Job Description
Job Description
Financial Services Manager - 6 month temp to perm
Location: Brentwood, TN 37027 (On-Site)
Shift: Full-Time, Monday - Friday, 8:00 AM - 5:00 PM
Pay: $43.56/hr
Position Summary
The Financial Services Manager is a critical member of the Financial Services team, primarily responsible for the technical preparation, analysis, and support of Medicare Cost Reports, focusing heavily on Disproportionate Share Hospital (DSH) reimbursement and Worksheet S-10 (Charity/Uninsured and Bad Debt Analysis). This role requires an expert command of Microsoft Access and Excel for complex data manipulation and interpretation of large volumes of patient-related data to ensure regulatory compliance and maximize appropriate reimbursement.
Essential Responsibilities:
I. Medicare Disproportionate Share Hospital (DSH) Reimbursement
- Accumulate, reconcile, and analyze Medicaid eligible patient days to accurately calculate DSH reimbursement on Filed Cost Reports.
- Manage and compile comprehensive documentation to support DSH-related protest calculations and appeal packages.
- Perform periodic Medicaid eligibility rematches on a hospital-by-hospital basis to maintain data integrity.
- Provide primary support and documentation assistance during all external DSH audits.
II. Worksheet S-10 and Cost Reporting
- Lead the completion of the Worksheet S-10 Charity/Uninsured Analysis for filed cost reports, ensuring compliance with current Medicare regulations and utilizing required Access models.
- Execute the Bad Debt General Ledger Reconciliation between S-10 and hospital financial records.
- Compile 1115 waiver protest day calculations for applicable state filings.
- Assist in supporting all external S-10 audits.
III. Financial System Support and Simplification
- Support the Financial Services team by assisting with the utilization and maintenance of Dodeca tools used by the reimbursement staff.
- Generate and compile the Cost Report (CR) statistics Dodeca tool for various hospital entities.
Required Qualifications: Education and Experience
- Minimum Education: Bachelor's degree in Finance, Accounting, or a related quantitative field.
- Minimum Experience: 5+ years of direct experience in healthcare reimbursement or financial analysis, demonstrating a deep working knowledge of Medicare regulations and reimbursement principles (specifically DSH and S-10).
Technical and Analytical Skills
- Data Mastery (Expert Level Required): Highly proficient in Microsoft Office Suite, specifically possessing expert analytical skills in Excel (advanced formulas, pivot tables) and Access (creating and managing tables, complex queries, and forms).
- Reimbursement Knowledge: Strong command of Medicare third-party billing, regulatory compliance, and reimbursement methodologies.
- System Proficiency: Functional knowledge of patient accounting systems (e.g., McKesson, EPIC, Meditech, etc.).
- Data Interpretation: Proven ability to efficiently process, interpret, and model significant amounts of patient-level data.
Behavioral Competencies and Organizational Values
- Communicate with Impact: Ability to deliver complex financial and regulatory information clearly, concisely, and compellingly to technical and non-technical audiences.
- Effective Decision Making: Capacity to make timely, informed, and compliant decisions that align with organizational strategy.
- Drive Execution: Commitment to achieving successful financial outcomes and holding oneself and others accountable for results.
- Service & Quality Excellence: Uncompromising commitment to accuracy, integrity, and quality in all analyses and reporting.
- Achieve Success through Change: Proactive identification of process improvements and adaptability in a constantly evolving regulatory environment.