Senior Cost Accountant & Reimbursement Specialist in Cleveland, OH
Title: Senior Cost Accountant & Reimbursement Specialist | Hire Type: Permanent
Senior Cost Accountant and Reimbursement Specialist
Cleveland, OH
BH Solutions Group is an Executive Recruiting and Consulting firm located in Akron, OH.
Currently seeking a Senior Cost Accountant and Reimbursement Specialist who is proficient in Medicare & Medicaid rules, 3rd party reimbursement along with the ability to gain cost reporting information from the General Ledger and Electronic Medical Records to support information in COS reporting. Additionally, the role will be responsible for annual reporting and working with senior leaders to present data. Knowledge of HCAP rules, franchise tax, MCO, and different reimbursements from state agencies.
This is a hybrid position – 2 days in the office / 3 days remote.
Responsibilities
Responsibilities for the Senior Cost Accountant and Reimbursement Specialist
- Maintain up to date knowledge of Medicare / Medicaid rules and regulations
- Working alongside staff in general accounting, assist with new reporting and modeling tools, budget preparation and reimbursement analysis for new product lines
- Coordinates the reimbursement section’s input into the annual financial audit performed by the health care facilities outside audit firm
- Liaison with OHA on reimbursement matters
- Resource relating to appeals, prior year issues, current year reports needed for cost report and general historical information
- Under limited supervision, preforms calculation of Net Revenue reimbursement of the health systems, including allocations.
- Maintains cost accounting methodologies (RVU, RCC, Variable Charge, ABC), including overhead allocations and statistical drivers.
- Monitors and recommends enhancements to data extracts from source systems. Ensures integrity and validity of data is intact.
- Works closely with IT on system upgrades and testing (beta development, functionality testing, and movement into production environment)
- Develops reporting solutions and analyses for management and senior leadership.
- Works with Finance and Administrative leadership to build custom reporting solutions including monthly/weekly/daily reporting in a repeatable fashion
- Special Projects as assigned (e.g. product line reporting, profitability reporting, Physician Based Reporting, business planning data requests, system enhancements.
- Ad-hoc reporting requests with varying time sensitivity and criticality.
Education/Experience
Requirements for the Senior Cost Accountant and Reimbursement Specialist
- Bachelor’s Degree in Accounting or Finance required
- 1 year experience in accounting experience required,
- 5+ years accounting experience preferred
- Experience with supplemental revenue reimbursement experience and knowledge of UPL and HCAP and payment rates strongly preferred
- Medicare and Medicaid Cost Reporting experience required Health care accounting experience preferred
- Must possess strong analytical and problem-solving skills.
- Knowledge of financial systems including decision support systems, cost accounting, and Oracle Financials/general ledger systems.
- Knowledge of MS Office Excel intermediate to advanced skills.
- MS Office Access knowledge
- Demonstrates a professional demeanor when responding to internal and external customers.
- Strong interpersonal and communication skills both verbal and written.
- Strong work ethic and good organizational skills.
- Team player with ability to multi-task in a fast-paced environment is essential to success.
- Special project oriented. Required
- Familiar with healthcare operations and budget process extremely beneficial.
- Self-Motivated.
- Enjoys being challenged.
- Willingness to learn and grow within current role.
- Understanding of charge master and hospital billing
- Knowledge of reimbursement and managed care contracts
Contact: Pam Beran
Type:
Full-time
Salary:
Commensurate with Experience
Travel:
Minimal
Area:
Finance, Accounting & Payroll
State:
Ohio
