Job Description
Job Requisition Number 32024Full-Time, 40 Hours/Week
Monday to Friday, 8am - 5pm
Onsite 4 days/week, Remote 1 day/week
Summary:
The Manager, Reimbursement & Accounting, is responsible for overseeing governmental reimbursement activities and performing key accounting functions related to receivables, reserves, reconciliations, regulatory-related financial reporting and other accounting functions as assigned. This role ensures the accuracy, completeness, and compliance of governmental cost reports while maintaining appropriate accounting treatment and supporting documentation for reimbursement programs in accordance with GAAP and regulatory guidance.
Responsibilities:
1. Lead the preparation, review, and submission of Medicare, Medicaid, Tricare, and other governmental cost reports in compliance with all regulatory requirements.
2. Analyze cost report results to identify trends, variances, and opportunities for reimbursement optimization.
3. Analyze and forecast State Medicaid Supplemental reimbursement programs, including rebasing, hospital franchise fees, medical education, and other related programs.
4. Interpret regulatory and reimbursement policy changes and communicate financial impacts to senior leadership.
5. Estimate and record contractual, bad debt, and charity estimates as it relates to patient accounts receivables.
6. Prepare the estimates for community benefit as reported in financial statements and tax returns.
7. Oversee the recording, reconciliation, and monitoring of reimbursement-related receivables and other accounting functions as assigned.
8. Collaborate with external auditors, consultants, and regulatory agencies to ensure compliance and resolve audit findings.
9. Partner with Finance, Revenue Cycle and Operations teams to ensure alignment of financial and statistical data used in cost reporting and Accounting estimates.
10. Establish, review, and adjust estimates and reserves in accordance with GAAP and regulatory guidance.
11. Prepare and review journal entries and monthly balance sheet reconciliations related to Reimbursement and other Accounting functions, as assigned.
12. Supervise, mentor, and develop a team of Accountants and/or Analysts supporting reimbursement, reconciliations, and monthly financial reporting.
13. Drive process improvements to enhance accuracy, controls, and efficiency across Reimbursement and Accounting workflows.
Other information:
Technical Expertise
- In-depth understanding of Medicare and Medicaid cost reporting, reimbursement methodologies, and regulatory compliance.
- Strong proficiency in Excel and ERP systems such as Infor or Workday; experience with cost reporting software preferred.
- Excellent analytical, organizational, and project management skills.
- Strong interpersonal and communication skills, with the ability to convey complex regulatory topics clearly to leadership.
Education and Experience
- Bachelor's degree in Accounting, Finance, or Healthcare Administration required; Master's degree preferred.
- Minimum of 5 years of experience in healthcare cost reporting or reimbursement analysis.
- Prior supervisory or team lead experience preferred.
- Preferred Certifications: CPA, HFMA (CHFP or CRCR), or other relevant healthcare financial credentials.
Full Time
FTE: 1.000000
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