Al Relojo

Reimbursement Financial Analyst III at Verity Health System
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Contact Information
us****@****om
(386) 825-5501
Location
Santa Clara, California, United States, US

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Experience

    • United States
    • Hospitals and Health Care
    • 1 - 100 Employee
    • Reimbursement Financial Analyst III
      • Dec 2015 - Present

      •Prepare, analyze, and explain results of monthly contractual allowance calculations for two hospitals with over $200M total revenues within seven day month- end close processes. •Support and prepare documentation for Medicare/Medi-Cal cost report, OSHPD, and Social Accountability reporting. •Summarize and maintain pertinent reimbursement information relating to Medicare/Medi-Cal and other third party payers. Provided assistance in obtaining support documentation for internal and external auditors as requested. •Help create, maintain, and analyst Physician Volume report to senior management for six hospitals •Monitor weekly Capitation Premium payments. •Responsible for monthly capitation: Risk Pool liability calculation and analysis, Revenue reconciliation, and review Out of Area network expense walk through. Show less

    • Hospitals and Health Care
    • 1 - 100 Employee
    • Financial Specialist (Reimbursement)
      • Oct 2015 - Dec 2015

      • Prepared quarterly OSHPD report and assisted preparation for Annual OSHPD report • Successfully answered audit questions without adjustment for quarterly and annually OSHPD • Built an automated system to reconcile quarterly report matched to GL • Reconciled, analyst and posted journal entries related to transplant organs • Reconciled and posted Medi-Cal contractual month-end journal entries within two working days • Prepared quarterly OSHPD report and assisted preparation for Annual OSHPD report • Successfully answered audit questions without adjustment for quarterly and annually OSHPD • Built an automated system to reconcile quarterly report matched to GL • Reconciled, analyst and posted journal entries related to transplant organs • Reconciled and posted Medi-Cal contractual month-end journal entries within two working days

    • United States
    • Hospitals and Health Care
    • 200 - 300 Employee
    • Senior Financial Analyst/Decision Support
      • Oct 2013 - Sep 2015

      •Provided assistance to Director of Finance and Controller with managing, planning, and organizing financial operations. •Prepared, coordinated, and analyzed Budget process. •Analyzed, interpreted data and developed clear and informative methods to present financial information and special projects such as Service Line Analysis, Profitability Report, Community Benefit Report, Payor Analysis, and Variance Analysis Actual versus Budget. •Provided and supported finance data in developing market share by the hospital. •Analyzed Revenues, Expenses, and Statistics to provide explanation of month-end variances. •Reviewed, prepared, and coded Physicians ER on-call invoices in a timely manner. Show less

    • Reimbursement Financial Analyst II
      • Jun 2010 - Oct 2013

      •Prepared, analyzed, and explained results of monthly contractual allowance calculations for two hospitals •Supported and prepared documentation for Medicare/MediCal cost report, OSHPD, and Social Accountability reporting. •Summarized and maintained pertinent reimbursement information relating to Medicare/Medi-Cal and other third party payers. Provided assistance in obtaining support documentation for internal and external auditors as requested.

    • Reimbursement Technician
      • Jun 2003 - May 2010

      •Prepared and analyzed Remittance Advise summary report for use in the month-end contractual allowance analysis. •Download and reconciled Zero Balance Accounts (ZBA), Aged Trial Balance (ATB), and Payment transactions from MedSeries4 system to use for month-end closing. •Prepared and analyzed month-end contractual template for two hospitals

    • Accounts Payable Technician
      • Jul 2002 - May 2003

      •Ensured all invoices are paid within the terms of the vendor contract. •Compared invoice amount, terms, and etc with the Purchase Order (PO#) and receiver to match voucher package information. •Ensured proper authorization, documented and within the policies or procedure. Investigated unmatched invoices, receivers in the system to determine if the LHM’s has a liability or potential vendor credit. •Assigned and maintained vendor number file information into the A/P system.

    • Accounts Payable Lead
      • Feb 1999 - Jun 2002

      •Maintained database for all incoming and completed reconciliation. •Assisted in monthly check run for over $900,000. •Reviewed and analyzed collector payments. • Corrected errors in collector database. •Interacted with various departments to resolve both internal and external customer inquiries. •Answered all in incoming collector/customer service phone calls. •Trained new hires in internal database and procedures. •Maintained database for all incoming and completed reconciliation. •Assisted in monthly check run for over $900,000. •Reviewed and analyzed collector payments. • Corrected errors in collector database. •Interacted with various departments to resolve both internal and external customer inquiries. •Answered all in incoming collector/customer service phone calls. •Trained new hires in internal database and procedures.

Education

  • San Jose State University
    Bachelor’s Degree, Accounting
    2009 -

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