Reimbursement Director, Healthcare

CLA (CliftonLarsonAllen); Dallas (TX); On-site; USD 130,000 - 190,000; Full time

Benefits offered by this job

Wellness program

Comprehensive benefits

401k plan

Job summary

CLA (CliftonLarsonAllen) in Texas seeks a Healthcare Reimbursement Director to lead Medicare/Medicaid cost reports and related consulting for hospitals, health systems, and clinics. You will work with the Healthcare group in Dallas–Fort Worth, or Houston, reporting to Healthcare Principals and Signing Directors.

The role emphasizes expanding reimbursement services, mentoring staff, and maintaining up-to-date knowledge of Medicare and state Medicaid rules to drive revenue growth for clients.

Qualifications

• Bachelor’s degree is required; combination of experience and training may be accepted in lieu of degree.
• Knowledge of Medicare program and state Medicaid rules and regulations.
• Proficiency with MS Office products (Outlook, Word, Excel) required.

Responsibilities

• Coordinate and prepare Medicare and Medicaid cost reports.
• Coordinate and prepare reimbursement related consulting projects.
• Train and develop staff.
• Maintain knowledge of Medicare program and State Medicaid rules.
• Research topics related to Medicare and Medicaid regulations for clients and CLA personnel.
• Develop services to positively impact CLA revenue.

Skills

Medicare/Medicaid knowledge

MS Office

Education

Bachelor's degree in Accounting or related field

Tools

Health Financial Systems

Job description

CLA is a top 10 national professional services firm where our purpose is to _ create opportunities _ every day, for our clients, our people, and our communities through industry-focused wealth advisory, digital, audit, tax, consulting, and outsourcing services. Even with more than 8,500 people, 130 U.S. locations, and a global reach, we promise to know you and help you.

We are dedicated to building a culture that invites different beliefs and perspectives to the table, so we can truly know and help our clients, communities, and each other.

CLA is looking to hire a Healthcare Reimbursement Director in our Dallas, Forth Worth, or Houston, Texas office. This position will work within our Healthcare Group serving a variety of healthcare entities (hospitals, health systems, federally qualified health centers, skilled nursing facilities, etc.) by providing Medicare and Medicaid reimbursement related services. The Reimbursement Director will work with Healthcare team members and clients to plan and prepare Medicare and Medicaid cost reports and consulting projects and will report to Healthcare Principals and Signing Directors.

Job Responsibilities:

• Coordinate and prepare Medicare and Medicaid cost reports, coordinate and review Medicare and Medicaid cost reports.
• Coordinate and prepare reimbursement related consulting projects.
• Train and develop staff.
• Maintain a working knowledge of rules and regulations of the Medicare program and State Medicaid programs.
• Research various topics as necessary for clients or CliftonLarsonAllen personnel related to Medicare and Medicaid regulations.
• Responsible for the development of services to provide to CliftonLarsonAllen clients and potential clients to positively impact revenue.
• Become actively involved in practice management, i.e. participating in professional organizations and associations which develop/build relationships with clients, potential clients, and industry leaders, etc.
• Research related to Medicare and Medicaid reimbursement and developing a reimbursement library.

Job Requirements:

• _ Experience: _ 6 or more years of relevant experience is required. Experience with Medicare and Medicaid reimbursement preferred.
• _ Education _: Bachelor’s degree is required. Degree in Accounting or related field preferred. (Combination of experience, education, and training may be accepted in lieu of degree.)
• _ Technical Competencies: _ Knowledge of Medicare program and state Medicaid program rules and regulations. Knowledge of Medicare cost report software such as, Health Financial Systems. Proficiency with MS Office products (Outlook, Word, Excel, etc.) required.

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Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

Wellness at CLA

To support our CLA family members, we focus on their physical, financial, social, and emotional well-being and offer comprehensive benefit options that include health, dental, vision, 401k and much more.

To view a complete list of benefits