Financial Analyst- Specialized Appeals- Remote

Ochsner HealthNew Orleans, LA
Remote

About The Position

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.

Requirements

  • 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
  • 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
  • Must be able to stoop, bend, reach and grab with arms and hands, manual dexterity.
  • Must be able to sit for prolonged periods of time.
  • Must be able to travel throughout and between facilities.
  • Must be able to work a flexible work schedule (e.g., more than eight hours a day).

Nice To Haves

  • Master’s degree in Business Administration (MBA) or other advanced degree in Accounting, Finance, or related field
  • Experience in financial analysis, forecasting and reporting
  • Experience in the healthcare industry
  • Certified Public Accountant (CPA) or actively testing for certification

Responsibilities

  • 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.
  • 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.
  • Complies with the employer's 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.

Benefits

  • Equal Opportunity Employer
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