Healthcare Cost Reporting Manager

New Solutions•Newark, OH

2d•Hybrid

About The Position

Manages the Accounts Receivable and Cost Reporting functions for The HealthCare System. Responsible for reporting on hospital and professional accounts receivable performance, reimbursement analysis, denial and collection trends, governmental and commercial payer receivables, Medicare and Medicaid cost reporting, supplemental payment programs, and regulatory reimbursement reporting at the organization and service line level. Provides leadership and reporting direction to identify trends in collection of receivables and optimization of cash flow while leading accurate reimbursement reporting and regulatory compliance. Develops reporting tools, analytics, and identifies operational processes that improve collections, reduce aged accounts receivable balances, strengthen reimbursement accuracy, and maximize financial performance related to service line execution. Develop and maintain dashboards, scorecards, and reporting tools that support leadership decision-making and improve visibility into collection performance and reimbursement trends. Analyze payer performance, collection barriers, denial patterns, underpayments, and reimbursement opportunities. Recommend operational improvements and action plans at both the organization wide level and the service line level. Oversee the preparation, coordination, review, and audit support for Medicare, Medicaid, and other governmental cost reports. Coordinate reimbursement activities with revenue cycle leaders, operational departments, external reimbursement consultants, auditors, and governmental agencies. Manage reimbursement analyses related to Medicare settlement estimates, Medicaid reimbursement programs, DSH, UPL, supplemental payment programs, bad debt reimbursement, uncompensated care funding, and other regulatory reimbursement programs. Monitor changing reimbursement regulations and communicate financial impact assessments to leadership at both the organizational level and the service line level. Develop reimbursement forecasts and support budgeting, long-range planning, and financial projections.

Requirements

Bachelor’s Degree in Accounting, Finance, Business Administration, Healthcare Administration, or related field required.
Minimum of five years progressive healthcare finance, reimbursement, accounting, or revenue cycle experience.
Previous supervisory or management experience.
Working knowledge of Medicare and Medicaid reimbursement methodologies, healthcare accounting principles, cost reporting, reimbursement regulations, and revenue cycle operations.
Strong analytical, critical-thinking, communication, and problem-solving skills.
Advanced knowledge of Microsoft Excel and Power BI, financial reporting systems, business intelligence tools, and data visualization applications.

Responsibilities

Manages the Accounts Receivable and Cost Reporting functions for The HealthCare System.
Responsible for reporting on hospital and professional accounts receivable performance, reimbursement analysis, denial and collection trends, governmental and commercial payer receivables, Medicare and Medicaid cost reporting, supplemental payment programs, and regulatory reimbursement reporting at the organization and service line level.
Provides leadership and reporting direction to identify trends in collection of receivables and optimization of cash flow while leading accurate reimbursement reporting and regulatory compliance.
Develops reporting tools, analytics, and identifies operational processes that improve collections, reduce aged accounts receivable balances, strengthen reimbursement accuracy, and maximize financial performance related to service line execution.
Develop and maintain dashboards, scorecards, and reporting tools that support leadership decision-making and improve visibility into collection performance and reimbursement trends.
Analyze payer performance, collection barriers, denial patterns, underpayments, and reimbursement opportunities.
Recommend operational improvements and action plans at both the organization wide level and the service line level.
Oversee the preparation, coordination, review, and audit support for Medicare, Medicaid, and other governmental cost reports.
Coordinate reimbursement activities with revenue cycle leaders, operational departments, external reimbursement consultants, auditors, and governmental agencies.
Manage reimbursement analyses related to Medicare settlement estimates, Medicaid reimbursement programs, DSH, UPL, supplemental payment programs, bad debt reimbursement, uncompensated care funding, and other regulatory reimbursement programs.
Monitor changing reimbursement regulations and communicate financial impact assessments to leadership at both the organizational level and the service line level.
Develop reimbursement forecasts and support budgeting, long-range planning, and financial projections.