Health Care Analyst

State of Connecticut•Rocky Hill, CT

2d•Onsite

About The Position

The Connecticut Department of Veterans Affairs is hiring a Health Care Analyst in Fiscal Billing Services. The position independently performs analysis of financial, utilization, and management records for health care facilities and providers. In this role, the analyst supports the Billing Unit’s submission of Medicare and Medicaid claims for the department’s skilled nursing facility. The claims generate more than $20 million in annual revenue, making this position an important part of the billing process. The analyst reviews records and materials for compliance with statutes and agency regulations; evaluates financial, utilization, and management information; determines appropriate actions based on analysis; and prepares financial, narrative, and statistical reports. The role also involves reviewing findings with audit and senior staff, conducting assigned research, and performing related duties. The position is based at 287 West Street in Rocky Hill, Connecticut, and is assigned to Fiscal Billing Services. It is full-time, 40 hours per week, Monday through Friday, on the first shift from 7:30 a.m. to 4:00 p.m. The department offers professional growth and development opportunities and promotes work/life balance. The Connecticut Department of Veterans Affairs provides residential, health care, advocacy, and cemetery services for veterans and their dependents.

Requirements

Six years of professional experience in financial management, including some experience in health care management.
Financial management experience is defined as professional accounting or auditing work involving responsibility for reviewing and recommending financial policies and procedures of a business organization.
Knowledge of financial management principles and practices, including organization, administration, management, finance, budgeting, auditing, and accounting.
Knowledge of the health care industry.
Interpersonal skills.
Oral and written communication skills.
Ability to interpret and analyze complex financial, statistical, and technical data.
Ability to utilize computer software.

Nice To Haves

Experience with Current Procedural Terminology (CPT), International Classification of Diseases (ICD-10), Patient Driven Payment Method (PDPM), and insurance billing and reimbursement practices.
Experience performing billing functions in a skilled nursing facility setting.
Experience using Microsoft Office.
Experience managing patient trust fund accounts.
Experience using an electronic health record system.

Responsibilities

Analyze financial, utilization, and management records of health care facilities and/or providers.
Support submission of Medicare and Medicaid claims for the department’s skilled nursing facility.
Review materials for compliance with requirements in Connecticut General Statutes and agency regulations.
Evaluate financial, utilization, and management records for health care facilities and/or providers.
Determine action steps based on analysis of records.
Prepare financial, narrative, and statistical reports.
Review findings and conclusions with audit staff and senior staff.
Perform special research projects as assigned.
Prepare, analyze, and evaluate budget, claims, expenditure, utilization, rate-setting, and revenue issues related to a skilled nursing facility.
Review patient eligibility coverage and make recommendations for claims, as needed.
Perform related duties as required.