Job description

Signature HealthCARE is a family-based healthcare company that offers integrated services in 8 states across the continuum of care: skilled nursing, rehabilitation, assisted living, memory care, home health, cognitive care, and telemedicine. A growing number of our centers are earning quality assurance accreditation and pioneering person – directed care. Many of our skilled nursing facilities have achieved a 4 or 5-star overall rating from the Centers for Medicare Medicaid Services. Additionally, we have been awarded as a certified Great Place to Work for three years in a row and Modern Healthcare’s “Best Places to Work!”

Signature HealthCARE has a vision to radically change the landscape of healthcare forever. It’s more than a corporation… it’s a Revolution. We are currently seeking an innovative and progressive leader to join the mission.

As Audit and Reimbursement Manager, you will be responsible for assisting in the preparation, review, and supervision of Medicare and Medicaid cost reports. You will provide all required support to Reimbursement Analysts to ensure optimal reimbursement and successful audit outcomes. As the Manager you will be responsible for the timely and accurate filings of all Medicare, Medicaid, and third party cost reports, as well as managing appeals, exceptions and audit reviews. Lastly, responsible for reporting and analysis of monthly and annual projections, including rate adjustments.

How you will make a difference:

• Responsible for the timely and accurate filings of all Medicare, Medicaid, and state mandated cost reports, as well as managing appeals, and cost report/Medicare bad debt audits.
• Help in preparation, review, and supervision of Medicare and Medicaid cost reports. Compile, analyze, and maintain all associated schedules, worksheets and documentation.
• Provide all required support to Reimbursement Analysts to ensure optimal reimbursement and successful audit outcomes.
• Also responsible for reporting and analysis of monthly and annual projections, including rate adjustments.

How you will spend your time:

• Meet the physical and sensory requirements stated below and be able to work in the described environment.
• Identify and participate in process improvement initiatives that improve the customer experience, enhance workflow, and/or improve the work environment.
• Management duties including, but not limited to, hiring, training and developing, coaching and counseling, and terminating department staff, as deemed necessary.
• Ensure that all employment practices are administered fairly and without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, marital status, amnesty, or veteran status in accordance with applicable federal, state and local laws.
• Participate in budget preparation to ensure operations are informed of upcoming reimbursement changes.
• Use knowledge of Medicare and Medicaid regulations to complete statistical and financial modeling to produce Medicare, Medicaid and state mandated cost reports.
• Gather data and complete analysis required of outside audit staff for Medicare, Medicaid and report on audit adjustments to management.
• Identify reimbursement strategies designed to contain unnecessary costs or maximize revenue.
• Complete review and analysis of prior years’ outstanding cost reports and resolve any outstanding issues within the time frame imposed.
• Coordinate the reimbursement section’s input into the annual financial audit performed by the company.
• Responsible for timely research and evaluation of Medicare laws and changes to be incorporated in the department’s/company’s policies and procedures.
• Oversee the development of statistical models used in trend and risk analysis.
• Perform a monthly reconciliation of the 3rd Party receivable general ledger accounts and prepare adjusting entries for accounting, as needed.
• Design and improve reimbursement models and cost report formats.
• Represent department during the State and Federal audits for fiscal operations.
• Assist in the performance of special reviews at the request of Director of Reimbursement and/or Vice President of Reimbursement.
• Other special projects and duties, as assigned.

The qualifications you will need:

• Bachelor’s degree in accounting or related field such as administration, banking, finance, auditing required.
• Experience in Long Term Care Reimbursement a must, preferably Southeast United States.
• Minimum of three (3) to five (5) years of related health care experience in reimbursement, accounting and or auditing roles: management/supervisory experience required.
• Working knowledge of Medicaid, Medicare, and third-party regulations.
• Must possess strong account reconciliation and General Ledger review skills.
• Effective verbal and written English communication skills.
• Demonstrated intermediate to advanced skills in Microsoft Word, Excel, Power Point and Outlook, Internet and Intranet navigation.
• Highest level of professionalism with the ability to maintain confidentiality.
• Ability to communicate at all levels of organization and work well within a team environment in support of company objectives.
• Customer service oriented with the ability to work well under pressure.
• Strong attention to detail and accuracy, excellent organizational skills with ability to prioritize, coordinate and simultaneously maintain multiple projects with high level of quality and productivity.
• Strong analytical and problem-solving skills.
• Ability to work with minimal supervision, take initiative and make independent decisions.
• Ability to deal with new tasks without the benefit of written procedures.
• Approachable, flexible and adaptable to change.
• Function independently, and have flexibility, personal integrity, and the ability to work effectively with stakeholders and vendors.

Your work environment:

• You’ll work mostly indoors on floors that are tiled or carpeted.
• You’ll be around other co-workers, residents and their guests.
• You’ll have possible exposure to occasional slippery floors, chemicals, sharp objects, and hazardous materials and waste (including human), blood borne pathogens, and communicable diseases.
• You'll be around possible high-stress medical and/or life-threatening situations.

Physical and Sensory requirements:

• This role requires moderate physical activity.
• Standing and/or walking for more than two (2) hours per day.
• Sitting for more than two (2) hours at a time.
• Bending and/or stooping for more than one (1) hour at a time.
• Requires writing and/or computer work with repetitive typing and concentrating on computer screen and/or documents for more than two (2) hours at a time.

Requirements for Consideration include:

• Bachelor’s degree in accounting or related field such as administration, banking, finance, auditing required.
• Experience in Long Term Care Reimbursement a must, preferably Southeast United States.
• Minimum of seven (7) years of related health care experience in reimbursement, accounting and or auditing roles: management/supervisory experience required.
• Working knowledge of Medicaid, Medicare and third party regulations.
• Must possess strong account reconciliation and General Ledger review skills.

Signature Healthcare is an Equal Opportunity-Affirmative Action Employer – Minority / Female / Disability / Veteran and other protected categories.

For additional information, please contact:
Hillary Bayens, SR Director of Talent Acquisition

hbayens@signaturehealthcarellc.com

Cell/text: 502.263.8471

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