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Medicare Cost Report & Reimbursement Specialist - Skilled Nursing Facilities

Stellar Senior Living
Midvale, UT Full Time
POSTED ON 1/24/2025
AVAILABLE BEFORE 2/20/2025

We seek an outstanding Medicare and Medicaid Cost Report & Reimbursement Specialist to join our Corporate Accounts Receivable Team! Come join a team of dedicated, smart, and caring professionals as they work together to care for our seniors and provide them with the lifestyle they deserve.

Who we are

"Our supreme goal is to do and be the best in all we undertake and to provide a Stellar life for our residents, their families, and our employees." - Evrett Benton, CEO

If you are looking for a company and team that understands the value of people, then look no further!

Stellar Senior Living is the premier assisted living and memory care provider in the Western United States.  Founded in 2012, we have experienced consistent growth, adding senior living communities to our family each year. We continue to grow and seek top talent to join our team and continue the journey with us.

The Medicare and Medicaid Cost Report & Reimbursement Specialist will play a pivotal role in Stellar Senior Living’s Government Reimbursement Function.

  • The specialist will oversee the completion of Medicare and Medicaid Cost Reports and other government financial filings for our skilled nursing facilities, as well as support subsequent audits.
  • Additionally, the specialist will assist in handling communication with Medicare Administrative Contractors (MACs), CO Medicaid agencies, and other government entities and related contractors on matters concerning financial filings, audits, and reimbursement topics.

The successful candidate will work independently to complete filings and audits within the required timeframes, with moderate to minimal oversight.

  • This role demands a high degree of expertise in Medicaid and Medicare Cost Report instructions, data inputs, and familiarity with updates to Medicare and Medicaid regulations related to reimbursement.
  • Additionally, the specialist must understand finance and accounting principles, particularly as they apply to skilled nursing facilities, such as charity care and bad debt write-offs.  Candidate must have a minimum of 3 years experience working with Colorado Medicaid. 

Qualifications

Knowledge, Skills, and Abilities (Required):

  • B.S. Degree in Accounting, Business, Healthcare Administration, or a related field, OR a minimum of eight (8) years of relevant experience.
  • At least three (3) years of relevant experience in the healthcare industry.
  • Demonstrated experience in Cost Report preparation and review.
  • Comprehensive knowledge of government payor reimbursement regulations.
  • Strong analytical skills with excellent attention to detail.
  • Excellent communication and interpersonal skills.
  • Proficiency in Microsoft Excel at an intermediate level.

Preferred Qualifications:

  • Advanced knowledge of skilled nursing facility reimbursement systems.
  • Familiarity with Colorado and Wyoming Medicaid Waiver programs and related reporting requirements.
  • Experience working with government audit processes.
  • Open to travel and attending conferences.
  • Case Mix Index (CMI) experience a plus

This role offers the opportunity to contribute significantly to the financial stability and compliance of Stellar Senior Living’s skilled nursing facilities, ensuring adherence to government regulations while optimizing reimbursement processes.

Join Us:

If you’re ready to make a significant impact in a rapidly growing senior living company and have the proven ability to lead successful new build openings and lease-ups, we encourage you to apply. Let’s build something extraordinary together.

We are an equal opportunity employer and prohibit discrimination/harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

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