Children's Nebraska
Senior Net Revenue & Reimbursement Analyst
At Children’s Nebraska, our mission is to improve the life of every child through exceptional care, advocacy, research and education. As the state’s only full-service pediatric healthcare center, we provide comprehensive, holistic care to our patients and families—from primary and specialty care to behavioral health services and everything in between. Dedicated to a People First culture, we foster an environment with joy, belonging, wellbeing, learning and growth. Turn your passion into purpose and make a difference where it matters most. Remote work eligibility : This position can be a remote opportunity for those residing in states where Children’s is established: Nebraska (preferred), Iowa, Idaho, Georgia, Kansas, Missouri, North Carolina, or Tennessee. Overview
Subject matter expert on net patient revenue, setting reserves on patient accounts receivable, cost reporting, DSH reporting, and other agency reporting over net patient revenue and reimbursement. Oversees general ledger accounts and ensures accuracy of financial statements by maintaining records of assets, liabilities, profit and loss or other financial activities. Perform variance analysis and interpret results. Analyze financial data to prepare reports, analyses and forecasts. Lead projects and provide training and guidance to other staff members. Essential Functions
Cost Reporting: Coordinates preparation of all Medicare and Medicaid cost reports. Analyzes, interprets, and utilizes statistics maintained by the BI team for the cost reporting. Agencies and Surveys: Manages and prepares all DSH and other federal and state surveys. Verifies data for DME/IME payments and works with DHHS as needed. Coordinates with Graduate Medical Education office to ensure compliance with Resident reporting. Continually monitor changes in regulations and payment methodologies. Conducts research on Federal and State regulations/laws. Coordinates regulatory reimbursement audits of the hospital and represents the System. Responds to proposed audit adjustments. Revenue Cycle Analytics System, Analysis & Net Revenue Accounting: Manages Kodiak Revenue Cycle Analytics (RCA) systems, including system maintenance, reconciliations between systems, monthly reserve processes, and reporting. Estimates net patient revenue and manages the accounts receivable reserve. Reviews and updates EPIC mapping for new accounts, adjustment codes, payment codes, and other transactional mapping data. Ensures all systems are aligned. Records and reconciles gross revenue from the patient financial accounting system to accounting systems. Prepares journal entries, account reconciliations, and account analysis to maintain and reconcile the general ledger balances. Ensures accuracy of reimbursement calculations. Prepares and analyzes reports and communicates findings. Seeks efficiencies in processes and implements recommendations to improve accounting procedures. Works on special projects as needed. Engages constructively with various management levels. Maintains working knowledge of GAAP and ensures compliance with GAAP, governmental regulations, contractual obligations, and internal policies. Assists in maintaining and updating internal controls over financial reporting. Performs or assists in technical accounting research and implementation. Works with Revenue Cycle to analyze billing corrections, evaluate payment changes, and assess impact to the organization. Works with the Director of Managed Care to understand reimbursement issues and analyze payor contract changes. Coordinates with various areas in analysis of new departments, business changes, budgets, and related effects. Assists with consolidated forecasts and budgets, and analyzes trends in revenue, contractual adjustments and related areas. Education Qualifications
Bachelor’s Degree from an accredited college or university in Accounting or Finance (Required) Master’s Degree in Accounting or MBA (Preferred) Experience Qualifications
Minimum 4 years of experience in net patient revenue accounting and reimbursement functions (Required) Experience with cost reporting (Required) Experience working with financial systems (Required) Skills And Abilities
Cost reporting and reimbursement accounting experience Ability to communicate complex concepts clearly to non-finance users Strong systems analysis and problem-solving skills; ability to develop and implement new procedures Critical thinking, strategic planning, and project management abilities High sense of purpose, urgency, and strong analytical skills Ability to work under tight deadlines in a fast-paced environment with attention to detail Strong interpersonal skills; team player; ability to build relationships Fosters creativity and innovation; ability to implement change Experience teaching, mentoring and developing skill sets Ability to synthesize complex analytical data into reportable, understandable formats Strategic and forward-thinking; flexible and creative Articulate, collaborative and approachable Strong written and oral communication skills; GAAP knowledge Licenses and Certifications
CPA Preferred Children’s is an equal opportunity employer, embracing and valuing the unique strengths and differences of people. We cultivate an inclusive environment of respect and trust where we all belong. We do not discriminate based on race, ethnicity, age, gender identity, religion, disability, veteran status, or any other protected characteristic. Seniority level
Mid-Senior level Employment type
Full-time Job function
Finance and Sales Industries
Hospitals and Health Care
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At Children’s Nebraska, our mission is to improve the life of every child through exceptional care, advocacy, research and education. As the state’s only full-service pediatric healthcare center, we provide comprehensive, holistic care to our patients and families—from primary and specialty care to behavioral health services and everything in between. Dedicated to a People First culture, we foster an environment with joy, belonging, wellbeing, learning and growth. Turn your passion into purpose and make a difference where it matters most. Remote work eligibility : This position can be a remote opportunity for those residing in states where Children’s is established: Nebraska (preferred), Iowa, Idaho, Georgia, Kansas, Missouri, North Carolina, or Tennessee. Overview
Subject matter expert on net patient revenue, setting reserves on patient accounts receivable, cost reporting, DSH reporting, and other agency reporting over net patient revenue and reimbursement. Oversees general ledger accounts and ensures accuracy of financial statements by maintaining records of assets, liabilities, profit and loss or other financial activities. Perform variance analysis and interpret results. Analyze financial data to prepare reports, analyses and forecasts. Lead projects and provide training and guidance to other staff members. Essential Functions
Cost Reporting: Coordinates preparation of all Medicare and Medicaid cost reports. Analyzes, interprets, and utilizes statistics maintained by the BI team for the cost reporting. Agencies and Surveys: Manages and prepares all DSH and other federal and state surveys. Verifies data for DME/IME payments and works with DHHS as needed. Coordinates with Graduate Medical Education office to ensure compliance with Resident reporting. Continually monitor changes in regulations and payment methodologies. Conducts research on Federal and State regulations/laws. Coordinates regulatory reimbursement audits of the hospital and represents the System. Responds to proposed audit adjustments. Revenue Cycle Analytics System, Analysis & Net Revenue Accounting: Manages Kodiak Revenue Cycle Analytics (RCA) systems, including system maintenance, reconciliations between systems, monthly reserve processes, and reporting. Estimates net patient revenue and manages the accounts receivable reserve. Reviews and updates EPIC mapping for new accounts, adjustment codes, payment codes, and other transactional mapping data. Ensures all systems are aligned. Records and reconciles gross revenue from the patient financial accounting system to accounting systems. Prepares journal entries, account reconciliations, and account analysis to maintain and reconcile the general ledger balances. Ensures accuracy of reimbursement calculations. Prepares and analyzes reports and communicates findings. Seeks efficiencies in processes and implements recommendations to improve accounting procedures. Works on special projects as needed. Engages constructively with various management levels. Maintains working knowledge of GAAP and ensures compliance with GAAP, governmental regulations, contractual obligations, and internal policies. Assists in maintaining and updating internal controls over financial reporting. Performs or assists in technical accounting research and implementation. Works with Revenue Cycle to analyze billing corrections, evaluate payment changes, and assess impact to the organization. Works with the Director of Managed Care to understand reimbursement issues and analyze payor contract changes. Coordinates with various areas in analysis of new departments, business changes, budgets, and related effects. Assists with consolidated forecasts and budgets, and analyzes trends in revenue, contractual adjustments and related areas. Education Qualifications
Bachelor’s Degree from an accredited college or university in Accounting or Finance (Required) Master’s Degree in Accounting or MBA (Preferred) Experience Qualifications
Minimum 4 years of experience in net patient revenue accounting and reimbursement functions (Required) Experience with cost reporting (Required) Experience working with financial systems (Required) Skills And Abilities
Cost reporting and reimbursement accounting experience Ability to communicate complex concepts clearly to non-finance users Strong systems analysis and problem-solving skills; ability to develop and implement new procedures Critical thinking, strategic planning, and project management abilities High sense of purpose, urgency, and strong analytical skills Ability to work under tight deadlines in a fast-paced environment with attention to detail Strong interpersonal skills; team player; ability to build relationships Fosters creativity and innovation; ability to implement change Experience teaching, mentoring and developing skill sets Ability to synthesize complex analytical data into reportable, understandable formats Strategic and forward-thinking; flexible and creative Articulate, collaborative and approachable Strong written and oral communication skills; GAAP knowledge Licenses and Certifications
CPA Preferred Children’s is an equal opportunity employer, embracing and valuing the unique strengths and differences of people. We cultivate an inclusive environment of respect and trust where we all belong. We do not discriminate based on race, ethnicity, age, gender identity, religion, disability, veteran status, or any other protected characteristic. Seniority level
Mid-Senior level Employment type
Full-time Job function
Finance and Sales Industries
Hospitals and Health Care
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