Manager, Revenue and Reimbursement Accounting

Overview

This full-time role (40 hours/week) is fully remote from AL, AK, AR, AZ, DE, FL, GA, IA, ID, IN, KS, KY, LA, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, and WY.

Remote work is NOT permitted for short or long periods in CA, CO, WA, NYC, and working Internationally (including working while on vacation).

No relocation and no sponsorship or transfer of visa for this position now or in the future.

Pay Range: $51.05 - $76.60

The position will be posted until 11.17.26.

Responsibilities

• Lead the market level accounts receivable reserve process.
• Perform detailed review of balance sheet contractual allowances and bad debt reserve calculations for hospital billing, professional billing and continuing care.
• Review quarterly hindsight results and determine necessary changes to the accounts receivable reserve process.
• Establish working relationships with managed health operations and revenue cycle teams to understand considerations in setting accounts receivable reserves.
• Evaluate and monitor market-level accounts receivable mix for both hospital and professional billing, documenting monthly fluctuations and assessing whether changes should impact reserves recorded for the month.
• Assist with explanations of budget-to-actual variances for contractual discounts, including understanding fluctuations in paid claims information, charity care, and the provision for bad debts.
• Assist in preparation and presentation of net revenue results for financial planning as part of month-end close.
• Work with external auditors to facilitate audit processes for market-level accounts receivable, reserves, and revenue.
• Work with the Managed Health cost reporting team to understand cost report settlement status and related reserves; adjust financial statement amounts to reflect current status.
• Ensure third-party settlement accounting for Medicare and Medicaid open cost report balances is reconciled; support the calculation with external financial auditors during year-end audit.
• Work with the Financial Reporting team to understand compliance and regulatory matters and document, on at least a quarterly basis, an analysis of the revenue recognition reserves recorded.
• Serve as market-level finance representative for Epic and Net Revenue Projects.
• Manage and maintain relationships with Revenue Cycle leadership to understand financial statement implications from billing, collection, and adjustment workflow changes.
• Understand Epic logic for mapping revenue, payments, and adjustments to the general ledger.
• Provide accounting oversight to ensure new Epic codes mapped to general ledger accounts align with Generally Accepted Accounting Principles.
• Partner with the Reimbursement Budget Planning Director on development and forecasting of market-level revenue budgets.
• Ensure Gross and Net Patient Revenue budgeting is accurate, timely, and compliant with accounting standards.
• Lead analysis of budget variances on a monthly basis, working with revenue cycle and managed care operations; prepare analysis to document and explain variances to leadership and finance.
• Partner with Managed Health reimbursement department leadership on valuation of regional Medicaid supplemental payment accounting for revenue and AR associated with each unique supplemental program.
• Ensure accounting Medicaid supplemental balances are reconciled and support receivables with external financial auditors during year-end audit.
• Assist with ongoing compliance with the organization’s internal control plan.
• Review and direct the overall Accounting Operations internal controls plan, ensuring it is updated as the business environment changes and as a result of process, system, and/or policy enhancements.
• Coordinate and respond to internal and external auditors’ requests and queries; hold the team accountable to meet required audit deadlines.
• Review estimation and risk areas and support higher issue resolution.
• Participate in development of the external audit plan with auditors and the Financial Reporting Team.
• Perform human resources responsibilities for staff, including interviewing and selection of new employees, promotions, staff development, performance evaluations, compensation changes, resolution of employee concerns, corrective actions, terminations, and support of overall employee morale.
• Understand and adhere to the organization’s Code of Ethical Conduct and ensure personal actions and actions of supervised employees comply with applicable policies, regulations, and laws.

Requirements

• Bachelor’s degree in accounting, or bachelor’s degree in finance or related field.
• Typically requires 7 years of experience in health care reimbursement or public accounting.
• Advanced Excel skills and other MS Office programs.
• Experience with report building.
• Experience with SSRS, Workday or Epic.
• No licensure, registration, and/or certification required.

Preferred Qualifications

Not specified.

Compensation & Benefits

• Base compensation within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training.
• Premium pay such as shift, on call, and more based on a teammate's job.
• Incentive pay for select positions.
• Opportunity for annual increases based on performance.
• Comprehensive Total Rewards package (benefits and well-being programs), including:
  • Paid Time Off programs
  • Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
  • Flexible Spending Accounts for eligible health care and dependent care expenses
  • Family benefits such as adoption assistance and paid parental leave
  • Defined contribution retirement plans with employer match and other financial wellness programs
  • Educational Assistance Program

Note: Eligibility for programs listed above may depend on FTE or status (e.g., full-time, part-time, per diem, temporary, etc.).

Location

Fully remote from AL, AK, AR, AZ, DE, FL, GA, IA, ID, IN, KS, KY, LA, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, and WY.

Remote work is NOT permitted in CA, CO, WA, NYC, and working Internationally (including working while on vacation).

Working Conditions

• Operates all equipment necessary to perform the job.
• Exposed to a normal office environment.

Disclaimer

This description indicates the general nature and level of work expected and is not designed to cover all duties. Incumbent may be required to perform other related duties.