Accounts Receivable and Cost Reporting Manager

Healthcare Staffing; United States; On-site; USD 90,000 - 130,000; Full time

Job summary

Genesis HealthCare System is seeking a Finance Manager to oversee Accounts Receivable and Cost Reporting. You will report on AR performance, reimbursement trends, and regulatory cost reporting, while leading dashboards and staff to optimize cash flow and financial performance.

The role requires advanced Excel and Power BI skills, five years in healthcare finance, and prior supervisory experience. You will collaborate with Revenue Cycle and external auditors to ensure accuracy and compliance.

Qualifications

• Bachelor’s degree in Accounting, Finance, Business Administration, Healthcare Administration, or related field.
• Minimum of five years progressive healthcare finance, reimbursement, accounting, or revenue cycle experience.
• Previous supervisory or management experience.
• Working knowledge of Medicare and Medicaid reimbursement methodologies, healthcare accounting principles, cost reporting, reimbursement regulations, and revenue cycle operations.
• Strong analytical, critical-thinking, communication, and problem-solving skills.
• Advanced knowledge of Microsoft Excel and Power BI, financial reporting systems, business intelligence tools, and data visualization applications.
• Ability to independently prioritize multiple tasks while maintaining a high degree of accuracy.

Responsibilities

• Manage accounts receivable and cost reporting functions and provide leadership for reporting and analytics.
• Develop dashboards, scorecards, and tools to monitor collections, denials, and reimbursement trends.
• Analyze payer performance, identify barriers, and recommend operational improvements for revenue cycle.
• Oversee Medicare/Medicaid cost reports and regulatory reimbursement reporting.
• Coordinate reimbursement activities with Revenue Cycle leadership and external auditors.
• Lead staff development, training, and performance management within AR and Cost Reporting.

Skills

Analytical thinking

Communication

Problem solving

Supervisory experience

Healthcare finance knowledge

Strategic thinking

Excel proficiency

Power BI proficiency

Education

Bachelor’s degree in Accounting, Finance, Business Administration, Healthcare Administration, or related field

Tools

Microsoft Excel

Power BI

Job description

GENESIS HEALTHCARE SYSTEM In order to fill our Mission of serving our community by helping each person achieve optimal health and well-being by providing compassionate, exceptional, and affordable healthcare services, all employees of Genesis HealthCare System must be committed to living the Genesis Mission and Genesis values of Compassion, Excellence, Integrity, Team, and Innovation. All employees must regard themselves as an ‘owner’ of Genesis and keep our patients at the center of everything we do - always.

Work Shift: Day Shift (United States of America) Scheduled Weekly Hours: 40 Department: Financial Planning and Analysis

Overview of Position: Manages the Accounts Receivable and Cost Reporting functions for Genesis HealthCare System. Responsible for reporting on hospital and professional accounts receivable performance, reimbursement analysis, denial and collection trends, governmental and commercial payer receivables, Medicare and Medicaid cost reporting, supplemental payment programs, and regulatory reimbursement reporting at the organization and service line level. Provides leadership and reporting direction to identify trends in collection of receivables and optimization of cash flow while leading accurate reimbursement reporting and regulatory compliance. Develops reporting tools, analytics, and identifies operational processes that improve collections, reduce aged accounts receivable balances, strengthen reimbursement accuracy, and maximize financial performance related to service line execution.

ESSENTIAL DUTIES

• 1. Helping to execute organizational goals. It is critically important to understand how Accounts Receivable and Cost Reporting activities contribute to the financial success of the organization and the key service lines. The Manager must effectively communicate organizational priorities, establish expectations, and guide staff through change.
• 2. Monitor Accounts Receivable operations through continuous monitoring of days in accounts receivable, aging trends, denial rates, net collection performance, cash collections, credit balances, denials and recoupments, and payer-specific performance metrics.
• 3. Develop and maintain dashboards, scorecards, and reporting tools that support leadership decision-making and improve visibility into collection performance and reimbursement trends.
• 4. Analyze payer performance, collection barriers, denial patterns, underpayments, and reimbursement opportunities. Recommend operational improvements and action plans at both the organization‑wide level and the service line level.
• 5. Oversee the preparation, coordination, review, and audit support for Medicare, Medicaid, and other governmental cost reports.
• 6. Coordinate reimbursement activities with revenue cycle leaders, operational departments, external reimbursement consultants, auditors, and governmental agencies.
• 7. Manage reimbursement analyses related to Medicare settlement estimates, Medicaid reimbursement programs, DSH, UPL, supplemental payment programs, bad debt reimbursement, uncompensated care funding, and other regulatory reimbursement programs.
• 8. Monitor changing reimbursement regulations and communicate financial impact assessments to leadership at both the organizational level and the service line level.
• 9. Develop reimbursement forecasts and support budgeting, long‑range planning, and financial projections.
• 10. Maintain strong internal controls and documentation related to reimbursement reporting and accounts receivable processes. Lead interactions with financial statement auditors for accounts receivable and payer settlement activities.
• 11. Prepare professional reports, executive summaries, presentations, and recommendations for leadership, committees, auditors, and governing bodies.
• 12. Participate in process improvement initiatives focused on cash acceleration, denial prevention, reimbursement optimization, automation, and reporting efficiency.
• 13. Participate as a key member of the Finance leadership team and work closely with the Revenue Cycle leadership team on key initiatives.
• 14. Apply proven communication, analytical, and problem‑solving skills to assist stakeholders with informed decision‑making.
• 15. Responsible for hiring, onboarding, coaching, training, performance management, and professional development of Accounts Receivable and Cost Reporting staff.
• 16. Define and establish departmental best practices, performance standards, accountability measures, and service expectations.
• 17. Assist with staffing plans, resource allocation, succession planning, and strategic initiatives.
• 18. Perform all other duties as assigned.

QUALIFICATIONS

• 1. Bachelor’s degree in Accounting, Finance, Business Administration, Healthcare Administration, or related field required.
• 2. Minimum of five years progressive healthcare finance, reimbursement, accounting, or revenue cycle experience.
• 3. Previous supervisory or management experience.
• 4. Working knowledge of Medicare and Medicaid reimbursement methodologies, healthcare accounting principles, cost reporting, reimbursement regulations, and revenue cycle operations.
• 5. Strong analytical, critical‑thinking, communication, and problem‑solving skills.
• 6. Advanced knowledge of Microsoft Excel and Power BI, financial reporting systems, business intelligence tools, and data visualization applications.
• 7. Ability to independently prioritize multiple tasks while maintaining a high degree of accuracy.
• 8. Strong organizational and project management skills.

PATIENT CENTERED CARE & BEHAVIORAL EXPECTATIONS

1. Living the Genesis Mission, Vision and Values:

• Performs work in a manner that is quality focused.
• Treats patients, co-workers, visitors and volunteers with courtesy, compassion, empathy and respect.
• Results‑oriented and focused on achievement of objectives.
• Acknowledges and responds to the diversity of people and the situation.
• Encourages peers (others) to be owners of change.
• Always makes the effort to anticipate and exceed customer needs and expectations.
• Possesses the ability to engage others with patience and understanding.
• Acts in a manner that creates positive first and lasting impressions.
• Demonstrates the ability to own issues until they are resolved.

2. Patient Centered Care (patients/families, physicians, co-workers, all other internal/external customers)

• Introduces self and role…connects with everyone.
• Communicates effectively (i.e., advising others of actions, pertinent information, time durations, etc.) and asks for feedback.
• Asks for and anticipates needs and concerns of others.
• Maintains a positive work environment for staff and a healing environment for patients (i.e. safe, clean, quiet, etc.)
• Maintains the dignity and privacy of each person; manages confidential/sensitive information appropriately.
• Responds to requests in an appropriate and timely manner.
• Exits patient/customer encounters courteously, asking if there are additional needs that can be addressed.

3. Promotes Patient and Employee Safety

• Demonstrates safe Patient Handling (i.e. transfers, transport, care administration, nutrition, medication, etc.)
• Demonstrates safe Materials Handling (i.e. appropriate use and disposal of chemicals, infectious wastes, etc.)
• Demonstrates appropriate knowledge of Infectious Disease precautions and use of proper protective equipment
• Demonstrates Slips/Trips and Falls Awareness.
• Actively contributes to maintaining a safe, clean and quiet environment.

WORKING CONDITIONS/PHYSICAL REQUIREMENTS

WORKING CONDITIONS/PHYSICAL REQUIREMENTS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Ability to read, analyze, interpret, and communicate financial and operational information. 2. Ability to operate a personal computer and standard office equipment for extended periods. 3. Ability to work with detailed financial information requiring strong concentration and attention to detail. 4. Occasional standing, walking, bending, reaching, and light lifting. This description reflects in general terms the type and level of work performed. It is not intended to be all-inclusive, nor portray the specific duties of any one incumbent.

Thank you for your interest in employment at Genesis.

Genesis is committed to being an equal opportunity employer.

Selection of applicants for employment is based only on qualifications and the requirements of a specific job.

Our mission is to provide compassionate, quality healthcare.

Genesis HealthCare System is an integrated healthcare delivery system based in Zanesville, Ohio. The system includes a not‑for‑profit hospital, Genesis Hospital, in Zanesville, an extensive network of more than 300 physicians and multiple outpatient care centers throughout the region. Genesis is the largest healthcare provider in its six‑county region of southeastern Ohio, which includes Muskingum, Morgan, Perry, Coshocton, Noble and Guernsey counties. Genesis provides a higher level of service than what is typically found in a community of its size including open‑heart surgery, trauma care, a Level II special care nursery, neurosurgery and comprehensive cancer services. This level of care has established Genesis as a primary referral center for much of the region. In addition to traditional hospital services, Genesis offers a broader range of services through its affiliated organizations, which serve as Genesis' partners to extend care far out into the community. Our steadfast commitment to delivering high quality, compassionate patient care is recognized throughout the country with numerous awards and accreditations. We are proud of our rich history of serving the community and vow to continue the tradition of healing and caring with compassion, trust, innovation and excellence.