Director of Budget, Reimbursement and Financial Analysis Job in Warsaw 14569, New York Us
Wyoming County Community Health System
Director of Financial Planning Analysis
Job Description
JOB SUMMARY
Develops, plans, directs and manages the programs, policies and activities of the financial and reimbursement services department that support appropriate maximization of revenue/reimbursement and efficient operation of the billing / reimbursement function.
Primary responsibilities include but are not limited to developing financial planning and accounting practices particularly as it relates to patient accounts, billing, accounts receivable, business office operations, patient registration, financial reimbursement, cost reporting and materials management.
Also accountable for assisting the Chief Financial Officer in assuring all organizational financial planning and management in performed in accordance with Generally Accepted Accounting Principles (GAAP) issued by the Financial Accounting Standards Board (FASB), and other regulatory and advisory organizations.
ESSENTIAL FUNCTIONS, DUTIES, AND RESPONSIBILITIES
The following statements reflect the duties considered necessary to describe the essential functions of the job as identified and shall not be considered as a detailed description of all the work requirements that may be inherent in this position.
1. Assists in planning, directing and coordinating all organizational financial policies and plans related to cost accounting, reimbursement, governmental and insurance company reporting requirements consistent with strategic plans, goals and objectives.
2. Consults with and advises the Chief Financial Officer on problems and opportunities relating to financial operations and support services and recommends changes to administrative policies to implement objectives more effectively particularly as they relate to patient registration, billing, accounts receivable, cost reporting and related governmental and payer reporting requirements.
3. Provide oversight and management to the Business Office. The individual must be familiar with billing practices and regulations and accounting in a healthcare environment and Medicaid, Medicare, NYS Department of Health and related regulations as they relate to billing and financial management. The position is expected to maintain current knowledge of these regulations and standard practices and advise the entity on changes in policy and practices that may be required as well as financial implications to the entity of proposed or finalized changes to these practices or regulations.
4. Assure appropriate maintenance of billing and cost information including the entity’s Charge Master.
5. Prepare using an appropriately developed and management approved process, in conjunction with accounting staff, the annual budget and perform appropriate analysis of current and anticipated expenditures and revenue included in the budget.
6. Assists in the regular review and investigation of budget to actual variances. Continue the improvement of the budgeting process through education of department managers on financial issues impacting their budgets.
7. Provides finance department support and advice to the Patient Accounts and Billing Department related to matters of policy, procedure and DOH, Medicare, Medicaid and other insurance payor requirements.
8. Prepares and submits timely monthly financial adjustments as required related to reimbursement revenue and liabilities resulting from billing, billing adjustments and amounts due to / due from Medicaid, Medicare, DOH and others in order to assure the reflection of appropriate income, expenditures and capital asset values in the entities financial statements.
9. Responsible for the preparation of and affects the timely filing of all federal, state, local, third party and other financial and other informational reports (including but not limited to the entities annual ICR and Long Term Care facilities RHCF-2 cost reports, supplemental mental health cost report as well as annual BudCap (Budgeted Capital report) as required.
10. Ability to evaluate and analyze cost report information and file rate appeals, respond to informational requests on reports submitted as appropriate and monitor status and timely follow-up on these items.
11. Assists in the development of financial and budget information for grant requests, Certificate of Need (CON) filings and subsequent grant and CON reporting requirements.
12. Prepares and performs cost studies to gauge the impact of human resource policies and programs such as employee benefit additions or changes, general salary adjustments, etc.
13. Assist the Chief Financial Officer in ensuring that the programs, policies, practices and processes associated with meeting the strategic and operational financial issues of the organization are met. Assures that pertinent data is maintained and status reports are prepared. Assures that plans are developed, implemented and monitored to improve quality in areas identified as opportunities for improvement.
14. Consults with and provides counsel to the Chief Financial Officer regarding various strategic options under consideration, to include an evaluation of the operational and financial implications of the various options.
15. Complies with periodic internal audit, audit and corporate compliance requests to document compliance with financial goals and objectives, organizational policy and regulatory requirements.
16. Responsible for assisting in the development and implementation of all reimbursement policies and processes to effectively and legitimately maximize reimbursement.
17. May represent the organization with regard to communications and negotiations with Medicaid, Medicare, other payors, patient accounts management, and community contacts.
18. Maintains an appropriate knowledge base of issues related to Medicaid and Medicare regulations and related cost report preparation regulations.
19. Develops and makes presentations related to financial information, policies and procedures and related items to management and staff in support of CFO
20. Provides input and support related to special projects, analysis and related requests of the CFO.
21. Responsible for compliance with accrediting bodies, NYSDOH, other regulatory agency recommendations and standards and all federal, state and local laws and regulations.
22. Serve on management teams to foster opportunities for collaboration, efficiency and mutual support.
23. Ability to maintain confidentiality within the organization and externally related to business matters as well as HIPAA related confidentially matters.
24. Ensures that timely performance evaluations are carried out within all areas of responsibility. Addresses issues/concerns with employees and develops plan of correction if necessary.
25. Promotes computer competency within the reporting functions/units as outlined in the organizational chart.
26. Maintains professional affiliations and enhances professional growth and development by keeping abreast of the latest developments in appropriate area(s) of expertise through seminars, workshops, conferences, continuing education, etc.
27. Serves on organizational committees and task forces as appropriate.
28. Follows established department and organization policies, procedures, objectives, quality management, safety, environmental and infection control. Demonstrates understanding of behaviors consistent with the Hospital Mission, Vision, Goals and Values. Recognizes the importance of customer satisfaction. Develops appropriate behaviors and attitudes regarding exceeding customer expectations. Adheres to Standards of Performance and promotes same within staff supervised.
29. Maintains a neat, clean, and safe work environment.
30. Performs other duties as requested.
Supervisory Responsibilities
Responsible for the overall direction, coordination, and evaluation of the departments/functions outlined in the organizational chart. Carries out supervisory responsibilities in accordance with the organization’s policies and applicable laws. Responsibilities in support of the CFO include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
QUALIFICATIONS
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
EDUCATION AND EXPERIENCE REQUIRED (Minimum)
Bachelor’s Degree in Accounting, Business Management or related area and five (5) years of broad based financial management and reimbursement policies and strategies experience, three (3) of which must be in healthcare at the management level; experience with Medicaid, Medicare and related cost reporting requirements and/or equivalent combination of education and experience.
Comprehensive understanding of the regulatory, legislative, economic and labor challenges facing the healthcare industry, with the ability to develop creative and effective initiatives to address these challenges.
Understands the clinical delivery system and can integrate the financial principles to formulate and promote sound business strategy.
Understands and develops targets, benchmarks, ratios, reimbursements that meet strategic goals and monitoring and correcting performance variances. Applies financial forecasting, budgeting, analysis, trending, ROI to analyze acquisitions, disposals and start-ups for financial viability and alignment with strategic objectives.
Strong proficiency using Microsoft Office (Word, Excel, Powerpoint, Access).
Strong process orientation.
Ability to provide vision and leadership. A decisive individual who possesses a strategic focus as well as an operational, implementation and detail oriented perspective.
Ability to resolve conflict through persuasive and effective communications and concensus building. Able to work collaboratively within large and small groups, as well as one on one in order to achieve desired results.
Ability to manage numerous projects simultaneously to include resource allocation and acquisition, scheduling, managing budgets, coaching and training.
LANGUAGE SKILLS
Ability to read, analyze, and interpret the most complex documents. Ability to respond effectively to the most sensitive inquiries or complaints. Ability to develop presentations for management explaining the results of research or analysis performed.
ANALYTICAL AND REASONING ABILITY
Ability to work with appropriate mathematical concepts. Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret and extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables.
RESIDENCY
Must be a New York State resident
Benefits - New York State retirement; fully funded health insurance and a generous paid time off program!
For more information and to complete an employment application, go to www.wcchs.net.
Send or fax application and resume to:
Wyoming County Human Resources
Thomson Hall
338 North Main Street
Warsaw, NY 14569
Fax 585-786-1293