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