Revenue Cycle Accounting Manager

Description

 Under the supervision of the Controller, this position is responsible for a range of reimbursement activities related to hospital, physician and ancillary reimbursement. In addition, this position also conducts various types of analyses including cost-benefit analyses and financial analyses documenting analytical findings and conducting internal and external research. 

•  Prepare the monthly bad debt calculation, contractual allowance reserve calculation, and related journal entries and general ledger reconciliations. 
• Prepare the late revenue (charges and contractuals) journal entry.
• Assist in the review all third party payer rate sheets and calculate the effect of any changes on the hospitals revenue.
• Prepare an estimated year-end schedule of the third party balances and update the report on a monthly basis, including reconciliations and journal entries.
• Prepare monthly revenue reports to validate the accurate recording of monthly and year-to-date net patient service revenue, investigating budget variances, cost trends and utilization patterns
• Provide financial analysis on special projects
• Prepares schedules required for the annual Medicare and Medicaid cost reports for the acute care hospital in accordance with all applicable regulations. 
• Responsible for budgeting, forecasting, and reporting of net patient service revenue.
• Serves as a primary contact for reimbursement issues, analyzes the issues, and makes recommendations for corrective action. 
• Takes the lead on preparing the year-end audit reports required by the hospital external auditors for accounts receivable, allowance for doubtful accounts, contractual allowances, third party settlements and other audit schedule assigned by the Controller.
• Understand and analyze the flow of data and information
• Work with the Central Business Office to streamline reporting and information
• Support the development of ad hoc reporting capabilities to meet the information requirements of management 
• Assist with budget creation and upload
• Perform other duties as assigned. 
• Be accountable for accurate and timely work
• Responsible for understanding and adherence to the Code of Conduct, and the Corporate Compliance Plan (CCP) at St. James Hospital.
• Participate in all educational requirements related to Corporate Compliance as required by the CCP education plan

Requirements

Education & Experience

· BA/BS degree in Accounting, Finance, Business Administration or related field required

· Master’s degree preferred

· 1-2 years in the health care industry

· EPIC experience preferred

· Prior work experience in hospital finance or reimbursement department and familiarity with cost reports

· Extensive experience with EXCEL spreadsheets and database software 

Skills

· Superior analytical skills

· Strong organizational skills

· Ability to think and act independently 

· Team player committed to quality processes and outcomes

License and/or Certifications

· CPA preferred

Physical Demands

Sitting for extended periods of time; manual and visual dexterity required for operating telephone and computer equipment; frequently required to lift up to 5 lbs.

Language Ability

Ability to read, write and interpret documents in English such as safety rules, operating and maintenance instructions and procedure manuals. Ability to read, analyze and interpret common scientific/trade/technical journals. Ability to write reports, business correspondence and procedure manuals. Ability to speak effectively before groups of employees, patients, and vendors.

Math Ability

Ability to work with mathematical concepts such as probability and statistical inference, and fundamentals of plane and solid geometry and trigonometry. Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.

Reasoning Ability

Ability to define problems, collect data, establish facts and draw valid conclusions. Ability to interpret an extensive variety of technical instructions in mathematical or written form and deal with several abstract and concrete variables.

Working Conditions

· Can work remote or in the office

· Must be flexible and adaptable to changing priorities and schedules; hours vary. 

· Normal office environment. 

· Slight potential for exposure to communicable diseases when in the hospital.