GENERAL PURPOSE OF THE JOB
The purpose of this position is to supervise/manage cost reporting teammates who prepare center level Medicare cost reports and to provide detailed reimbursement analysis and recommendations to support maximization of reimbursement opportunities to ensure departmental goals and objectives are achieved, in alignment with DaVita’s Mission and Core Values. This includes preparing financial reports for corporate and field operations management and joint venture partners, as well as internal and external audit agencies.
SUPERVISORY RESPONSIBILITIES: Yes
ESSENTIAL DUTIES AND RESPONSIBILITIES
The following duties and responsibilities generally reflect the expectations of this position but are not intended to be all-inclusive.
Leadership:
- Primary responsibility for managing all teammate employment activity such as hiring, writing and conducting teammate annual Performance Development Reviews (PDRs).
- Address teammate issues and escalate to Management/People Services as necessary.
- Provide ongoing training, development, coaching, performance management, and opportunities for growth.
- Determine staffing plans that promote the most effective use of all teammates.
- Work with leadership to establish, communicate, and ensure departmental goals and objectives are achieved.
- Provide ongoing training, development, coaching, performance management, and opportunities for growth.
- Determine staffing plans that promote the most effective use of all teammates.
- Work with leadership to establish, communicate, and ensure departmental goals and objectives are achieved
Other:
- Ensure the timely and accurate filing of all cost reports.
- Supervise teammates responsible for cost report audits and appeals.
- Supervise teammates responsible for general ledger functions such as journal entry preparation, account analysis and account reconciliation.
- Research recurring cost reporting/reimbursement issues and formulate proper file documentation.
- Supervise teammates responsible for preparing annual and/or interim Medicare cost reports. Provide interpretation of reimbursement issues and accounting for cost reporting initiatives.
- Coordinate and perform cost report audits as well as prepare and support any appeals. Correspond and deal effectively with fiscal intermediaries and other 3rd party agencies to resolve disputes including filing issues, denials, penalty assessments, withholds, exit conferences for audits, etc.
- Prepare audit responses and answer audit questions.
- Research and interpret CMS regulations and provide recommendations and guidelines for the business as it pertains to cost report operations.
Reporting / Analytics:
- Provide analysis on Medicare updates to determine impact to consolidated and managed operations.
- Interact with other departments to explain and resolve cost reporting issues.
- Prepare, develop and modify selected recurring and ad-hoc financial schedules and related notes for management reporting.
- Create detailed reports to support performance and strategic business initiatives.
- Solid understanding of all areas of the revenue cycle with ability to support and provide recommendations and train new teammates.
Process Improvement:
- Identify, develop and implement efficient and standardized methods for recurring processes and reporting.
- Understand business processes and collaborate with teammates throughout the village to provide solutions to improve effectiveness/efficiency of processes.
- Address complex inquiries from teammates/customers.
- Other duties as assigned.
Education, licenses, certifications, and experience required to fulfill the essential duties, include computer skills as required.
- Fifth year college or university program certificate, with an emphasis in Business, Accounting or Finance, or 2-4 years of related experience and/or training, or equivalent combination of education and experience in an accounting or healthcare organization. Previous management experience preferred.
- Minimum four years of related cost report experience required.
- Intermediate computer skills and proficiency with MS Office applications, and ability to learn new internal systems and tools. Experience with ERP software preferred.
- Strong written, verbal and interpersonal communication skills with ability to probe, question, and listen attentively.
- Working knowledge of accounting functions.
- Demonstrated project management and/or consultative skills when addressing complex inquiries from teammates, customers, and business partners.
- Ability to read, analyze and interpret general business communications.
- Ability to work with and apply algebra calculations, probability and statistical inference, and concepts such as fractions, ratios, and percentages to practical situations.
- Ability to make timely and quality decisions.
- Performance and behavior reflected in the Mission and Core Values of DaVita