Financial Analyst- Specialized Appeals- Remote
We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways.
At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today!
This position is responsible for the daily review and analysis of insurance payment takebacks to identify inaccuracies, trends, and opportunities for recovery. The role prepares executive-level reporting to summarize findings and highlight concerning payer behaviors, with a focus on driving accountability through escalation. The incumbent will also pursue individual account corrections to mitigate inappropriate recoupments.
This function supports revenue protection by reducing cash loss, preventing AR aging growth, and enabling other Revenue Cycle teams to remain focused on cash-generating activities.
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 qualified individuals with disabilities to perform the essential duties.
This job description is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at the company's discretion.
Education
Required - Bachelor's degree in Accounting, Finance, Math, Business Administration, or Computer Science or related area OR 10 years relevant professional experience in lieu of a bachelor's degree
Preferred - Master’s degree in Business Administration (MBA) or other advanced degree in Accounting, Finance, or related field
Work Experience
Preferred - Experience in financial analysis, forecasting and reporting
Preferred- Experience in the healthcare industry
Certifications
Preferred - Certified Public Accountant (CPA) or actively testing for certification
Knowledge Skills and Abilities (KSAs)
• Must have computer skills and dexterity required for data entry and retrieval of information. Must be proficient with Windows-style applications, various office software packages and keyboard.
• Effective verbal and written communication skills and the ability to present information clearly and professionally to varying levels of individuals throughout the patient care process.
• Strong analytical and problem solving skills
• Excellent organizational and time management skills
• Good judgment and decision-making skills
Job Duties
• Updates and maintains financial information.
• Provides reporting and analytics to ensure operational profitability.
• Identifies opportunities for revenue enhancement.
• Participates in formation of budget.
• Participates in quality assurance activities.
• Participates in activities for professional development.
• Participates in special projects involving financial analysis.
Other related duties as required. The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time.
Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards.
This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns.
The employer is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status.
Physical and Environmental Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functio
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At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today!
This position is responsible for the daily review and analysis of insurance payment takebacks to identify inaccuracies, trends, and opportunities for recovery. The role prepares executive-level reporting to summarize findings and highlight concerning payer behaviors, with a focus on driving accountability through escalation. The incumbent will also pursue individual account corrections to mitigate inappropriate recoupments.
This function supports revenue protection by reducing cash loss, preventing AR aging growth, and enabling other Revenue Cycle teams to remain focused on cash-generating activities.
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 qualified individuals with disabilities to perform the essential duties.
This job description is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at the company's discretion.
Education
Required - Bachelor's degree in Accounting, Finance, Math, Business Administration, or Computer Science or related area OR 10 years relevant professional experience in lieu of a bachelor's degree
Preferred - Master’s degree in Business Administration (MBA) or other advanced degree in Accounting, Finance, or related field
Work Experience
Preferred - Experience in financial analysis, forecasting and reporting
Preferred- Experience in the healthcare industry
Certifications
Preferred - Certified Public Accountant (CPA) or actively testing for certification
Knowledge Skills and Abilities (KSAs)
• Must have computer skills and dexterity required for data entry and retrieval of information. Must be proficient with Windows-style applications, various office software packages and keyboard.
• Effective verbal and written communication skills and the ability to present information clearly and professionally to varying levels of individuals throughout the patient care process.
• Strong analytical and problem solving skills
• Excellent organizational and time management skills
• Good judgment and decision-making skills
Job Duties
• Updates and maintains financial information.
• Provides reporting and analytics to ensure operational profitability.
• Identifies opportunities for revenue enhancement.
• Participates in formation of budget.
• Participates in quality assurance activities.
• Participates in activities for professional development.
• Participates in special projects involving financial analysis.
Other related duties as required. The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time.
Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards.
This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns.
The employer is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status.
Physical and Environmental Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functio
Apply tot his job
Apply To this Job