Senior Healthcare Reimbursement Strategist

Baker Tilly (US); Nevada; On-site; USD 79,000 - 126,000; Full time

Job summary

Baker Tilly is seeking a Senior Consultant - Healthcare Reimbursement to join our healthcare consulting practice, working with hospitals, health systems, and providers on Medicare/Medicaid cost reporting, reimbursement analyses, and related engagements.

You will combine reimbursement knowledge, financial analysis, and client service skills to address regulatory requirements, identify opportunities, and deliver high-quality results.

Qualifications

• Bachelor's degree in accounting, finance, healthcare administration, business, or related field.
• Minimum 3+ years of relevant healthcare reimbursement, Medicare/Medicaid cost reporting, healthcare finance, or related consulting experience.
• Hands-on experience preparing and/or reviewing Medicare hospital cost reports.
• Experience preparing and/or reviewing Medicaid or state medical assistance cost reports.
• Strong Microsoft Excel skills and proficiency with Microsoft Office; experience with Medicare/Medicaid cost reporting or healthcare reimbursement software is preferred.
• Ability to independently manage assigned workstreams and deliver high-quality work in a deadline-driven, multi-client environment.

Responsibilities

• Prepare and review Medicare and Medicaid cost reports for hospitals and other healthcare providers, including analysis of financial, statistical, reimbursement, and operational data supporting cost report filings.
• Apply knowledge of Medicare and Medicaid reimbursement regulations, CMS requirements, and state-specific reimbursement methodologies to client engagements.
• Analyze cost report data and reimbursement results to identify trends, inconsistencies, potential reimbursement opportunities, compliance considerations, and areas requiring further investigation.
• Perform detailed reconciliations of cost report data to financial statements, general ledger information, patient statistics, and other supporting documentation.
• Independently manage significant portions of client engagements, including gathering client information, performing analyses, documenting conclusions, and meeting filing and project deadlines.
• Prepare and review specialized Medicare and Medicaid reimbursement analyses and projects, including wage index and occupational mix reviews, IME/GME reimbursement, provider-based services, and special hospital designations such as Sole Community Hospital and Medicare-Dependent Hospital status.
• Assist clients with Medicare Administrative Contractor (MAC), state Medicaid agency, and other regulatory requests related to cost reports and reimbursement matters, as applicable to the engagement.
• Develop clear workpapers, analyses, client deliverables, and documentation supporting reimbursement positions and conclusions.
• Communicate directly with client finance, reimbursement, and accounting personnel to obtain information, resolve questions, and communicate project status and findings.
• Identify potential reimbursement opportunities and risks and communicate observations and recommendations to engagement leadership and clients.
• Manage multiple concurrent client engagements and priorities while meeting regulatory filing dates and internal deadlines.
• Collaborate with senior leaders on complex reimbursement matters and special consulting projects.
• Provide day-to-day guidance, technical support, and review assistance to Consultants and other junior team members.
• Contribute to the continuous improvement of cost reporting processes, analytical tools, templates, and engagement methodologies.
• Stay current on changes in CMS regulations, Medicare reimbursement policy, Medicaid reimbursement requirements, and healthcare industry developments, and share relevant knowledge with colleagues and clients.
• Maintain high standards of quality, professionalism, confidentiality, and client service while meeting the Firm's engagement and productivity expectations.

Skills

Healthcare reimbursement

Cost reporting

Regulatory compliance

Project management

Education

Bachelor's degree in accounting, finance, healthcare administration, business, or related field

Tools

Microsoft Excel

Job description

Baker Tilly is seeking a Senior Consultant - Healthcare Reimbursement to join our healthcare consulting practice, working with hospitals, health systems, and providers on Medicare/Medicaid cost reporting, reimbursement analyses, and related engagements.

You will combine reimbursement knowledge, financial analysis, and client service skills to address regulatory requirements, identify opportunities, and deliver high-quality results.