Manager, Revenue Management

Job Summary

Manager Revenue Management provides support and oversight for financial reporting as it pertains to revenue recognition for hospitals and other providers. Additionally, they are responsible for all aspects of regulatory reporting for the Medicare and Medicaid programs, including cost reports, audits, and various other processes impacting reimbursement. The Manager provides services and operational feedback for decision support where requested by executive management. 

*Hybrid Role*

Essential Functions

• Supports a portfolio of hospitals by conducting monthly financial statement reviews of net revenue, cost report reserves, and valuation of accounts receivable.
• Prepares and manages annual Medicare and Medicaid cost report audits, appeals, and reopenings.
• Identifies potential reimbursement opportunities, including Medicare geographic reclassification, Disproportionate Share, beneficial Medicare hospital designations, state and local government funding programs, Medicaid rate setting, Medicaid supplemental program reimbursement, and other critical reimbursement functions.
• Manages various projects relative to reimbursement or other initiatives designed to increase net revenue.
• Monitors for legislative and regulatory changes in state Medicaid programs.
• Communicates with Medicare and Medicaid Intermediaries to resolve problems.
• Develops analytical tools and management reports, including profitability models, financial indicator reports, and mandatory review checklists.
• Performs other duties as assigned.
• Maintains regular and reliable attendance.
• Complies with all policies and standards.

Qualifications

• Bachelor's Degree in Accounting or Finance required
• 3-6 years recent accounting experience with a CPA firm required

Knowledge, Skills and Abilities

• Detail oriented
• Strong analytical skills, task management and problem-solving skills
• Strong verbal and written communication skills
• Proficient with Excel
• Experience with financial statement review and analysis

Licenses and Certifications

• Certified Public Accountant (CPA) or passed all 4 parts of the CPA exam required