Organ Transp Business Analy Sr

Position Summary / Career Interest:

Senior Business analyst position for a professional with extensive knowledge in transplant or Medicare reimbursement. Able to work independently and direct others. Applies specialized business acumen to perform functions or oversee charging, collections and administration of pre transplant accounts and department budgets. Understands and reviews all processes for charging, billing and getting paid for transplant services. Serves as resource to department on financial reimbursement and budget variance management.


Responsibilities and Essential Job Functions

• Enters charges or assures charging to the patient account for organ acquisition fee at the time of transplant.
• Review of the pre transplant hospital services bulk account that accumulates organ acquisition facility charges to assure these are organ acquisition expenses.
• Monthly review of all transplant department cost center accounts to assure appropriate allocation of pre transplant, post transplant and non transplant expenses.
• Tracking of number and type of organs donated and provided to the organ procurement organization.
• Keeps and provides records to cost accounting for annual filing of Medicare report. 2
• Manages fiscal variables and investigates status of billing and collections of transplant patient accounts.
• Monitors monthly department reports on payments received on transplant patient accounts and works with patient financial services on any denials, lack of payment or limited payment problems.
• Serves as contact point to resolve account errors with the financial coordinator and patient financial services.
• Works with clinical staff and other managers to understand and explain variances from budget.
• Completes monthly variance analysis on continuous financial planning reports.
• Provides monthly accruals to finance in a timely manner.
• Keeps current on reimbursement changes.
• Reconciles month end financial reports.
• Reconciles clinic charges daily in SMS and Epic.
• Continuous oversight of billing and collections for process improvement opportunities.
• Oversees or completes the invoice payment invoices for medical specialists and outside hospital facility fees based on negotiated rates from the acquisition cost centers after validating these expenses are related to the evaluation and part of the evaluation protocol.
• Manages calls and questions related to outstanding invoices and payment amounts.
• Trains the assistant to perform this function.
• Validates the quality of their work.
• Provides financial data to support strategic planning efforts.
• Enters in HLA charges to patient accounts and monitors the associated revenue
• Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department.
• These statements are intended to describe the essential functions of the job and are not intended to be an exhaustive list of all responsibilities. Skills and duties may vary dependent upon your department or unit. Other duties may be assigned as required.

Required Education and Experience

• Bachelors Degree

Preferred Education and Experience

• Bachelors Degree in Business or Accounting
• 5 or more years of health care experience

We are an equal employment opportunity employer without regard to a person’s race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, ancestry, age (40 or older), disability, veteran status or genetic information.