Assistant Director of Accounting

Greater Regional Health; Creston (IA); On-site; USD 65,000 - 85,000; Full time

Benefits offered by this job

IPERS

Tuition reimbursement

Wellness screenings

Wellness reimbursements

Job summary

Greater Regional Health is seeking a 340B Program Finance Liaison to manage audits, ensure 340B compliance, and support revenue cycle initiatives. The role collaborates with IT, internal audit, and accounting teams to optimize program efficiency and reporting.

The ideal candidate has accounting training with hospital experience, strong Excel skills, and familiarity with 340B programs. This full-time position supports financial operations and cost reporting within our Critical Access Hospital.

Qualifications

• Bachelor’s degree in accounting is required.
• Accounting experience preferred.
• Previous critical access hospital experience preferred.
• Cost Report Experience preferred.
• Apexus and/or 340B Experience preferred.
• Strong MS Excel skills needed.
• Infection Prevention Education requirements per IC#23.

Responsibilities

• Audit and analyze 340B program audits including Medicaid duplicate discount and patient eligibility.
• Ensure compliance with 340B program requirements.
• Monitor Medicaid claims to prevent duplicate discount rebates.
• Formulate resolutions for noncompliance found in audits.
• Develop relationships with IT, internal audit, accounting, and other units to improve efficiency.
• Provide data, information, and reports for other business units.
• Coordinate revenue cycle committees and work groups.
• Oversee charge capture policies, reconciliation, and training.
• Assist in preparing audit and cost report work papers.
• Supervise accounting functions in absence of Director of Accounting.

Skills

Strong MS Excel skills

Apexus and/or 340B Experience

Accounting experience

Previous critical access hospital

Cost Report Experience

Infection Prevention Education

EPIC / Systoc / Speedscripts knowledge

Education

Bachelor’s degree in accounting

Tools

EPIC

Systoc

Speedscripts

Job description

Major Tasks, Duties, and Responsibilities:

340B Program Finance Liaison for all 340B related matters

• Create/distribute/analyze all 340B program audits including Medicaid duplicate discount and patient eligibility
• Ensure compliance with all 340B Program requirements
• Monitor and audit Medicaid claims to ensure compliance to prevent potential duplicate discount rebates.
• Formulate/implement resolution for any noncompliance discovered in audits
• Develop and foster working relationships with internal working counterparts (IT, internal audit, results, accounting, and others) to facilitate productive exchanges of information to improve program efficiency and promote program compliance
• Provide data, information, and reports as needed for other business units within the organization.

Revenue Cycle initiatives

• Co-ordinates regular revenue cycle committee meetings, work groups and task forces
• Maintain charge capture and charge reconciliation policies and procedures
• Provides oversight of charge reconciliation and revenue monitoring responsibilities, including training and education.
• Identify the root cause of missing charges. Coordinate with the clinical departments, coding, and other key stakeholders to address and resolve root cause charge capture issues
• Maintains technical knowledge to support organization with questions related to charge capture and complex regulatory billing issues
• Prepares monthly IHA Databank reports

Accounting Duties

• Posts entries to ledgers and journals after reviewing for accuracy and compliance with established accounting procedures and policies from EPIC, Systoc, Speedscripts and any other necessary revenue/source journals
• Manage Provider RVU incentive payments
• Assists in preparation of audit and cost report work papers

Skills, Education, and Experience

• Bachelor’s degree with accounting major required
• Accounting experience preferred
• Previous critical access hospital experience preferred
• Cost Report Experience preferred
• Apexus and/or 340B Experience preferred
• Strong MS Excel skills needed
• Annual Infection Prevention education requirements as designated in IC#23 Infection Prevention Education Requirements

Supervision (Received and Given)

• Direct supervision received from the Director of Accounting
• Supervises all accounting functions & personnel in absence of Director of Accounting

Disclaimer:

For the 8th year in a row, Greater Regional has been named one of the Top 50 Workplaces in Iowa, which we credit to our employees shared cultural values. We are also proud to announce Greater Regional is one of the Top 100 Critical Access Hospitals in the nation 7 years running. Greater Regional offers an outstanding benefits package to all full-time employees which includes IPERS, tuition reimbursement, wellness screenings, wellness reimbursements, and more. Patients have a choice in health care, they choose Greater Regional Health. You have a choice in employment, choose Greater Regional Health!

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.