Revenue Management Specialist

8 hours ago

Clearwater, FL, United States BayCare Health System Full time

BayCare is seeking a Revenue Management Specialist to join our dynamic Reimbursement team. In this role, you will assume a leadership position within your area of specialty, ensuring the integrity of financial reporting and compliance with CMS guidelines. You will play a key part in preparing cost reports, performing rate modeling, and leading audits that impact reimbursement strategies across BayCare's healthcare facilities.

What You'll Do In the Role:

  • Prepare and analyze Medicare and Medicaid Cost Reports for multiple facilities to ensure compliance with CMS regulations.

  • Perform rate modeling for inpatient and outpatient services and collaborate with contracting teams to implement updates in the patient accounting system.

  • Lead audits for reimbursement areas such as S-10 Charity Care and Wage Index, ensuring accuracy and timely completion.

  • Participate in month-end close activities, including posting Medicare settlements and reconciling non-patient cash.

  • Act as a subject matter expert for reimbursement areas such as DSH, Home Office Cost Reports, and protested items.

  • Mentor interns and team members, providing guidance and optimizing workflow.

  • Collaborate with senior leadership and cross-functional teams to achieve Reimbursement Division goals.

  • Communicate regulatory changes and their impact to leadership and stakeholders.

Qualifications:

  • Bachelor's degree in Accounting, Finance, or a related field (Required).

  • CPA certification (Preferred).

  • 8 years of healthcare finance or reimbursement experience required.

  • Strong analytical and problem-solving skills.

  • Proficiency in Microsoft Excel and financial reporting tools.

  • Excellent communication and leadership skills.

Location: Clearwater, FL | Hybrid

Status: Full-time | Exempt

Schedule: Monday-Friday, 8:00 AM - 5:00 PM

Weekend Work: None | On Call: No

Equal Opportunity Employer Veterans/Disabled

Position Revenue Management Specialist

Location Clearwater:BayCare Sys Office West | Business and Administrative | Full Time

Req ID 123245

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