Analyst, Reimbursement III

MAJOR JOB DUTIES AND TASKS:

Percentage

Of Time:

1. Monthly analysis and valuation of net patient services revenue

1. Interim updating of Medicare and third party settlement liabilities

1. Quarterly evaluation of net patient accounts receivable and adjustments as

required

1. External Audit resource for documentation needed to audit net patient

revenue and net patient accounts receivable valuation

1. Prepare cost reports for Regions and HealthPartners affiliates

1. Assist the Reimbursement Manager with Medicare audit support as needed

1. Assist the Reimbursement Manager with the preparation of Medicare appeal
2. Documentation and position paper preparation as needed

1. Modeling of Net Revenue Reimbursement for Medicare & Medicaid

1. Auditing of Decision Support System reimbursement and costing

1. Analysis of regulatory and program changes using decision support system

1. Filing of annual Department of Health Hospital Annual Report based on existing

State of Minnesota regulations

1. Filing of annual Department of Health Medical Education and Research Cost

grant application based on existing State of Minnesota regulations

1. Completion of trade association survey data related to patient services revenue

and statistical data available from regular analytical records

1. Preparation of assumption driven inpatient and outpatient gross revenue,

contractual allowance and net patient services revenue budget based on

historical data and business volume changes as communicated by management

direction

1. Prepare analysis for mid year forecasting of net revenue