CPA Finance Department oversees the financial, systems reporting, and analytics aspects related to the various clinical departments within the SOM, the SOM finance office, and the JHU controller's office. We are seeking a Sr. Financial Analyst who will report to the Finance Manager. Will be responsible for providing a wide variety of value-added financial services to the various clinical departments within the SOM. Responsible for monitoring third party professional fee contractual allowances, analyzing reimbursement variances and making recommendations to the Financial Manager regarding payment discrepancies.
Specific Duties & Responsibilities
Plans and conducts complex studies to determine cost of business activities.
Recommends budget adjustments, and other cost improvement measures.
Analyzes complex financial data and extracts and defines relevant information; interprets data for the purpose of determining past financial performance and/or to project a financial probability.
Reviews costs and performs cost benefit analysis related to projects and/or programs.
Performs complex statistical, cost, and financial analysis of data reported in the various accounting systems.
Develops and maintains financial reports for forecasting, trending, and results analysis.
Records, classifies, and summarizes financial transactions and events in accordance with generally accepted accounting principles.
Interprets financial transactions and events for users who must make economic or business decisions.
Applies a working knowledge of applicable laws and regulations; verifies documents for completeness and compliance with government and private agencies.
Uses various software applications, such as spreadsheets, relational databases, statistical packages, and graphics packages to assemble, manipulate and/or format data and/or reports. Design, fully document and implement sophisticated IT reporting routines and packages.
Serve as a back-up for other CPA senior financial analysts.
Creates and maintains variance identification systems including loading and maintaining third party fee schedules and payer profiles.
Monitors and tracks contract reimbursement performance and reports terms of concern negatively impacting payments to Financial Manager and departments affected.
Maintains a thorough knowledge of contract reimbursement requirements, invoice processing, payment posting procedures, and insurance carrier billing and payment policies.
Participates in meetings with Third party payers and departments to recoup underpayments and resolve escalated claim issues. Discusses ongoing trends and issues regarding the administration of managed care contracts, payment irregularities and reimbursement trends.
On a daily basis, provide professional consultation and assistance regarding industry standards, regulations, and payment operations, to department staff, Production Unit Managers, Associate Directors, Directors, and Senior Directors within the SOM to improve receivable collectability and staff efficiencies.
Develop and maintain liaisons with Third Party Payer representatives through zoom meetings, and written correspondence to enhance contractual compliance, payment accuracy and understanding of carrier system workflows and policies.
Special Knowledge, Skills & Abilities
Accuracy, reliability, and strong analytical skills along with the ability to make sound business decisions.
The ability to understand and follow written/verbal instructions.
Highly motivated with the ability to assimilate job requirements based on financial information.
Adept at conducting research into project-related issues and products.
Excellent communication and interpersonal skills, including the ability to interact with all levels of staff.
Ability to operate basic office equipment, e.g. photo copier, fax machine, scanner, PC, telephone, etc.
Demonstrate reliability and ability for self-direction and initiative.
Ability to work as part of a team or independently, address problems, and adapt to a rapidly changing work environment.
Appropriately prioritize tasks to meet various deadlines.
Provide excellent service to all customers of the Clinical Practice Association Finance Department.
Ability to automate reporting processes.
Possess and display analytical competency in gathering and interpreting data, proficiency with financial reporting systems to build reports.
Comprehensive knowledge and compliance of HIPAA rules and regulations in the dissemination of patient Protected Health Information (PHI).
Willingness to collaborate with peers and provide cross training for IT and financial programs and models.
Advanced level in Excel with advanced Macros (Visual Basic)
Ability to understand and effectively interact with sophisticated IT systems and approaches, programming.
Ability to utilize internal and external resources including EPIC, electronic medical records, payer websites, and other resources to facilitate efficient operations, issue resolution, and education.
Possess detailed knowledge of medical policies, medical terminology, and National Correct Coding standards including CPT's, diagnosis codes and all modifiers that affect billing and the revenue cycle operations.
Strong working knowledge of standard invoice processing/payment posting procedures and generally recognized physician billing policies.
Knowledge of managed care contracts, reimbursement policies and JHU variance monitoring systems as applicable.
Professional & Personal Development
Participates in on-going educational activities.
Assists in the training of staff.
Keeps current of industry changes by reading assigned material on work related topics.
Completes three days of training annually.
Must adhere to Service Excellence Standards.
Continuous Performance Improvement
*This description is a general statement of required major duties and responsibilities performed on a regular and continuous basis. It does not exclude other duties as assigned.
Bachelor's Degree in Finance, Accounting, Business or related field.
Five years progressively responsible related financial/accounting experience.
Additional education may substitute for required experience and additional related experience may substitute for required education, to the extent permitted by the JHU equivalency formula.
Five years experience in professional fee billing and accounts receivable with a focus on third party contract reimbursement.
Classified Title: Sr. Financial Analyst Role/Level/Range: ATP/04/PD Starting Salary Range: Min $62,300 - Max $109,000 Annually ($70,040 targeted; Commensurate with experience) Employee group: Full Time Schedule: M-F 8:30AM-5PM Exempt Status: Exempt Location: Hybrid/JH at Middle River Department name: SOM Admin CPA Finance Personnel area: School of Medicine
Total Rewards The referenced salary range is based on Johns Hopkins University's good faith belief at the time of posting. Actual compensation may vary based on factors such as geographic location, work experience, market conditions, education/training and skill level. Johns Hopkins offers a total rewards package that supports our employees' health, life, career and retirement. More information can be found here: https://hr.jhu.edu/benefits-worklife/
Please refer to the job description above to see which forms of equivalency are permitted for this position. If permitted, equivalencies will follow these guidelines: JHU Equivalency Formula: 30 undergraduate degree credits (semester hours) or 18 graduate degree credits may substitute for one year of experience. Additional related experience may substitute for required education on the same basis. For jobs where equivalency is permitted, up to two years of non-related college course work may be applied towards the total minimum education/experience required for the respective job.
**Applicants who do not meet the posted requirements but are completing their final academic semester/quarter will be considered eligible for employment and may be asked to provide additional information confirming their academic completion date.
The successful candidate(s) for this position will be subject to a pre-employment background check. Johns Hopkins is committed to hiring individuals with a justice-involved background, consistent with applicable policies and current practice. A prior criminal history does not automatically preclude candidates from employment at Johns Hopkins University. In accordance with applicable law, the university will review, on an individual basis, the date of a candidate's conviction, the nature of the conviction and how the conviction relates to an essential job-related qualification or function.
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