Reimbursement Analyst II

Reimbursement Analyst II

The Reimbursement Analyst is responsible for supporting Dignity Health hospitals with the technical expertise necessary for the preparation of monthly Financial Statements and to fulfill various reporting requirements in a manner which is consistent with the Mission and Philosophy of Dignity Health.

Principal Responsibilities :

• Assists with the compilation of month-end net revenue calculations and analyses using the Revenue Cycle Analytics (RCA) tool.
• Prepares supporting documentation in a timely and accurate manner.
• Participates in the implementation of the Revenue Cycle Analytics (RCA) tool to include developing mapping tables reconciling daily and monthly interfaces and participating in implementation meetings.
• Provides documentation to accounting teams for preparation of journal entries and reconciliations for patient accounts receivable reserves including contractual allowances administrative adjustments charity and bad debts in a timely and accurate manner.
• Assists in the preparation of analyses for general accounting patient accounting Departmental Directors and CFOs.
• Assists with the submission of reserve information for compliance with Dignity Health Policy and Procedure.
• Assists in the review of new reimbursement / revenue cycle strategies for the purpose of ensuring compliance and promotion of best practices.
• Supports annual internal / external financial audits to ensure accuracy of valuations of net patient accounts receivables.
• Assists in the preparation of the annual Medicare TriCare and Medicaid reports.
• Collects and reviews data and documentation from the facility(s) necessary to file the appropriate Federal and State reports in a timely and compliant manner.
• Helps to ensure the filed reports are timely and compliant with all Federal and State regulations and guidelines.
• Assists with research of government reimbursement changes advocacy positions and issues related to government programs.
• Other regulatory net revenue AR and finance analysis as assigned.

Minimum Qualifications :

Preferred Qualifications :

Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care, community benefits and unreimbursed government programs. Together with our patients, physicians, partners, and communities, we are creating a more just, equitable, and innovative healthcare delivery system.