Controller - Sr. Accountant

Supplied Talent•Denver, CO

About The Position

We are seeking an experienced Controller with a strong background in skilled nursing facility (SNF) finance to oversee all financial operations for our contracted buildings. The ideal candidate brings hands-on expertise in long-term care financial management, including Medicaid/Medicare billing and reimbursement, and thrives in a fast-paced, multi-facility healthcare environment. This is a critical leadership role requiring someone who can manage the full scope of accounting operations while supervising a small finance team.

Requirements

Prior experience in a Skilled Nursing Facility (SNF) finance role is required, preferably in a corporate or multi-facility setting
Proficiency in QuickBooks Desktop Enterprise is REQUIRED (candidates will complete a QuickBooks assessment)
Demonstrated experience with Medicaid/Medicare billing, navigation, and reimbursement processes
Strong working knowledge of P&L management, aging reports, cash flow analysis, and cost reporting
Experience with resident billing calculations across multiple payer sources (MCR, MCD, Private Pay, VA, commercial insurance)
Solid understanding of accounts receivable, accounts payable, payroll, petty cash, and trust fund management
Strong analytical, organizational, and problem-solving skills
Ability to work independently and manage multiple priorities across contracted facilities

Nice To Haves

CPA, CMA, or equivalent accounting certification
Experience in a corporate healthcare finance or multi-site SNF environment
Familiarity with state-specific Medicaid billing and reporting requirements for FL and/or CO

Responsibilities

Prepare and analyze Profit & Loss (P&L) statements for each contracted building
Generate, review, and manage aging reports to ensure timely collections and minimize outstanding balances
Oversee cash flow management for contracted buildings, including payroll processing, bill payments, accounts payable, and accounts receivable
Maintain accurate and current accounts receivable, accounts payable records, payroll records, petty cash accounts, and employee files
Prepare and maintain cost logs for Medicaid and Medicare reporting and reimbursement
Manage all aspects of resident billing, including rate calculations and adjustments
Oversee billing operations across all payer sources: Medicare (MCR), Medicaid (MCD), Private Pay, VA, and commercial insurance
Navigate Medicaid and Medicare billing portals, ensuring accurate claim submission, follow-up, and compliance
Understand and apply payer-specific billing processes, reimbursement methodologies, and regulatory requirements
Maintain accurate resident trust fund ledgers in compliance with state and federal regulations
Ensure proper documentation and reconciliation of all trust fund transactions
Provide oversight and direction to indirect reports, including: • Accountant/CPA (1) • Accounts Receivable / Billers (1–2) • Accounts Payable Specialists (1–2)