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Sinai Chicago · 3 weeks ago

DIRECTOR REIMBURSEMENT ACCOUNTING

Chicago, IL

Full-time

Onsite

Director/Executive

$60/hr - $60/hr

7+ years exp

Sinai Chicago is seeking a Director of Reimbursement Accounting to provide leadership and oversight of financial reporting and analysis related to net patient revenue and accounts receivable. The role involves managing monthly financial close processes, coordinating audits, and developing annual budgets while ensuring compliance with regulations and enhancing revenue opportunities.

Health CareHospitalMedical

Responsibilities

Coordinates related annual audits for internal and external sources

Coordinates third party audits and assist in long term planning of activities and strategies

Coordinate all components of the monthly revenue activity related to net patient revenue

Manages and coordinates preparation and responsiveness for corresponding compliance audits that occur, weather for inter or external audits, related to patient revenue

Coordinate the monthly computation of contractual allowances and bad debt for the net patient revenue reporting

Analyzes and applies the zero-based patient accounts reporting from EPIC to ensure contractual allowances are accurate and appropriate representation of accrued net patient revenue

Works and consults with revenue cycle division regarding accounting and reimbursement needs, apply judgement and analytical techniques to evaluate appropriate distribution of revenues, contractual and bad debt allowances

Ensures net patient accounts receivable and due to third party reserves are calculated and recorded in accordance with models and other analysis

Reconciles and tracks Due to Third Party reimbursement balance sheet accounts

Ensures all data included in the cost reports is based on auditable, verifiable, and adequate documentation

Partners with external consultants to file and resolve cost report appeals

Coordinates reimbursement audits conducted by Medicare and other third-party auditors and prepares federal appeal position papers for outstanding issues that cannot be resolved

Provides complex financial modeling for completing the annual net patient revenue for the annual operating budget

Primary contact for all net patient accountings revenue and related areas

Manages different reimbursement vendors and ensures reporting requirements required by such vendors are completed timely and accurately

Constantly looks for revenue enhancements and cost efficiency opportunities

Communicate progress and setbacks in order for management to handle processes accordingly

Provide support and guidance to non-accounting staff in a manner that is understandable and actionable

Performs other duties as assigned

Qualification

Healthcare finance experienceAccounting managementFinancial modelingCPA certificationMBA degreeEPIC reportingAnalytical skillsCommunication skillsLeadership skills