About Us:

At Sinai Chicago, we take health care personally. Excellence in health care is about more than just medicine, technology, tests and treatments, it is about really caring for people with dignity and respect. That’s what we do. We are dedicated to providing the best care to meet the needs of people, for our community, for our patients and for you.

Position Purpose:

The Director Reimbursement Accounting provides leadership and oversight of the monthly and annual reporting, reviewing, and analysis of net patient revenue and accounts receivable for both facility and professional revenues. This role is responsible for monthly financial close, reviews and analyses reported data, and coordination with EPIC reports. The Director supports the completion of the Medicare and other third-party cost reports, and the monthly accounting financial close, and is responsible for developing and creating the annual net patient revenue budget using data from the budgeting system and EPIC.

Key Job Activities:

• 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.

Education and Work Experience:

• Bachelor’s degree in accounting, Finance, Business required, CPA and/or MBA preferred.

• 7 years of hospital/healthcare finance and accounting experience

• 5-7 years of progressively increasing management experience

• Multiple site and multiple entity experience

• Previous experience in a fast-paced, continually changing/growing environment.

Knowledge and Skills:

• Ability to analyze and summarize robust amount of data.

• Ability to manage, organize, prioritize, multi-task and adapt to changing priorities.

• Excellent verbal and written communications skills.

• Strong organizational, and planning skills.

• Ability to prioritize and multi-task in a fast-paced work environment.

• Attention to detail and committed to ensure integrity of deliverables.

• Strong knowledge of Microsoft Excel required.

• Self-Starter, willingness, and eagerness to learn and take on new tasks.

• Dependable to consistently deliver accurate and timely results.

• Excellent time management skills to meet deadlines and multitask.

• Constantly looking for process improvement opportunities

• Strong customer service skills

• Action-oriented and eager to embrace opportunities and challenges with a sense of urgency and enthusiasm.

Certifications/Licenses:

• None

Workplace Conditions:

PHYSICAL DEMANDS:

• While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle or feel; and talk or hear

• The employee frequently is required to walk and stoop, kneel, crouch

• The employee is occasionally required to stand

• The employee must occasionally lift and/or move up to 25 pounds.

• Specific vision abilities required by this job include close vision, distance vision, and ability to adjust focus

WORK ENVIRONMENT:

• General office environment and the noise level in the work environment is usually moderate

BLOOD-BORNE PATHOGEN EXPOSURE CATEGORY:

Category 1 - Job usually involves contact with patients or patient’s specimens. Exposure to blood, body fluids, non-intact skin or tissue specimens, is possible

Category 2 - Job may expose incumbent occasionally or in emergency situations to blood, body fluids, non-intact skin or tissue specimens

XCategory 3 - Job does not involve exposure to blood, body fluids, non-intact skin or tissue specimens. Incumbent does not perform or help in emergency medical care or first aid as a part of his/her job.

Benefits:

Sinai Health System’s goal is to provide you with the most comprehensive benefit package possible while balancing our fiscal commitments and obligations. Sinai Health Systems currently offers its employees the option to participate in a full range of benefits, including a health care program which includes medical, dental, vision and prescription coverage. Along with Employer Paid Life and Accidental Death & Dismemberment (AD&D), Supplemental Life, Short-Term and Long-Term Disability, Health Savings Account (HSA) and Flexible Spending Account (FSA), Employee Assistance Program and Student Loan Assistance. Participation in some programs requires that employees be regularly scheduled to work a minimum number of hours and/or to have fulfilled a waiting period after they begin employment with Sinai Health Systems.

Registry (per diem) Caregivers are caregivers who work less than 1,000 hours in a calendar year. Registry caregivers are employees of Sinai Health System but are typically on an as needed basis. These caregivers may be called upon to cover full-time or part-time caregivers during PTO events or sick leave as well as to provide supplemental coverage. Registry Caregivers are not eligible for Sinai’s benefit programs with the exception for Sick-C, PPO Medical Plan, Employee Assistance Program (EAP) and non-match eligible contribution to the Sinai Health System Consolidated 403(b) retirement savings plan.

Living the Values:

• TEAMWORK - Caregiver works together with other caregivers to create and maintain an inclusive workplace where differences, inclusivity, conflict resolution and open communication are valued

• RESPECT - Caregiver shows mutual respect and fairness, treats each person with dignity and encourages each individual’s unique talents and contributions

• QUALITY - Caregiver improves our services by following protocol and suggesting improvements based on observations, continuous learning and industry best practices

• INTEGRITY - Caregiver holds self and others accountable for their actions and are honest and ethical in all dealings

• SAFETY - Caregiver practices behaviors that promote safety for all patients, visitors, and caregivers

• ROLE MODEL - Caregiver is a dependable role model and champions our values through their daily interactions with patients, customers and coworkers