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Home Health Analyst

Location:
South Portland, ME, 04106
Salary:
$45,000 to $60,000
Posted:
July 29, 2012

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Resume:

John Sowerby

* *********** *****, **. ********, ME 04106

Cell: 207-***-****

Email: **********@*****.***

Education: University of Southern Maine

B.S., Accounting – December 1992

B.A., Criminology – May 1988

Professional Experience:

Spring Harbor Hospital, Westbrook, ME - July 2008 to December 2011

Financial Analyst

• Primarily responsible for development and maintenance of on going decision support and analytic tools.

• Develops annual budgets, period forecasts and maintains reimbursement models.

• Supports department level financial reporting on a monthly basis, journal entries, variance analysis, reconciliations, A/R agings, labor & productivity reporting, accruals, prepaids.

• Maintains contractual adjustment and bad debt models. Analyzes payroll activity.

• Prepares annual Medicare cost reports, serves as the point person with Medicare FI.

• Assumes the lead role for backup support of general functions performed by the controller.

• Possess a well developed knowledge of both the operational and analytical elements of hospital finance, statistics, revenue, contractuals, cost per day analysis, balanced scorecard.

• Focus areas include process improvement and revenue enhancement.

Utility Shared Services, New Gloucester, ME - September 2007 to July 2008

Fixed Asset Analyst

• Compiled, analyzed and maintained data relative to fixed assets.

• Ensured data integrity and delivery of high quality, timely financial information and analysis within the department and to other areas of the company.

• Performed various other research and ad hoc project work and assumed additional related responsibility as requested.

Mercy Hospital, Portland, ME - February 2003 to September 2007

Financial Analyst

• Specialized in the preparation and settlement of the Medicare Cost report. Responsible for DSH, operating and crossover bad debts, IME/GME, wage index and occupational mix data preparation and submission.

• Acted as the point person for all Medicare audit and appeals.

• Instrumental in realizing in excess of $2 million of recaptured reimbursement from prior years from the Medicare program by pursuing payments owed to Mercy, but not previously claimed.

• Actively participated in the annual budget process, responsible for overseeing and advising the Finance Division departments.

• Participated in the month end closing process by analyzing and preparing schedules for wages, statistics, revenue and contractual adjustments.

• Provided financial analysis and participated with the CFO and V.P. of Medical Affairs on the intern and resident annual contract negotiations.

Anthem Blue Cross & Blue Shield, So. Portland, ME – May 1998 to February 2003

Medicare Auditor

• Facilitated the settlements of hospitals, skilled nursing homes and home health agencies’ Medicare cost reports

• Participated in audits and focused reviews under limited supervision and handled complex audit issues.

• Applied working knowledge of accounting and auditing theories as they applied to Medicare rules and regulations.

• Exhibited the ability to work both independently and as part of a team.

Computer Skills:

Proficient in Microsoft Excel, Microsoft Word, Meditech, Lawson, AS-400, Kaufman Hall, SAP,

HFS Medicare cost report software and QuickBooks.

Professional Associations:

Member of the Healthcare Financial Management Association.



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