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Aetna
Sr Analyst Financial – 002NR0
Responsibilities
- Conducts complex and critical studies and analyses.
- Analyzes, verifies, tracks, authorizes and reports on complex financial indicators (registration dates, accounts receivables, account coding and charging, cash flow, budgets, GL, P&L, statistical data and reserves).
- Reports results monthly, quarterly, year to date or year/year on departmental requests, as directed.
- Researches, tracks and reports statistical variances. Identifies and investigates issues.
- Designs, develops and modifies systems and procedures to enhance departmental processing, as needed.
- Maintains proprietary databases including data integrity, timeliness of data input and accuracy of data.
- Conducts internal audits involving coding, charging, reimbursements, etc. to ensure compliance with departmental policies and procedures and state and federal regulations. Serves as audit team lead, as directed.
- Maintains compliance with various state, federal and industry standards and regulations.
- Leads Financial Analysts and other support staff in completion of projects and duties.
- Troubleshoots problems and researches variance causation. Interprets data and recommends appropriate course of action.
- Performs related duties, as required.
Qualifications
REQUIRED EXPERIENCE AND QUALIFICATIONS
• Bachelor’s Degree in Accounting, Finance or related field, required.
• Minimum of four (4) years related financial experience, required.
• Maintains current knowledge of various state, federal and industrial standards and regulations.
• Knowledge of departmental systems and procedures.
• Advanced proficiency in Excel, and proficiency with Access databases, required.
• Experience in the healthcare industry strongly preferred. Experience within reimbursement preferred.
• Experience with Access or similar relational databases strongly preferred.
Finance Job Family: NCP_AF
Job: Finance
Primary Location: Nassau County-Westbury-972 Brush Hollow Rd
Schedule: Full Time
Shift: Day Job
Shift Begin Time-Shift End Time: 9:00 AM-5:00 PM
Job Level: Team Member
https://nshs.taleo.net/careersection/2/jobdetail.ftl?lang=en&job=002NR0&src=DS-15760
Posted 11/11/2019
Analyst Financial – 002RV3
At North Shore-LIJ, transforming care means empowering you to go as far as your talent and ambition will take you. Putting the patient at the center of everything we do, fostering change and promoting creativity to inspire you to achieve amazing things. Knowing that, regardless of your role, you have the opportunity to make a difference in our patients’ lives, every day. Consider transforming your career and joining us now.
As a Financial Analyst you will analyze, verify process and report routine financials as required by the department.
Responsibilities Include:
Analyzes, verifies, tracks and reports on routine financial indicators (registration dates, accounts receivables, account coding and charging, cash flow, budgets, GL, P&L, statistical data and reserves).
Reports on results on a monthly, quarterly and/or annual basis.
Tracks and reports on statistical variances. Reports discrepancies to Manager.
May design, develop and modify systems and procedures to enhance departmental processing, as needed.
Maintains proprietary databases including data integrity, timeliness of data input and accuracy of data.
Participates in internal audits involving coding, charging, reimbursements, etc. to ensure compliance to departmental policies and procedures and state and federal regulations, as needed.
Maintains compliance with various state, federal and industry standards and regulations.
Performs related duties, as required.
Qualifications-
Bachelor’s Degree in Accounting, Finance or related field, required.
Prior financial or accounting experience, preferred.
Proficiency in Excel, required.
Finance Job Family: NCP_AF
Job: Finance
Primary Location: Nassau County-Westbury-972 Brush Hollow Rd
Schedule: Full Time
Shift: Day Job
Shift Begin Time-Shift End Time: 9:00 AM-5:00 PM
Job Level: Team Member
https://nshs.taleo.net/careersection/2/jobdetail.ftl?lang=en&job=002RV3&src=DS-15760
Posted 11/11/2019
Position Summary
At Stony Brook Medicine, the Charge Description Master Analyst is responsible for the development, implementation, maintenance, review and audit of the Hospital Charge Description Master to optimize revenue generation and maintain compliance with State, Federal and third party payer regulations and requirements across the health system.
It is expected the incumbent will be a CDM software (Craneware) super-user. Qualified candidate will have the ability to perform retrospective and concurrent charge capture audits utilizing both software tools and/or E.M.R. and documentation review.
Duties of a Charge Description Master Analyst may include the following but are not limited to:
- Provide charging advice, support and education to Hospital departments, affiliates and other stakeholders
- Utilization of coding guidelines, billing and payment regulations, and third party contracts, as well as the Hospital inventory management system, electronic medical record and departmental documentation programs
- Continually interact with Hospital department staff to ensure that all chargeable procedures, treatments, supplies and implants are appropriately charged
- Engage with service department staff and affiliates to develop and maintain audit programs which reconcile services performed to charges captured
- Work with Information Technology and service departments to develop testing and monitoring strategies to support the implementation of new charge capture systems and methodologies
- Utilize the hospital’s charge master maintenance software (Craneware) to maintain the integrity of the charge master and ensure adherence to hospital policy with respect to pricing and materiality
- Perform retrospective and concurrent charge capture audits utilizing both software tools and/or E.M.R. and documentation review
- May assist in the resolution of pre-billing charging issues and post-payment charge related denials
- Assist in system configuration and maintenance
- Act to support service departments and interfacing with vendor technical support as needed
- May assist in the resolution of pre-billing charging issues and post-payment charge related denials
- Other duties as assigned
Qualifications
Required Qualifications:
- Bachelor’s degree in Nursing, Accounting/Finance, Health Information Management, Health Administration, Computer Science or related field and at least 3 years of experience in charge master maintenance, analysis, audit or review
- ORAssociates degree in Nursing, Accounting/Finance, Health Information Management, Health Administration, Computer Science or related field plus relevant professional certification or licensure (CCS, CCS-P, CPC, CCDS, RHIA or RHIT certification) and at least 5 years of experience in charge master maintenance, analysis, audit or review.
- Working knowledge of CPT, HCPCs and ICD-10 coding principles.
- Proficient in Microsoft Excel.
- Excellent written and verbal communication skills.
Preferred Qualifications:
- Bachelor’s degree in Nursing, Accounting/Finance, Health Information Management, Health Administration, Computer Science and CCS, CCS-P, CPC, CCDS, RHIA or RHIT certification.
- Experience with inpatient and outpatient billing requirements (UB-04) and CMS Medicare and New York Medicaid reimbursement methodologies.
- Knowledge of other governmental and third party payer reimbursement methodologies.
- Proficiency in the use of Craneware Active Charge Master Toolkit, Pharmacy Chargelink, Supplies Chargelink and/or Bill Analyzer.
- Experience in Revenue Cycle Operational areas including: coding, revenue integrity, patient accounting and/or reimbursement.
- Operating Room supply-chain, procurement experience.
- Healthcare delivery, operations or administration experience in an Academic Medical Center.
Special Notes:
This position will remain posted until filled or for 90 days max.
An initial review of all applicants will occur two weeks from the posting date.
For full consideration, applications must be received before the initial review
date (which is within two weeks of the posting date). If within the initial
review no candidate was selected to fill the position posted, additional
applications will be considered for the posted position; however, the posting
will close once a finalist is identified, and at minimal, two weeks after the
initial posting date. Please note, that if no candidate were identified and
hired within 90 days from initial posting, the posting would close for review,
and possibly reposted at a later date.
Stony Brook Medicine is a smoke free environment. Smoking is strictly prohibited anywhere on campus, including parking lots and outdoor areas on the premises.
All Hospital positions are subject to changes in pass days and shifts as necessary. This position may require the wearing of respiratory protection, which may prohibit the wearing of facial hair.
The selected candidate must successfully clear a background investigation. Prior to start date, the selected candidate must meet the following requirements: Successfully complete pre-employment physical examination and obtain medical clearance from Stony Brook Medicine’s Employee Health Services (The hiring department will be responsible for any fee incurred for examination), submit (3) written references, and provide a copy of any required New York State license(s)/certificate(s). Please be advised that failure to comply with any of the above requirements could result in a delayed start date and/or revocation of the employment offer.
The best ideas in medicine start with the best people. At Stony Brook Medicine, our highest calling is to put the power of ideas to work in our patients’ lives. Stony Brook Medicine integrates and elevates all of our health-related initiatives: education, research and patient care. Stony Brook Medicine is Long Island’s premier academic medical center. With 603 beds, we serve as the region’s only tertiary care center and Level 1 Trauma Center, and are home to the Stony Brook Heart Institute, Stony Brook Cancer Center, Stony Brook Children’s Hospital, Stony Brook Neurosciences Institute, and Stony Brook Digestive Disorders Institute. We also encompass Suffolk County’s only Level 4 Regional Perinatal Center, state-designated AIDS Center, state-designated Comprehensive Psychiatric Emergency Program, state-designated Burn Center, the Christopher Pendergast ALS Center of Excellence, and Kidney Transplant Center. It is home of the nation’s first Pediatric Multiple Sclerosis Center.
Stony Brook University is committed to excellence in diversity and the creation of an inclusive learning, and working environment. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, pregnancy, familial status, sexual orientation, gender identity or expression, age, disability, genetic information, veteran status and all other protected classes under federal or state laws.
This function/position has been designated as “essential.” This means that when the Hospital is faced with an institutional emergency, employees in such positions may be required to remain at their work location or to report to work to protect, recover, and continue operations at Stony Brook Medicine, Stony Brook University Hospital and related facilities.
Pursuant to Executive Order 161, no State entity, as defined by the Executive Order, is permitted to ask, or mandate, in any form, that an applicant for employment provide his or her current compensation, or any prior compensation history, until such time as the applicant is extended a conditional offer of employment with compensation. If such information has been requested from you before such time, please contact the Governor’s Office of Employee Relations at (518) 474-6988 or via email at info@goer.ny.gov.
IF YOU NEED A DISABILITY-RELATED ACCOMMODATION,
PLEASE CALL THE UNIVERSITY HUMAN RESOURCE SERVICES DEPARTMENT AT (631) 632-6161
OR THE UNIVERSITY HOSPITAL HUMAN RESOURCES DEPARTMENT AT (631) 444-4700.
IN ACCORDANCE WITH THE TITLE II CRIME AWARENESS AND SECURITY ACT, A COPY OF OUR
CRIME STATISTICS IS AVAILABLE UPON REQUEST BY CALLING (631) 632-6350. IT CAN
ALSO BE VIEWED ON-LINE AT THE UNIVERSITY POLICE WEBSITE AT http://www.stonybrook.edu/police
Posted 02/12/2019
Finance Manager – Northwell Health, Inc.
Job Description
You will be involved with preparing and reviewing various portions of both internal and external financial reporting. You will be heavily involved with Northwell’s OMB Uniform Guidance audit related to federal grants, including the preparation of the Schedule of Expenditures of Federal Awards and working with the Grant Management Office with regard to maintaining compliance with federal grant requirements. In addition, you will be involved with assisting to meetNorthwell’s various external reporting requirements, which may include the preparation and issuance of quarterly financial statements and Management’s Discussion and Analysis documents, the preparation of annual audited financial statements and related disclosures for both Northwell and its various pension plans, and other required filings. You may also be responsible for managing staff and performing and reviewing various monthly internal accounting, including monthly financial statements, variance analyses, account analysis, etc.
Responsibilities include
- Assists with monitoring continuing compliance with federal grant awards
- Maintains routine records related to federal grant awards
- Prepares the Schedule of Expenditures of Federal Awards for the OMB Uniform Guidance audit annually and serves as main Finance contact with external auditors related to this audit
- Assists with the preparation of externally issued financial statements and GAAP-required footnote disclosures quarterly
- Assists with the preparation of pension plan financial statements annually
- Assists in the coordination and managing of financial statement and pension plan financial statement audits
- Performs realization analyses of accounts receivable
- Coordinates with various locations and departments for compiling financial statement data
- Oversees and assists with the preparation of monthly internal financial statements and analysis. Provides variance explanation to administration, as necessary.
- Maintains responsibility for the general ledger, journal entries made to the general ledger, including reviewing and/or posting entries
- Prepares account analysis regarding certain general ledger accounts on a timely basis
- Performs ad hoc analyses on an as need basis
- Assists in the management and supervision of staff and oversees quality of work. Contributes to performance evaluations
Qualifications
- Bachelor’s Degree in Accounting required
- Minimum of five (5) years financial and accounting experience, including prior supervisory experience, required
- Grant audit/accounting experience or experience with either preparing or auditing information for OMB Uniform Guidance audits required
- Knowledge of Generally Accepted Accounting Principles (GAAP) required
- Proficiency in Microsoft Excel required
Interested candidates should apply via the link below:
https://nshs.taleo.net/careersection/2/jobdetail.ftl?lang=en&job=002UA3&src=DS-15760
Posted 02/12/2019
