About Us
McLaren Health Care is a fully integrated health network committed to quality, evidence-based patient care with locations in Michigan and Indiana. The McLaren system includes 13 hospitals in Michigan, ambulatory surgery centers, imaging centers, a primary and specialty care physician network, commercial and Medicaid HMOs, home health, infusion and hospice providers, pharmacy services, a clinical laboratory network and a wholly owned medical malpractice insurance company. McLaren operates Michigan’s largest network of cancer centers and providers, anchored by the Karmanos Cancer Institute, one of only 53 National Cancer Institute-designated comprehensive cancer centers in the U.S.
Revenue Cycle Analyst II
Position Summary:
Responsible for assisting in the compiling of complex reimbursement data to support management decision making and internal and external reporting for assigned subsidiaries. Assists in coordination of reimbursement functions related to the strategic financial planning process. Preparation and analysis of third-party reimbursement activity for month end and year end. Participates in reimbursement issues related to change in billing practices (i.e. provider based vs. freestanding), changes in Tax Ids, new business ventures, Certificate of Need applications (CONs), forecasts and annual budgets.
Essential Functions and Responsibilities:
1. Prepares and or reviews the schedules required to support the submission of Medicare, Medicaid and Blue Cross cost report, complying with regulations. Analyzes third party cost report changes from prior years, investigating differences.
2. Assists in preparing monthly contractual model and providing thorough analysis of the monthly contractual allowances for assigned subsidiaries. Investigates and makes recommendations for updates to assumptions and/or methodology.
3. Maintains adequate reserve position by complete monthly reserve analysis identifying and reporting any increase or decrease from previously stated reserve position.
4. Provides projections and analytical support during the fiscal year budgeted net revenue preparation as assigned.
5. Researches and keeps abreast of third-party regulations and changes, providing analytical support through financial impact summarization. Estimates the financial impact any changes in payment assumptions and/or budget assumptions may have on the subsidiary and communicates as directed.
Qualifications:
Required:
·
Bachelor’s
degree in finance, accounting or related field.
·
Three
(3) years of experience in a progressively more responsible reimbursement or
finance role with reimbursement responsibilities.
Preferred:
·
CPA or
MBA preferred.
Equal Opportunity Employer of
Minorities/Females/Disabled/Veterans.
Equal Opportunity Employer
McLaren Health Care is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identification, age, sex, marital status, national origin, disability, genetic information, height or weight, protected veteran or other classification protected by law.
