Bachelor degree in Accounting or Finance required. Medicaid / Medicare reimbursement experience preferred but strong Accounting foundation / knowledge / experience required.
Responsible for leadership and oversight of the reimbursement accounting area / team including monthly and annual reporting / reviewing / analysis of revenue and accounts receivable. Coordination of related annual audits for internal and external sources. Responsible for monthly financial close, review and analysis of reported data, and creating the annual revenue budget.
Responsibilities:
- Coordinate all components of the monthly revenue activity
- Manage and coordinate preparation and responses for corresponding compliance audits (internal and external)
- Coordinate the monthly computation of contractual allowances and bad debt
- Work and consult with revenue cycle division regarding accounting and reimbursement needs.
- Apply judgement and analytical techniques to evaluate appropriate distribution of revenue and, contractual and bad debt allowances.
- Ensure accounts receivable and due to third party reserves are calculated and recorded in accordance with models and other analysis.
- Reconcile and track Due to Third Party reimbursement balance sheet accounts.
- Ensure all data included in the cost reports is based on auditable, verifiable and adequate documentation.
- Partner with external consultants to file and resolve cost report appeals.
- Coordinate reimbursement audits conducted by Medicare and other third-party auditors and prepare federal appeal position papers for outstanding issues that cannot be resolved
- Primary contact for all revenue accounting and related areas.
- Manages various reimbursement vendors and ensures reporting required by such vendors are completed timely and accurately.
- Constantly looks for revenue enhancements and cost efficiency opportunities.
- Bachelor’s degree in Accounting, Finance, Business
- CPA and/or MBA preferred
- Seven or more years of hospital/healthcare/non-profit finance and accounting experience.
- Five to seven years of progressively increasing management experience
- Multiple site and multiple entity experience
- Ability to analyze and summarize robust amount of data
- Ability to manage, organize, prioritize, multi-task and adapt to changing priorities
- Previous experience in a fast-paced, continually changing/growing environment
- Attention to detail and committed to ensure integrity of deliverables
- Meditech and/or Epic software experience preferred
- Medical , Dental and Vision Insurance: Comprehensive coverage to support your health and well-being.
- 401(k) Retirement Plan: Plan for your future with 401(k) offering.
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