Senior Healthcare Reimbursement Strategist (Flexible/Remote)

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

Job summary

Baker Tilly is seeking a Senior Consultant - Healthcare Reimbursement to join its healthcare consulting practice. You will work with hospitals and health systems on Medicare/Medicaid cost reporting and reimbursement analyses, combining technical reimbursement knowledge with financial analysis and client service skills.

You will guide engagements, contribute to process improvements, and mentor junior team members while staying current with CMS regulations and industry developments.

Qualifications

• Bachelor's degree in accounting, finance, healthcare administration, business, or a related field is required.
• 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.
• Working knowledge of federal and state healthcare reimbursement regulations and reimbursement methodologies.
• Strong understanding of hospital financial statements, general ledger data, reimbursement statistics, and the relationship between financial information and regulatory cost reporting.
• Demonstrated ability to analyze healthcare reimbursement and cost report data and develop meaningful observations and recommendations.
• Strong Microsoft Excel skills and proficiency with Microsoft Office; experience with Medicare/Medicaid cost reporting or healthcare reimbursement software is preferred.

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.
• Independently manage significant portions of client engagements, including gathering client information, performing analyses, documenting conclusions, and meeting filing and project deadlines.
• Develop clear workpapers, analyses, client deliverables, and documentation supporting reimbursement positions and conclusions.

Skills

Medicare/Medicaid reimbursement

Cost reporting

Excel

Project management

Communication skills

Education

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

Tools

Microsoft Excel

Microsoft Office

Healthcare reimbursement software

Job description

Baker Tilly is seeking a Senior Consultant - Healthcare Reimbursement to join its healthcare consulting practice. You will work with hospitals and health systems on Medicare/Medicaid cost reporting and reimbursement analyses, combining technical reimbursement knowledge with financial analysis and client service skills.

You will guide engagements, contribute to process improvements, and mentor junior team members while staying current with CMS regulations and industry developments.