Reimbursement Accountant

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

📋 Description

• Exhibit exceptional project management capabilities.

• Assist health system administrators and managers in making informed decisions based on financial data and analysis.

• Aid management in crafting business plans and engaging in various special projects.

• Ensure the completion of accurate, compliant, and thoroughly documented third-party cost reports.

• Analyze financial and statistical data utilized in reimbursement reports.

• Validate and assess rate calculations and final settlements submitted by third-party payers and government entities.

• Keep up-to-date with reimbursement accounting and healthcare financial analysis practices.

• Support third-party cost report audits and address inquiries from third-party auditors as well as external and internal audits.

• Reconcile revenue discrepancies between hospital financial reports and third-party payer/government agency reports.

• Prepare interim cost reports for independent audit assessments, annual budget internal contractual estimations, and the case mix system.

• Provide the Accounting Department with updated reimbursement rate information.

• Regularly review monthly contractual allowance calculations.

• Engage in and propose areas for formal appeals to third-party and governmental agencies.

• Compile formal appeal work papers.

• Assist with specialized reimbursement and cost study analyses and gather statistical data.

⛳️ Requirements

• Bachelor's Degree in Accounting or Finance is required.

• CPA and a Master’s Degree in Business Administration are preferred.

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

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

• Strong understanding of accounting principles and technical methods, as well as financial analysis specific to healthcare institutions and systems.

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

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

• All employees are required to be vaccinated or possess lab-confirmed immunity for Measles, Mumps, Rubella, and Varicella.

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

🏝️ Benefits

• Tuition reimbursement.

• Opportunities for in-person and online development.

• Access to a 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.

• Tailored support for personal or family challenges.