Sr Financial Analyst

MEDNAX   •  

Phoenix, AZ

Industry: Healthcare

  •  

5 - 7 years

Posted 59 days ago

This job is no longer available.

MEDNAX has grown from a single medical practice to a trusted health solutions partner with more than 10,000 employees and a presence in 50 states. Through our family of companies, we provide:

  • physician services spanning the continuum of patient care
  • revenue cycle management solutions
  • performance improvement consulting

We invite you to grow with us and help shape the future of health care.

Responsibilities

  • Responsible for coordinating all analytical, financial and systems support to the Managed Care Department and other departments as necessary.
  • Lead the analysis and provide primary recommendations for all changes in billed charges; manage the annual review and the individual changes done weekly/daily.
  • Extract and present reports from databases to be used in evaluating the performance of contracted par payors and commercial non-par payors.
  • Work with department and related areas to develop evaluation tools to meet operational needs for assessing performance of payors regarding compensation, payment errors, denials and favorable/unfavorable language.
  • Provide expert advanced financial analysis for the department.
  • Develop standardized analytical and reporting tools, leveraging various systems, to efficiently track and model various rate analyses
  • Integrate external market data (payor, gov’t, payor profitability, market share) and internal data to provide a comprehensive view of the environment for negotiators to leverage in their contracting with various payors.
  • Monitor the Federal Register for changes in Medicare RVUs and CMS coding guidelines. Serve as the company’s key resource for tracking changes and assess their impacts.
  • Obtain information on various payment methods and create reimbursement schedules based on contract specifications (i.e. Medicare RBRVS, St. Anthony’s conversion factors, Medicaid, percentage discounts).
  • Track capitation contracts including, their payments and performance.
  • Serve as a trainer and quality control expert for the Manager, Specialist and Coordinator staff in the regional offices.
  • Manage the national payor contracts including service questions from provider enrollment and patient accounts, annual renegotiations, language changes, and requests for compensation changes. Negotiation of favorable rates and language.
  • Liaison to information systems department on all hardware and software issues.
  • Liaison to information management department on all database issues.
  • Maintain documentation of tactical and actual contract terminations.
  • Maintain documentation of new contract performance expectations.
  • Any other duties as assigned.

Qualifications

  • Bachelor’s Degree in a related field is required or five years related experience
  • 5 years medical billing, patient accounting or managed care background; experience in health care financial management; ability to use information systems to produce management reports.
  • Supervisory experiencepreferred.
  • Proficiency in Word; advanced level skills in Excel, VBA, SQL database programs, and financialreport writing; excellent verbal and written communication skills; good organizational skills.

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