Director of Reimbursement and Financial Analysis

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Company: Commonwealth Care of Roanoke

Location: Roanoke, VA 24018

Description:

SUMMARY OF JOB DESCRIPTION/RESPONSIBILITIES

  • Management of the Reimbursement function
  • Budgeting function in collaboration with CFO and Controller
  • Management of the Managed Care Contracting & Value Based Purchasing

    • arrangements
  • Reporting
  • Analysis
  • Training
  • Patient cost accounting
  • Other duties as assigned.


  • QUALIFICATIONS
  • Bachelor's Degree in Accounting
  • Long Term Care Reimbursement experience
  • Understanding of the Revenue cycle in Long Term Care
  • 5-10 Years Accounting experience
  • Good communication skills, able to relate ideas to others.
  • Proficient in Microsoft Office applications, especially Excel
  • Analytical skills
  • Must be organized and detail-oriented.
  • Must be able to meet deadlines.
  • Must be a team player and be able to work with department heads and other personnel at the Centers and outside the facility to obtain information needed. Must be able to work with Medicare, Medicaid, insurance companies, state and local officials when needed.


    • JOB RELATIONSHIPS
  • Reports directly to the CFO
  • Maintains a good working relationships with Center Staff, Home Office Staff, and external accounting firms, Payors


  • RESPONSIBILITIES
  • File required cost reports with Medicare and Medicaid. Analyze all desk and Home Office NPRS prior to deadlines.
  • Maintain relationships with Managed Care companies, negotiate rate increases, process contract changes, maintain contract summaries, etc with Managed Care and Revenue Analysis Coordinator
  • File annual VHI filings prior to deadlines.
  • Record all necessary Medicaid contractural entries on a monthly basis.
  • Analyze A/R allowance amounts. Make recommendations to CFO on any changes.
  • Prepare year end schedules for financial auditors for A/R allowance and reimbursement related general ledger accounts.


    • RESPONSIBILITIES (continued)

  • Preparation of annual operating and capital budgets in conjunction with Center Administrators, CFO, and Controller. Prepare any analysis as needed.
  • Run monthly financial reports and prepare related analysis. Distribute reports to stakeholders.
  • Financial statement analysis as needed.
  • Train new Administrators and AIT on Financial Management.
  • Presentation to Administrations and Department Heads on Financial Management matters as needed.
  • Develop reporting structures as requested.
  • Develop and distribute costing models (cost/patient for various Managed care contracts). Develop additional direct costing for models.
  • Quarterly evaluation of Pharmacy contract and true up calculations
  • Monthly preparation of Pharmacy data reports and distribution to Administrators.

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