Manager, Revenue and Reimbursement Accounting

Advocate Health • Oak Brook, IL

1d • $51 - $77 • Remote

About The Position

The Manager, Revenue and Reimbursement Accounting leads market-level accounts receivable reserve activities, revenue and reimbursement accounting, budgeting and forecasting, audit coordination, internal controls, and staff management. The role works with managed health operations, revenue cycle, financial planning, financial reporting, reimbursement leadership, and external auditors to support accurate financial statements and compliance with accounting standards.

This is a fully remote role for candidates working from the listed eligible states. Remote work is not permitted from California, Colorado, Washington, New York City, or internationally, including while on vacation. Relocation and visa sponsorship or transfer are not available. The role is full time, 40 hours per week.

Requirements

• Bachelor’s degree in accounting, finance, or a related field.
• Typically requires 7 years of experience in health care reimbursement or public accounting.
• Advanced Excel skills and proficiency with other Microsoft Office programs.
• Experience with report building.
• Experience with SSRS, Workday, or Epic.
• No licensure, registration, or certification is required.

Responsibilities

• Lead the market-level accounts receivable reserve process, including detailed reviews of contractual allowances and bad debt reserve calculations for hospital billing, professional billing, and continuing care.
• Review quarterly hindsight and evaluate results to determine necessary changes to the accounts receivable reserve process.
• Build working relationships with managed health operations and revenue cycle to understand considerations in setting accounts receivable reserves.
• Evaluate and monitor market-level accounts receivable mix for hospital and professional billing, document monthly fluctuations, and assess whether they affect reserves.
• Assist with explanations of budget-to-actual variances for contractual discounts, including analysis of paid claims, charity care, and bad debt provision fluctuations.
• Assist in preparing and presenting net revenue results to financial planning during month-end close.
• Work directly with external auditors on market-level accounts receivable, reserves, and revenue audits.
• Work with the Managed Health cost reporting team to understand cost report settlements and related reserves, and adjust recorded amounts to reflect current status.
• Ensure Medicare and Medicaid open cost report settlement balances are reconciled and support their calculation with external financial auditors during year-end audit.
• Work with Financial Reporting to document quarterly analyses of revenue recognition reserves related to compliance and regulatory matters.
• Represent market-level finance for Epic and Net Revenue Projects.
• Maintain relationships with Revenue Cycle leadership to understand financial statement implications of billing, collection, and adjustment workflow changes.
• Understand Epic logic for mapping revenue, payments, and adjustments to the general ledger; provide accounting oversight to ensure new Epic codes are mapped in accordance with Generally Accepted Accounting Principles.
• Partner with the Reimbursement Budget Planning Director to develop and forecast market-level revenue budgets.
• Ensure Gross and Net Patient Revenue budgeting is accurate, timely, and compliant with accounting standards.
• Lead monthly analysis of budget variances with revenue cycle and managed care operations, preparing documentation and explanations for leadership and finance.
• Partner with Managed Health reimbursement leadership on valuation of regional Medicaid supplemental payment revenue and receivables; ensure balances are reconciled and support receivables with external auditors during year-end audit.
• Support ongoing compliance with the organization's internal control plan; review and direct the Accounting Operations internal controls plan and ensure it is updated as business conditions, processes, systems, or policies change.
• Coordinate and complete internal and external auditor requests and queries, hold the team accountable for audit deadlines, and direct responses to reporting and regulatory requests.
• Review estimation and risk areas, provide higher-level issue resolution, and participate in developing the external audit plan with auditors and the Financial Reporting Team.
• Perform human resources responsibilities for staff, including hiring and selection, promotions, staff development, performance evaluations, compensation changes, employee concern resolution, corrective actions, terminations, and employee morale.
• Understand and adhere to the organization's Code of Ethical Conduct and ensure that personal actions and the actions of supervised employees comply with applicable policies, regulations, and laws.
• Operate all equipment necessary to perform the job and perform other related duties as required.

Benefits

• Paid time off programs.
• Medical, dental, vision, life, and short- and long-term disability benefits.
• Flexible Spending Accounts for eligible health care and dependent care expenses.
• Adoption assistance and paid parental leave.
• Defined contribution retirement plans with employer match and other financial wellness programs.
• Educational Assistance Program.
• Competitive compensation, with potential premium pay, incentive pay for select positions, and annual increases based on performance.
• Career development programs.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager