Reimbursement Analyst

LCMC Health We are a New Orleans-based, non-profit health system on a mission: to provide the best possible care for every person and parish in Louisiana and beyond, and to put a little more heart and soul into healthcare along the way. And that means we do things a little differently around here. Treating people like family is the LCMC Health way, and it always has been. Founded by Louisiana's first freestanding children's hospital, we have grown into a healthcare system that is built to serve the unique needs of our communities and families. Today, we offer six hospital locations: Children's Hospital New Orleans, East Jefferson General Hospital, New Orleans East Hospital, Touro, University Medical Center New Orleans, and West Jefferson Medical Center. We also offer a network of urgent care centers across the greater New Orleans area. With over 2,800 physicians specializing in everything from head to toe, our community can count on us to provide the right care, right where they need it. CHNOLA Children's Hospital of New Orleans is a leader in Pediatric care throughout the Southeast region. We are seeking a dynamic Job Title in the Department. The mission of making care available to all children has allowed Children's to grow as an organization. Children's Hospital is a 247-bed, not-for-profit medical center offering the most advanced pediatric care for children from birth to 21 years. With over 40 pediatric specialties and more than 400 physicians, it is the only full-service hospital exclusively for children in Louisiana and the Gulf South. We invite you to experience the magic of Children's Hospital. JOB DESCRIPTION: Why a Great Place to Work: You’re more than your job. Everyone is. And that’s what makes you great at your job—all the little extras you bring to work every day, the things that make you you. At LCMC Health we value those things about you, because we know that all those little extras add up to extraordinary. And we’ve built a culture that supports and celebrates the extraordinary. You’ll see it when you come to work here, in the spirit of our places and the faces of our people. And every patient we heal, every family we comfort, every life we improve is the outcome of countless little extras adding up to an extraordinary result. Join LCMC Health, and you’ll find that our everyday makes it easy to live your extraordinary. Essential Functions: The Reimbursement Analyst is responsible for compiling information needed for claims submissions. Reviews claims and assists with the annual cost report preparation and other reporting requirements. Ensures compliance with contractual or reimbursement-related agreements, maximizing organizational reimbursement, and, understanding variations in net revenue. Provides reimbursement patterns and trend analyses for various departments. Provides assistance to team members as required. Processes accounts receivable reports and checks for potential issues. Settles accounts receivable requests and billing issues. Prepares financial/reimbursement reconciliation. Develops techniques for effective analysis of billing and collections efforts. Responsible for working with medical schools regarding required GME time studies and providing analysis to required team or employees. Collects, analyzes, and reviews the time study data and provides financial reconciliation. Maintains physician time studies to ensures that the hospitals’ direct/indirect medical education reimbursement is maximized. Assists physicians in determining appropriate use of codes for maximizing reimbursement of services. Assists the leaders and team members with annual cost report preparation. Assists as needed with DSH/additional reporting and analysis requirements. Along with the leaders and team members, ensures filing of all the cost reports, GME/other reimbursement applications, DSH/other reports and any other regulatory requirements. Assists the leaders and team members with the completion of audit schedules for revenue, revenue deductions, patient accounts receivable and settlement receivables requested by the audit firm to ensure accuracy and timely completion. Serves as a resource to the members of the team and assists with special projects as needed. Assists in resolving third party denials received as well as reimbursement appeals and problems. Provides in- service training programs for departmental billing personnel and clinical faculty. Job Qualifications: Education: Bachelor’s degree in Accounting, Finance, or Business-related field preferred, but not required              Experience: 1 years of healthcare finance or business-related healthcare field preferred.  Medicare cost report or revenue cycle experience desired. License/Certification: CPA or MBA desirable, but not required Special Skills/Training: Strong analytical, advanced spreadsheet, and database skills.  Knowledge of health care reimbursement practices, regulatory requirements, and Medicare Cost report desired.  Working knowledge of EPIC, Lawson, Workday systems a plus.  Excellent written and verbal communication skills and ability to interact professionally with management and leadership throughout the system.  Able to work independently and meet firm deadlines.  The above job summary is intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary. WORK SHIFT: Variable Hours (United States of America) This job description is intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary. LCMC Health is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law. Application for Employment It is the policy of all member hospitals and facilities of the LCMC Health System (Louisiana Children’s Medical Center, Children’s Hospital of New Orleans, Touro Infirmary, University Medical Center New Orleans, New Orleans East Hospital, and West Jefferson Medical Center as well as its centers of health care and physician services, East Jefferson General Hospital, Woldenberg Village, Crescent City Physician Inc., and New Orleans Physician Services) to provide equal employment opportunities for all employees and applicants without regard to race, color, religion, sex, age, national origin, citizenship, marital status, gender identity, sexual orientation, veteran status, physical or mental disability, or any other protected status in regard to any position for which the employee or applicant may qualify. Instructions to Applicant 1. You must fully and accurately complete the Application for employment. Incomplete applications will not be considered. LCMC Health and its members may use the information given in the application to investigate the applicant's previous employment and background. 2. The Application for Employment will be considered inactive after 180 days. If you wish to be considered after that time, you must complete a new Application for Employment. 3. If you are hired, proof of citizenship or immigration status will be required to verify your lawful right to work in the United States. About LCMC Health One-of-a-kind care comes from one-of-a-kind people. At LCMC Health, our people are the magic ingredient that makes our care so extra-extraordinary. We are compassionate, driven, and dedicated to bringing a little something extra to healthcare and to the people of New Orleans and beyond. If you’re the kind of person who believes that our community deserves the best and that healthcare needs a little more heart, we want you to be a part of our family. From medical roles to administrative positions, every person on our team plays a part in our mission: to provide health, care, and education beyond extraordinary. Let’s make every day extraordinary, together.