Reimbursement Accountant

This is a fully remote position, open to applicants in Michigan.

📋 Description

• Assist health system administrators and managers in their decision-making by providing financial information and analysis.

• Aid management in the creation of business plans and various special projects.

• Ensure completion of third-party cost reports that are accurate, compliant, and well-documented.

• Analyze financial and statistical data utilized in reimbursement reports.

• Confirm and evaluate rate calculations and final settlements from third-party payers as well as governmental agencies.

• Stay updated on reimbursement accounting and financial analysis methods in healthcare.

• Support third-party cost report audits and handle inquiries from third-party auditors, external auditors, and internal auditors.

• Reconcile revenue between hospital financial reports and reports from third-party payers or governmental agencies.

• Prepare interim cost reports for independent audit reviews, annual budget estimations, and case mix systems.

• Provide reimbursement rate details to Accounting for the calculations of monthly contractual allowances.

• Regularly review monthly contractual allowance calculations.

• Identify areas that may require formal appeals to third-party and governmental agencies and prepare appeal documentation.

• Assist with unique reimbursement and cost study analyses, along with the collection of statistical data.

⛳️ Requirements

• Bachelor’s Degree in Accounting or Finance.

• CPA certification preferred.

• Master’s Degree in Business Administration preferred.

• Two to four years of experience in finance, ideally within the healthcare sector.

• Familiarity with federal and state laws and regulations impacting institutional healthcare providers.

• Strong understanding of accounting principles and technical methods for financial analysis in healthcare institutions and health systems.

• Capability to interpret statutes and regulations, CMS guidelines, GAAP, GAAS, professional audit guides, and reimbursement principles.

• Proficiency with computer applications, including Microsoft Office Suite and data extraction software.

• Employees are required to be vaccinated or have lab-confirmed immunity for Measles, Mumps, Rubella, and Varicella.

• Employees must obtain a flu vaccine during the flu season in the year of hire and annually thereafter, or possess an approved medical or religious exemption.

🏝️ Benefits

• Tuition reimbursement.

• Opportunities for in-person and online development.

• Access to the career hub.

• Comprehensive benefits package.

• Paid holidays.

• Generous Paid Time Off (PTO).

• Employee discounts.

• Complimentary individual retirement counseling.

• Free wellness platform available for you and your family.

• Personalized assistance for personal or family challenges.