The Director, Revenue Recognition is responsible for monthly, quarterly, and annual revenue analysis and reporting across all hospital and specialty group departments for both Connecticut Children's Medical Center (CCMC) and Connecticut Children's Specialty Group (CCSG). The role manages State and Federal reporting requirements, directs support for DSH and other audits, and ensures revenue is recognized in accordance with contracted terms through the month-end close process. The Director analyzes payer, physician, and patient payment information against applicable contract terms, government regulations, and internal policies, and supports annual revenue budgeting and forecasting. Work is performed under general supervision in close collaboration with Financial Planning and Financial Analysts across the department.
Revenue Analysis & Reporting-40%
Prepares monthly, quarterly, and annual revenue analysis and reporting across all hospital and specialty group departments
Ensures revenue recognized for CCMC and CCSG through the month-end close process is in accordance with contracted terms for services rendered
Demonstrates technical knowledge of generally accepted revenue recognition standards specific to the hospital industry
Analyzes incoming payment information and communications from payers, physicians, and patients in conjunction with applicable contract terms, reimbursement schedules, government regulations, and internal policies
Identifies and investigates revenue variances; prepares written analysis and presents findings to leadership as needed
Monitors payer contract performance and identifies opportunities for revenue optimization or recovery
Develops productive relationships across Finance departments, including Revenue Cycle, Financial Operations, Financial Reporting, and Contract Management
Budgeting & Forecasting
Supports the annual revenue budget process, including preparation of supporting schedules and documentation
Provides regular updates to revenue forecasts, incorporating changes in payer mix, utilization trends, contract terms, and regulatory developments
Supports new business initiatives with revenue expectations and scenario modeling
Reimbursement & Compliance-20%
Supports reimbursement analysis and regulatory compliance monitoring
Ensures all actions are consistent with applicable government regulations, contractual terms, and internal policies and procedures
Maintains current knowledge of changes to CMS regulations, state Medicaid policy, and managed care reimbursement methodologies
State & Federal Reporting Requirements-20%
Completes the following requirements in a timely manner:
Coordinates information for the external preparation of the CMS Annual Cost Report
Connecticut Hospital Association Surveys
Children's Hospital Association Surveys
DSH Survey
OHS Annual Filing and OHS 12 Month Filing
CHGME Grant:
Initial Application
FTE Documentation
Reconciliation Application
Annual Report Facilitation
Audit Support-10%
Directs the preparation of support materials related to DSH audits and other audit requirements as needed
Coordinates with internal departments and external auditors to ensure timely and accurate responses to audit inquiries
Performs Other Duties as Assigned.
Education: Bachelor’s degree from accredited college or university
Experience: 5 years’ experience in Healthcare Revenue Cycle or Healthcare Finance departments
None.
Knowledge:
ICD-10, CPT coding, and medical terminology
Insurance regulations and reimbursement policies, including managed care, Medicare, and Medicaid
Generally accepted revenue recognition standards specific to the hospital industry
State and Federal reporting requirements applicable to healthcare finance
CMS cost report methodology and DSH program requirements
Healthcare financial management principles, including budgeting and forecasting
Microsoft Word and Excel; experience with healthcare financial systems preferred
Strong analytical and financial modeling skills with a high degree of accuracy and attention to detail
Proficiency in data analysis, variance reporting, and revenue reconciliation
Excellent written and verbal communication skills, including the ability to present financial data clearly to varied audiences
Strong organizational and project management skills with the ability to manage multiple deadlines simultaneously
Ability to develop and maintain effective working relationships across departments
Abilities:
Ability to interpret and apply complex regulatory requirements, payer contracts, and internal policies
Ability to work independently under general supervision while exercising sound judgment
Ability to identify problems, analyze root causes, and recommend practical solutions
Ability to adapt to changing priorities in a dynamic healthcare environment
Commitment to maintaining strict confidentiality of all financial and patient-related information
Connecticut Children’s is the only health system in Connecticut that is 100% dedicated to children. Established on a legacy that spans more than 100 years, Connecticut Children’s offers personalized medical care in more than 30 pediatric specialties across Connecticut and in two other states. Our transformational growth establishes us as a destination for specialized medicine and enables us to reach more children in locations that are closer to home. Our breakthrough research, superior education and training, innovative community partnerships, and commitment to diversity, equity and inclusion provide a welcoming and inspiring environment for our patients, families and team members.
At Connecticut Children’s, treating children isn’t just our job – it’s our passion. As a leading children’s health system experiencing steady growth, we’re excited to expand our team with exceptional team members who share our vision of transforming children’s health and well-being as one team.
Connecticut Children’s offers a comprehensive compensation and benefits package for eligible team members, including medical, dental and vision insurance, hospital paid life and disability coverage, paid time off and leave programs, education and training assistance, a retirement savings plan with hospital match, and an employment assistance program. Eligibility for certain benefits is based on scheduled hours worked. All team members are eligible to participate in the retirement savings plan, regardless of scheduled hours worked. Additional benefit information is available here.
Connecticut Children’s is a leading pediatric academic medical center consistently ranked by our peers as among the best children’s hospitals in the nation. Connecticut Children’s is the only hospital in Connecticut dedicated exclusively to the health and well-being of children and families.
Connecticut Children’s physicians and researchers are dedicated to advancing pediatric care through medical innovation, cutting-edge technology, and research. With more than 200 physicians and 200 pediatric residents and fellows in over 20 pediatric specialty areas, Connecticut Children’s serves as the primary teaching, clinical and research site for the University of Connecticut School of Medicine.
For more information, visit www.connecticutchildrens.org or connect with us on Facebook at www.facebook.com/connecticutchildrens and Twitter at www.twitter.com/ctchildrens.
