Director Decision Support
Crozer-Keystone Health System
PA
hace 58 días

Finance responsibilities :

1.Support revenue calculations and journal entries for the monthly financial close process.

2.Assist with calculations of net revenue on all Cyberknife cases as needed. 5.

3.Assist with variance reports for all hospital entities with explanations on both inpatient and outpatient revenue for the month.

4. Provide Profit / Loss statements for new programs and / or existing programs as requested by Senior Management.

5.Provide net revenue calculations as requested for various services.

Cost Accounting responsibilities :

1.Insure integrity of cost data on a monthlybasis.

2.Work with Cost Analyst to insure that the process is on schedule with monthly downloads and uploads.

3.Review allocations of expense to appropriate departments as necessary.

4.Review and validate reconciliations on a quarterly basis to the General Ledger for expense and Financial statements for revenue.

5.Review and validate segment reporting for the different sites on a quarterly basis.

Managed Care responsibilities :

1.Assist Corporate Managed care with analysis on payer contracts and negotiations.

2.Provide detail reports of payer activity in order to compare proposed rates to the current rates

utilizing Med Assets Contract Modeler.

3.Provide reimbursement analysis on specific programs and / or services as requested based on current contract rates.

Physician Contracts / Global reimbursements :

1.Issue all check requests related to Physician contracts for Administrative and management duties as stated in the contracts for payment by Accounts Payable.

2.Compile global reimbursement detail as provided by the various Physician practices. Review data and calculate reimbursements on a monthly basis.

Provide the detail to Cost Accounting for upload into the Cost system.

3.Prepare PIP analysis for the Radiology groups on a semi-annual basis for comparison to the monthly PIP payments based on estimated volume vs.

actual volume. Make appropriate adjustments to the Radiology groups reimbursement to settle any difference after validation from their billing companies.

4.Calculate capitation reimbursements based on the negotiated rates in their contracts for per member per month detail as supplied by KHPE and Aetna cap reports on a monthly basis.

5.Calculate reimbursement for the various Physician groups based on established fee schedules for the Employee self-insured health plans.

Rates are applied based on actual activity each month for the services provided within the health system.

Other responsibilities :

1.Review and approve all CDM maintenance. Provide mapping of codes to the IT department for grouping on various reports and metrics.

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