Reimbursement Services Director jobs in Ohio

Summa Health Corporate Office

Full-time, w/benefits

Summa Health System is recognized as one of the region’s top employers by a number of third party organizations, including NorthCoast 99. Exceptional candidates gravitate to Summa because of its culture, passion for delivering excellent service to our patients and families commitment to our philosophy of servant leadership, collegial working relationships at every level of the organization and competitive pay and benefits.

Summary:
Responsible for issuing accurate, appropriate and timely internal and external financial statements consistent with GAAP. Responsible for estimating revenue recognition and accounts receivable provisions (contractual allowances, bad debts, charity, etc.) on a monthly basis for the consolidated entities of Summa Health. Provides health system leadership on revenue reporting and analytics. Oversees centralized and standardized net revenue reporting. Ensures thorough understanding of A/R and net revenue trends. Ensures processes that provide timely and accurate financial reporting. Responsible for the preparation of the annual cost reports filed with Medicare and Medicaid and coordinating audits and appeals thereof, as necessary. Assures reporting accuracy of ERP system through various interfaced subsidiary systems such as EPIC patient billing. Handles all third-party reimbursement services rendered to patients. Maintains integrity of financial records and provides oversight during annual external audits. Responsible for the development and oversight of the Net Patient Service Revenue budget for Summa Health System. Responsible for implementing accounting guidance associated with revenue recognition and related audit support associated with this guidance. Reviews with System CFO and VP Financial Reporting and Controller all significant transactions for accounting purposes.

1. Formal Education Required:
a. Bachelor’s Degree in Accounting or Finance
b. Certified Public Accountant preferred

2. Experience and Training Required:
a. Seven (7) years Accounting/Finance experience (public accounting or auditing preferred) to include three (3) years in a leadership role.

3. Other Skills, Competencies and Qualifications:
a. Population Specific Competency: Ability to effectively interact with patients/customers with the understanding of their needs for self-respect and dignity
b. Maintains a high degree of confidentiality regarding financial matters
c. Knowledge of computerized data systems and analytical skills required to perform statistical and data processing reviews
d. Works cooperatively and effectively with management personnel in a financial advisory capacity
e. Assumes accountability for demonstrating behaviors consistent with the customer service policy

4. Level of Physical Demands:
a. Sedentary: Exerts up to ten pounds of force occasionally and/or a negligible amount of force frequently.