Children's Wisconsin
Senior Financial Analyst - Revenue Integrity
Children's Wisconsin, Milwaukee, Wisconsin, United States, 53244
Overview
Children’s Wisconsin has an opportunity for a Senior Financial Analyst - Revenue Integrity on our team. Location: Remote (Milwaukee Area Preferred). What you will do
Under general direction, perform a variety of complex financial reporting and general ledger functions relative to entities within CHHS to assure accurate charging and receivable balances. Support special projects in the areas of pricing and complete and submit external surveys for the hospitals. Keeps current on third party regulatory changes and contractual reimbursement rates. Prepare Hospitals’ month end contractual accruals, review unbilled and inhouse accounts, analyze reports and transactions in the billing system for missing or incorrectly calculated contractuals reported in Epic at month end, and propose related journal entries to ensure accurate general ledger reporting. Prepare monthly contractual variance analysis including payer mix, financial class changes, large or unusual transactions, and reasonableness of contractuals by payer. Lead the monthly contractual close meeting with a structured analysis for overall contractual and settlement reporting. Prepare related accounts receivable reconciliations to the general ledger. Prepare Epic Professional Billing month end contractual accruals for all CHHS entities, review variances, payer mix and allowance trending data, and provide insight into monthly variances. Prepare, edit and post journal entries as needed. Conduct monthly system balancing and reconciliations for charges, payments and adjustments between Epic and Workday’s General Ledger. Communicate variances to leadership and obtain sign-off. Prepare interim and annual audit workpapers to support A/R and contractual balances; provide variance explanations and maintain leadership review sign-off documentation. Act as liaison to external auditors and the reimbursement team. Provide tracking for third party settlement recognition in the general ledger. Prepare monthly bad debt hindsight analysis and related year-end audit workpapers. Assist in the charge creation process for requests from the Chargemaster team and the Surgicenter of Greater Milwaukee. Assist with the preparation of CMS provider-based attestation packets and filing, including data gathering of required process flow and financial documentation, operational narratives and other clinical department policies and procedures. Prepare and submit monthly statistical and annual WHA survey reporting and annual CHA survey reports; assist with additional external reporting as needed (e.g., Form 990 and Goldman Sachs). Maintain a general understanding of billing and accounting systems and act as liaison between Revenue Cycle, Managed Care and Finance department staff regarding data needed to assess billing operations. What you will need
Bachelor's Degree; extensive knowledge of accounting and financial analysis principles, theories, and techniques of accounting. 5+ years progressively responsible work experience with direct financial analyst experience. Proficiency in Microsoft Excel and other software applications used to assemble, manipulate and/or format data and/or reports. Previous experience with and working knowledge of Epic and Workday preferred. Analytical ability to find solutions to accounting problems. Licenses and Certifications
CPA (Certified Public Accountant) – State of Wisconsin preferred Equal Opportunity
Children's Wisconsin is an equal opportunity / affirmative action employer. We are committed to creating a diverse and inclusive environment for all employees. We treat everyone with dignity, respect, and fairness. We do not discriminate against any person on the basis of race, color, religion, sex, gender, gender identity and/or expression, sexual orientation, national origin, age, disability, veteran status, or any other status or condition protected by the law.
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Children’s Wisconsin has an opportunity for a Senior Financial Analyst - Revenue Integrity on our team. Location: Remote (Milwaukee Area Preferred). What you will do
Under general direction, perform a variety of complex financial reporting and general ledger functions relative to entities within CHHS to assure accurate charging and receivable balances. Support special projects in the areas of pricing and complete and submit external surveys for the hospitals. Keeps current on third party regulatory changes and contractual reimbursement rates. Prepare Hospitals’ month end contractual accruals, review unbilled and inhouse accounts, analyze reports and transactions in the billing system for missing or incorrectly calculated contractuals reported in Epic at month end, and propose related journal entries to ensure accurate general ledger reporting. Prepare monthly contractual variance analysis including payer mix, financial class changes, large or unusual transactions, and reasonableness of contractuals by payer. Lead the monthly contractual close meeting with a structured analysis for overall contractual and settlement reporting. Prepare related accounts receivable reconciliations to the general ledger. Prepare Epic Professional Billing month end contractual accruals for all CHHS entities, review variances, payer mix and allowance trending data, and provide insight into monthly variances. Prepare, edit and post journal entries as needed. Conduct monthly system balancing and reconciliations for charges, payments and adjustments between Epic and Workday’s General Ledger. Communicate variances to leadership and obtain sign-off. Prepare interim and annual audit workpapers to support A/R and contractual balances; provide variance explanations and maintain leadership review sign-off documentation. Act as liaison to external auditors and the reimbursement team. Provide tracking for third party settlement recognition in the general ledger. Prepare monthly bad debt hindsight analysis and related year-end audit workpapers. Assist in the charge creation process for requests from the Chargemaster team and the Surgicenter of Greater Milwaukee. Assist with the preparation of CMS provider-based attestation packets and filing, including data gathering of required process flow and financial documentation, operational narratives and other clinical department policies and procedures. Prepare and submit monthly statistical and annual WHA survey reporting and annual CHA survey reports; assist with additional external reporting as needed (e.g., Form 990 and Goldman Sachs). Maintain a general understanding of billing and accounting systems and act as liaison between Revenue Cycle, Managed Care and Finance department staff regarding data needed to assess billing operations. What you will need
Bachelor's Degree; extensive knowledge of accounting and financial analysis principles, theories, and techniques of accounting. 5+ years progressively responsible work experience with direct financial analyst experience. Proficiency in Microsoft Excel and other software applications used to assemble, manipulate and/or format data and/or reports. Previous experience with and working knowledge of Epic and Workday preferred. Analytical ability to find solutions to accounting problems. Licenses and Certifications
CPA (Certified Public Accountant) – State of Wisconsin preferred Equal Opportunity
Children's Wisconsin is an equal opportunity / affirmative action employer. We are committed to creating a diverse and inclusive environment for all employees. We treat everyone with dignity, respect, and fairness. We do not discriminate against any person on the basis of race, color, religion, sex, gender, gender identity and/or expression, sexual orientation, national origin, age, disability, veteran status, or any other status or condition protected by the law.
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