Senior Transplant Medicare Cost Report Analyst

3 weeks ago

Minneapolis, United States Fairview Health Services Full time

Overview:

We at Fairview Health Services are seeking a driven Senior Financial Analyst to work in the Solid Organ Transplant specialty department This position is approved for 80 hour every two weeks, and is benefit eligible Some of the benefits we offer at Fairview include medical insurance - as low as $0, dental insurance - also a $0 option, PTO (up to 24 days per year starting), and 403B with up to a 6% employer match; visit fairview.org/Benefits/noncontract for more information about our benefits. This role does have the ability to work outside of Minnesota and candidates whom are non-MN residents are welcome to apply.

The Senior Financial Analyst will serve as the Solid Organ Transplant primary internal consultant responsible for providing critical analytical support for regulatory and financial implications of the Transplant components of the Medicare Cost Report (MCR).

Responsibilities/Job Description:

The Sr Financial Analyst maintains current knowledge of the Medicare Cost Report regulations related to SOT and uses that knowledge to ensure all data vital is present to assure accurate MCR reporting. Additionally, this position collaborates with SOT leadership in the reimbursement regulation and regulatory, operational and financial impacts of proposed operational decisions.

  • Assists Transplant Services and Finance to analyze, audit, review and update all charges for transplant services on a frequent basis including: Maintaining the Charge Master for Transplant Services with specified Finance staff. Ensures accuracy of charges pertaining to Organ Acquisition Charge, transplant evaluation, and the entire transplant episode. Ensures all costs are appropriately logged/reported for purposes of Cost Report preparation. Audits all post-transplant charges for appropriate flagging as transplant related for program financial reporting. Ensures that pre-transplant/evaluation phase charges are appropriate and in line with evaluation protocols; charges are appropriately billed to either the client account or the patients insurer. Assures that those billed to insurers are logged to be reported for MCR preparation purposes. Collaborates with the SOT Service Line Leadership, Revenue Cycle Manager of Transplant Finance and designated Finance staff to review outcomes of MCR audits including trends to ensure appropriateness and relationship to cost. Charges to be reviewed include at a minimum organ acquisition charges for all organs and clinic visit charges.
  • Tracks organs procured for organ transplantation and ensures accuracy of volumes on the MCR.
  • Collaborates with Finance staff and Managed Care Contracting staff to ensure accurate billing of accounts under global contracts/Center of Excellence agreements.
  • Responsible for time studies for all appropriate Transplant staff and physicians, including assuring completion by all required individuals, summarizing results, and submitting results to the MCR team.


Qualifications:
Required
  • Bachelor's Degree in Accounting, Finance, Business Administration, or other related field.
  • 3-5 years business related experience in the healthcare field
  • Excellent computer and internet skills including: Word, Excel, PowerPoint,
  • Knowledge of clinical terminology and ability to navigate the clinical electronic medical record to abstract clinical data for billing analysis
  • Knowledge of billing and coding for healthcare
  • Strong accounting, financial analysis and computer/database skills required.
Preferred
  • MBA
  • 5-10 years experience; health care setting preferred.
  • Solid understanding of Medicare and Medicaid rules of billing related to transplant services
  • Knowledge of UMMC-Fairview financial processes and programs preferred

We find those that exceed in this role exhibit these characteristics: High standard of creative prioritization skills and priority setting. Shown focus on customer service with every interaction. Excellent public relations and communication skills. Work as an effective team member with the goal of delivering outstanding care. Ability to use appropriate computer applications. Capable of working independently, demonstrate critical thinking skills. Comfortable accepting change and encouraging those around you to engage in ongoing process improvement. An understanding of Dignity, Integrity, Service, Compassion and Innovation.

When working at M Health Fairview, we want to support our employees growth, honor their strengths and give them the freedom to feel empowered to make a difference in the lives of others.

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