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Staff Accountant/Reimbursement Specialist

Titus Regional Medical Center
Mount Pleasant, TX Full Time
POSTED ON 2/1/2025
AVAILABLE BEFORE 3/31/2025
Job: Staff Accountant/Reimbursement Specialist
Classification: Salaried/Exempt
Job Category: 2 Professionals
FLSA Category: Administrative Exemption
 
Position Summary 
The Staff Accountant role processes journal entries, reconciles assigned general ledger accounts, and resolves any discrepancies, participates in month end close activities including variance analysis and report preparation, prepares schedules for auditing agencies, reconciles subledgers, accruals, and receivables, and coordinates and reviews accounts payable check runs.  The Reimbursement Specialist role will be responsible for reimbursement analysis & regulatory financial reporting across the system.  The Reimbursement Specialist role will analyze monthly net revenues and third-party liabilities, prepare all ad-hoc reimbursement and managed care data analysis; prepare and timely submit all regulatory reports including, but not limited to, the annual Medicare Cost Report.
  
Essential Functions 
-Prepares general ledger entries and maintains records and supporting files. 
-Prepares supporting schedules for audits and regulatory reporting. 
-Reconciles balance sheet accounts and resolves discrepancies timely and accurately. 
-Analyzes, interprets, and communicates data to provide information to stake holders. 
-Assist with cost accounting updates. 
-Coordinates and works cooperatively with management in operating budget preparation and responsibility report review. 
-Develops expertise in management reporting system and provides simple to complex reports to management 
-Responsible for monitoring, updating and communicating the annual timeline of reimbursement related deadlines.
-Develops and implements policies and procedures to manage and improve financial regulatory requirements.
-Assists in preparing and submitting all regulatory reports and supplemental filings (e.g., Medicare Cost Report, UC/DSH and Trauma Applications, DSRIP, etc.).
-Assists in responding to surveys affecting Medicare and Medicaid rate revisions, interim payments, and hospital-based physician arrangements.
-Assists with audits conducted by CMS, HHSC or other governmental intermediaries on prior years cost reports, settlement audits and reviews.
-Acts as primary contact for all reimbursement issues and advises the financial management team about changes in reimbursement environment and suggest courses of action.
-Maintains a strong working knowledge of the general ledger structure and how it translate into the Medicare Cost Report.
-Maintains current knowledge of policies, procedures, and regulations issued by local, state, and federal agencies. 
-Maintains and updates fiscal policies and procedures involved in accounting functions. 
-Acts as a liaison between finance department and other hospital departments. 
-Works closely with other members of the Finance, IT, Materials Management, Nursing, Patient accounting and Human Resource Departments and must be able to maintain productive working relationships with all other ancillary departments as required. 
-Exhibits integrity and confidentiality in dealing with information which can be sensitive in nature, including information which may fall under HIPAA regulations. 
-Adheres to and follows all patient experience initiatives. 
-Performs other duties as assigned. 
-Follows and adheres to TRMC vaccine policy(s) mandated by the Centers for Medicare & Medicaid Services (CMS).
-Provides superior customer service to internal and external clients, customers, and patients.
-Proven problem-solver with the interpersonal skills to work with people at all levels both inside and outside the system.
-Able to communicate effectively both verbally and in writing.
-Well-organized with great attention to detail and the ability to coordinate multiple tasks under tight deadlines.
-Able to take direction well and have the ability to work independently.
 
 
Work Experience
-Two years of experience in accounting or finance related positions preferred.
-Previous healthcare operations experience preferred.
-Proficiency with Microsoft Office, specifically Microsoft Excel and Microsoft Word preferred.
 
Education
-Bachelor's Degree in Accounting, Finance, or related field required. 
-Master’s Degree in Accounting, Finance, or related field or CPA preferred.
 
Physical Demands and Work Environment 
Lifting/Carrying    Pushing/Pulling             
 Lbs.      % Time     Lbs.      % Time 
 1-10     34-66      1-10      34-66 
11-20     01-33     11-20      0-33 
21-50     0-33     21-50      0-33 
51-75     0-33     51-75      0-33 
76-100    0-33     76-100    0-33 
  
Movement                         % Time 
Bend/Stoop/Twist           0-33 
Crouch/Squat                   0-33 
Kneel/Crawl                      0-33 
Reach above Shoulder   0-33    
Reach below Shoulder   0-33 
Repetitive Arm                 34-66 
Repetitive Hand               34-66 
Grasping                            0-33 
Squeezing                          0-33 
Climb Stairs                       0-33 
Walking Uneven              0-33 
Walking Even                    34-66 
  
Environment                     % Time 
Indoors                               67-100 
Outdoors                                            0-33 
Extreme Heat                    None 
Dusty                                   None    
Excessive Noise                 0-33 
  
Equipment                         % Time 
Motor Vehicles                 None 
Foot Pedals                        None 
Extreme Heat                    None 
Dusty                                   None    
Excessive Noise                 0-33 
  
Work near                          % Time 
Machinery                          None 
Electricity                           None 
Sharps                                 0-33 
Chemicals                           0-33 
Fumes                                 0-33 
Heights                               None 
  
Vision        
Depth Perception            Required 
< 20"                                   Required 
Color                                   Not Required 
Peripheral                          Required 
  
Endurance       Hours at Once      Total in 12HR 
Sit                                       1                        3 
Stand                                 4                       4.5 
Walk                                   4                       4.5 
  

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