Senior Revenue/Reimbursement Specialist | The Confidential Search Company

24 Jul 2019 6:47 AM | Anonymous

Position Description: The Confidential Search Company is an executive recruiting firm that specializes in placing healthcare financial and administrative executives, VPs, Directors, Managers and specialists.

We have been engaged to conduct an executive search for a Senior Revenue/Reimbursement Specialist for our client, a major academic teaching hospital that is part of a prominent not-for-profit health system in central Massachusetts.

Starting Salary up to $116,000 depending on background and experience.

Our client offers an excellent benefit package.

Assistance with relocation will be considered as appropriate.

There are tremendous growth opportunities for the ideal candidate.

The Senior Revenue/Reimbursement Specialist will be responsible for the lead role in coordination and preparation of key net revenue financial reports and financial statement valuations for the system level/division levels of the Health System, using advanced technical expertise and/or financial modeling capabilities.

Major Responsibilities:

  • Assumes the lead role in supporting the system’s/division’s financial management and the System’s senior management in the preparation and analysis of financial reports and statistics to management boards, administration and external organizations.
  • Assumes the lead role in collaborating with the Senior Director, Directors and Managers of the Financial Reporting Department to optimize efficiencies of the system towards the financial reporting process.
  • Assists in managing the monthly closing process, including preparation of interim and year-end financial reports.
  • Participates in the financial development, review and analysis of monthly contractual allowances, third party settlements and payer revenue variance analysis.
  • Investigates and reports on current reimbursement developments on the State and Federal level.
  • Participates in the development of the System’s management/financial information systems as they apply to net revenue reporting.
  • Seeks, pro-actively, new functionality, process improvements to simplify data collection, as well as monitoring system performance.
  • Assists in devising and recommending new or modified accounting systems to provide complete and accurate financial and statistical reports.
  • Responds to system-wide financial and third-party audits. Reviews required records and files prepared by internal accountants for all UMMHC entities in preparation for external audit. Works closely with the auditors for interim, quarterly and annual audits.
  • Collaborates with other departments, including legal and compliance, to complete various tax schedules, and report community benefits activities.
  • Serving as subject matter expert, interprets and applies current financial reporting standards and ensures departmental compliance.
  • Develops, prepares and retains essential documentation to support external compliance requirements of various regulating agencies. This includes, but is not limited to, adherence with the filing requirements of the Center for Medicare/Medicaid Services (CMS), and multiple agencies of the Commonwealth of Massachusetts.
  • Participates in performance improvement initiatives including compilation and interpretation of financial information for management decision making purposes. This includes trend analysis and interpretation and analysis of complex financial arrangements and business contracts. Identifies, communicates and resolves financial discrepancies.
  • Demonstrates use of quality improvement in daily operations through a positive and professional approach to meeting the needs of internal and external customers.
  • Responds to multi-disciplinary customer demands.
  • Complies with established departmental policies, procedures, and objectives. Adheres to the safe-guarding of assets and the confidentiality of all records.
  • Attends variety of meetings, conferences, and seminars as required or directed.
  • Complies with all health and safety regulations and requirements.
  • Respects diverse views and approaches, and contributes in maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors.
  • Performs other similar and related duties as required or directed.

Position Qualifications:

  • The ideal candidate will be a Hospital/Healthcare Revenue expert, a Cost Report expert, an A/R expert, and a 3rd party expert.
  • Masters degree in Business Administration, Health Care Administration or CPA preferred.
  • 8 years recent accounting experience required in a non-profit healthcare environment.
  • Experience with healthcare net revenue calculations, projections and budgeting
  • Experience with healthcare/hospital cost reporting and governmental reporting
  • Knowledgeable about healthcare/hospital A/R
  • Proficiency in PC based software applications required.
  • Familiarity with data processing capabilities and procedures required.
  • Must be highly motivated and dedicated professional who demonstrates a strong commitment to excellence, customer focus, and understands the importance of accountability.
  • Must have problem solving abilities, work independently and communicate effectively.
  • Able to manage high quality and exceptional customer service in a fast pace environment.

Requires some flexibility to work off-hours as required to deploy systems, work with IS for system testing, upgrade testing, support customers, resolution of production problems, and respond to system emergencies.

All inquiries and referrals will be treated confidentially.

Interested candidates should send their resume and salary history to:

Matthew O’Brien
The Confidential Search Company
860-742-1555 or 800-222-2729