Senior Medicare Reimbursement Specialist - Reimbursement
Shift: Day Hours: 40 hours per week.
Category: Professional/ Technical Description: Under the direction of the CFO and Corporate Controller, the Senior Medicare Reimbursement Specialist will act as an integral team player in ensuring the accurate and compliant third party reimbursement and financial information of the hospital. Oversees the preparation of the annual Medicare, Medicaid and TriCare cost reports. Must be proficient in IME/GME programs and related reimbursement.
||Bachelor's Degree in Accounting, CPA and MBA preferred or experience of twenty years or greater. Eight or more years experience in Medicare/Medicaid accounting and cost report preparation, preferably with both Fiscal Intermediary and Hospital experience. Proficiency in cost reporting software experience required. Excellent Microsoft Office skills, including Excel and Word.
10 Key by Touch.||Must demonstrate ability to work with minimal supervision under strict deadlines. Able to react professionally with all levels of hospital administration and hospital staff, physicians, fiscal intermediary and governmental representatives, and others as necessary. Able to communicate both orally and in written format in a professional, clear and concise manner. Must possess exceptional analytical and problem solving skills.
- 1. Bachelors degree from an accredited college or university with a major study in accounting or finance; Masters degree or Certified Public Accountant (CPA) license preferred.
2. Experience preferred in California public mental health, substance abuse, human services funding and cost reports, state, county and federal requirements, etc.
3. Minimum of 7-10 years of experience in behavioral health or a related field with responsibility for accounting and finance, including supervision of a finance department.
4. Knowledge and understanding of Generally Accepted Accounting Principles (GAAP) and the ability to analyze procedures and transactions to determine if they are being performed in compliance with GAAP.
5. Knowledge and understanding of OMB-Circular A-122 Cost Principles for Not-For-Profit organizations, OMB-Circular A-133, Audit of States, Local Governments and Not-For-Profit organizations and other applicable OMB Circulars as well as the ability to analyze and implement administrative and accounting controls to ensure compliance with all applicable federal guidelines.
6. Ability to make and carry out administrative decisions as delegated, exercise independent judgment and initiative, and perform in a positive, flexible and adaptive manner.
- DutiesOversees all financial functions including accounting, budget, credit, insurance, tax, treasury and contract financial compliance. This position is responsible for:
1. Direction and supervision of the general accounting, cost accounting and financial planning function.
2. Maintenance of fiscal records, contract financial integration with operations and compliance, preparation of financial reports and accounting for the organizations cash and investments.
3. Formulating and administering approved accounting practices throughout the organization to ensure that financial and operating reports accurately reflect the condition of the business and provide reliable information.
4. Provide financial assessments of future opportunities and issues, providing recommendations from a fiscal perspective.
5. Provide effective risk management including administering necessary insurance coverage and establishing corporate policy.