fee billing. Basic knowledge of diagnosis codes.
Technology
Required: Strong computer skills in business analytic tools such as Excel, personal computer applications.
Preferred: Knowledge of healthcare computer systems.
Job:
Finance and Accounting
Primary Location:
Phoenix, Arizona
Facility:
Abrazo Region
Job Type:
Full-time
Shift Type:
Days
Employment practices will not be influenced or affected by an applicant�s or employee�s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.