Manager, Revenue Management
Job Summary
Manager Revenue Management provides support and oversight for financial reporting as it pertains to revenue recognition for hospitals and other providers. Additionally, they are responsible for all aspects of regulatory reporting for the Medicare and Medicaid programs, including cost reports, audits, and various other processes impacting reimbursement. The Manager provides services and operational feedback for decision support where requested by executive management.
Remote Role
This is a remote position.
Essential Functions
Supports a portfolio of hospitals by conducting monthly financial statement reviews of net revenue, cost report reserves, and valuation of accounts receivable.
Prepares and manages annual Medicare and Medicaid cost report audits, appeals, and reopenings.
Identifies potential reimbursement opportunities, including Medicare geographic reclassification, Disproportionate Share, beneficial Medicare hospital designations, state and local government funding programs, Medicaid rate setting, Medicaid supplemental program reimbursement, and other critical reimbursement functions.
Manages various projects relative to reimbursement or other initiatives designed to increase net revenue.
Monitors for legislative and regulatory changes in state Medicaid programs.
Communicates with Medicare and Medicaid Intermediaries to resolve problems.
Develops analytical tools and management reports, including profitability models, financial indicator reports, and mandatory review checklists.
Performs other duties as assigned.
Maintains regular and reliable attendance.
Complies with all policies and standards.
Qualifications
Bachelor's Degree in Accounting or Finance required
2-6 years recent accounting experience with a CPA firm required
Knowledge, Skills and Abilities
Detail oriented
Strong analytical skills, task management and problem-solving skills
Strong verbal and written communication skills
Proficient with Excel
Experience with financial statement review and analysis
Licenses and Certifications
Certified Public Accountant (CPA) or passed all 4 parts of the CPA exam required
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