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Manager-Reimbursement
Wellspan Health

Posted 1/24/2024

Job Description:

Under the general supervision of the Senior Director-Reimbursement and Financial Analysis, is responsible for all cost reporting functions, preparation of monthly reserves entries, and analyses of other regulatory reports as assigned. Positively impacts the accuracy of Medicare and Medicaid cost report filings and the standardization of accounts receivable valuation and net revenue reporting using Crowe RCA. Contributes to ensuring the overall continued financial success of the System in the continuous pursuit of the fulfillment of its Mission. Responsible for detailed preparation and submission of annual Medicare and Medicaid cost reports and various other regulatory filings that may be required on behalf of the System. Plans, prepare, and review monthly third-party settlement estimates and accounts receivable reserves. Serve as the Administrator and subject matter expert of Crowe RCA software to ensure standardization of accounts receivable and net revenue accounting. Manages cost report audits as well as external financial audits surrounding third-party settlements and accounts receivable hindsight analyses. Supports financial planning and budget process with development of annual net revenue budgets and assist with forecasting for net revenue projections. Keeps abreast of current regulatory guidelines and assist with development of reimbursement strategies to maximize revenue. Serve as a resource on reimbursement matters to hospital leaders on topics, including but not limited to 340B drug savings, graduate medical education, special designations and provider-based status reimbursement. Supervises and guides Reimbursement Analyst/ Accountant.

Application Link:

https://pm.healthcaresource.com/cs/wellspan/#/job/40899

Chief Accounting Officer (CAO)
Spartanburg Regional Healthcare System
Spartanburg, SC
Full-time

Posted 1/23/2024

Position Summary:

The Chief Accounting Officer (CAO) is a key financial leader, change agent, and close partner to the Chief Financial Officer (CFO) of Spartanburg Regional Healthcare System (SRHS). The CAO will be responsible for the vision, leadership, strategic direction, and performance of the accounting and treasury functions. The CAO will oversee the design and execution of the financial reporting, regulatory reporting, corporate accounting, tax, payroll, and accounts payable. CAO is responsible for development and implementation of related systems, controls, procedures, and policies for all SRHS business units and related corporations. The CAO will lead accounting policy and ensure compliance with U.S. Generally Accepted Accounting Principles (GAAP), the National Association of Insurance Commissioners’ Statutory Accounting Principles and other applicable rules and laws and will report on and review financial results with SRHS senior leadership. This leader will be responsible for leading a strong operational and business partner-oriented organization and will oversee all accounting data to support management decision-making, ensuring data is accurate and consistent. SRHS seeks a seasoned, hands-on finance executive with the ability to effectively lead and mentor accounting staff. The CAO will work closely with other finance leaders, external and internal auditors, internal customers of finance, and the audit team to develop and implement plans to achieve strong performance in all accounting functions.

Direct reports – Approximately 35 Employees, including an accounting leadership team of two supervisors, two managers, and two directors. The Accounting team includes general accounting, treasury, and net revenue analysts, as well as Payroll and Accounts Payable personnel.

Other key relationships: Executive Management Team Finance, Reimbursement, and Physician Compensation departments Senior Business Leaders External Auditors

Key Responsibilities:

Vision & Strategy Set the strategic direction for the development and deployment of financial and reporting processes that ensure compliance and rigor with U.S. GAAP, Statutory Accounting Principles, and any other local accounting standards and the regulatory environment, thereby mitigating risk for the system. Accounting & Controls Direct and oversee the development, deployment, and implementation of all company accounting methods, procedures, and practices to safeguard the enterprise’s assets and properly reflect its financial results. Be accountable for the accurate and timely interpretation of U.S. GAAP and the accurate incorporation of such interpretations into the company’s financial records. Oversee and control the general accounting activities for the enterprise, including recording company transactions, classifications, and reconciliation of account balances in accordance with U.S. GAAP, Statutory Accounting Principles and company policies. Accounting Operations Oversight of the Payroll and Accounts Payable areas, ensuring that all payroll related, trade payables, and other liabilities are paid accurately, on time, and in compliance with policies and procedures and any appropriate governmental regulations. Oversee the development and maintenance of appropriate internal controls related to accounts payable, payroll, fixed assets, and other disbursement transactions. Ensure applicable payroll and n-payroll tax reporting is handled timely as required by government regulations. Treasury Direct Cash Management and forecasting for SRHS. Ensure internal controls over the approval of wire transfers and other cash transactions. Plan and implement cash and investment policies to ensure the maximization of interest and investment gains. Oversight of the policies and procedures related to Investment Portfolio management. Audit Oversee and be accountable for planning and executing several annual audits for the enterprise, utilizing an external public accounting firm. Function as the enterprise subject matter expert and principal point of interpretation on all matters resulting from dealings with external accountants and auditors. Financial Reporting Be accountable for regulatory financial reporting. Accounting Policy Oversee and direct accounting questions and judgments for the enterprise; direct and control all accounting policies.

Candidate Profile:

The successful candidate will be an experienced, hands-on accounting executive with the excellent technical skills, business acumen and leadership capability to lead the accounting and treasury functions in a critical, high-visibility role. This person will have the agility, resourcefulness, multi-tasking ability and thoughtful presence to drive change and operate effectively across SRHS. This executive should have extremely strong reporting and accounting skills, exhibit a proven team leadership skillset, and be viewed as capable of supporting the continued growth of SRHS.

Minimum Requirements Education:

  • Bachelor’s Degree in Accounting or related field Experience
  • 15+ years of progressive accounting experience in a healthcare system or healthcare auditing firm.

License/Registration/Certifications:

  • CPA Preferred Requirements Preferred Experience
  • MBA or Master’s in Accountancy
  • 5+ years leading the accounting and treasury functions in a large healthcare system.

Apply:

https://careers.spartanburgregional.com/jobs/1755481-chief-accounting-officer

Sr Revenue Integrity Analyst
Jefferson Health
Center City, Philadelphia, PA

Posted 10/4/2023

Job Description:

Sr Revenue Integrity Analyst Center City, Philadelphia, PA Jefferson Health

This position plays a leadership role in improving the Jefferson Health’s overall accuracy, integrity and quality of patient charges while ensuring minimal variation in charge practices. Responsible for collaborating with Revenue Cycle and Clinical Managers and above to ensure accurate and thorough analysis of governmental and commercial payer regulations related authorizations, coding and billing guidelines. Researches claim data variances, evaluates payer updates and performs chart-to-bill audits to produce and maintain timely, accurate and inclusive charge capture, coding and billing functions.

Click here to apply:

https://recruit.jefferson.edu/psc/hcmp/EMPLOYEE/HRMS/c/HRS_HRAM_FL.HRS_CG_SEARCH_FL.GBL?Page=HRS_APP_JBPST_FL&Action=U&FOCUS=Applicant&SiteId=1&JobOpeningId=9291872&PostingSeq=1

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